| Ronald J Lee Md | |
|
2680 S Val Vista Dr Ste 114 Gilbert AZ 85295-1606 | |
| (480) 722-0252 | |
| (480) 722-0253 |
| Full Name | Ronald J Lee Md |
|---|---|
| Speciality | Family Medicine |
| Location | 2680 S Val Vista Dr Ste 114, Gilbert, Arizona |
| Authorized Official Name and Position | Ronald J Lee (OWNER) |
| Authorized Official Contact | 4807220252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald J Lee Md 2680 S Val Vista Dr Ste 114 Gilbert AZ 85295-1606 Ph: (480) 722-0252 | Ronald J Lee Md 2680 S Val Vista Dr Ste 114 Gilbert AZ 85295-1606 Ph: (480) 722-0252 |
| NPI Number | 1871500512 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 04/23/2008 |
| Medicare PECOS PAC ID | 9830195791 |
|---|---|
| Medicare Enrollment ID | O20061017000140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871500512 | NPI | - | NPPES |
| 974271 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ronald J Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952332587 PECOS PAC ID: 3274539143 Enrollment ID: I20061017000241 |
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