| Organization Name: | SALVADOR T. LEE, JR., M. D.,P.C. |
| NPI Number: | 1487801684 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SALVADOR T. LEE (PRESIDENT/ OWNER) |
| Mailing Address: | 102 E Third St Winslow |
| State: | AZ US |
| Postal Code: | 860473743 |
| Phone Number: | 9282893345 |
| Fax Number: | 9282893760 |
| NPI Enumeration Date: | 08/19/2008 |
| NPI Last Update Date: | 08/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |