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Contact Information

WALLY LEE
3539 E BRIGHTON POINT DR
SALT LAKE CITY, UT84121-5510
 Phone: 801-273-7820
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for WALLY LEE · (Male)

NPI # 1184131922
Status Active
Credentials
Entity Individual
Enumeration date 01/02/2018
Last updated 01/02/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 270370-1205
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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