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NPI Code Detail

MEDICARE: MR. GREG LEE PT

MEDICARE: MR. GREG LEE PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician1322MT

General Provider Information

NPI Number : 1871784082
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GREG LEE PT
Provider Business Mailing Address
First Line : 17 N MILES AVE
Second Line :
City : HARDIN
State : MT
Zip : 59034-2323
Country : US
Telephone Number : 406-665-2310
Fax Number : 406-665-9238
Provider Business Practice Location Address
First Line : 17 N MILES AVE
Second Line :
City : HARDIN
State : MT
Zip : 59034-2323
Country : US
Telephone Number : 406-665-2310
Fax Number : 406-665-9238
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2007
Last Update Date : 08/05/2007

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