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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRUCE LEE

Active Sole Proprietor

BRUCE LEE is a Substance Abuse Rehabilitation Facility healthcare provider located in SALT LAKE CITY, Utah. NPI 1134518210 is currently active in the NPPES registry. Verify at CMS.

Substance Abuse Rehabilitation Facility · SALT LAKE CITY, UT

Registration Details

NPI Number
1134518210
Provider Type
Individual
Gender
Male
NPI Issued
Jan 13, 2015 (11.539159294264 yrs)
Last Updated
Jan 13, 2015
Sole Proprietor
Yes

Practice Information

Address
344 E 100 S STE 301
SALT LAKE CITY, UT, 841111727
Browse UT providers · Browse ZIP 84111
Phone
8013224257
Primary Specialty
Substance Abuse Rehabilitation Facility
324500000X

Other Substance Abuse Rehabilitation Facility Providers in SALT LAKE CITY, UT

Name Credential NPI
MR. NICHOLAS CHRISTIAN FERRONE LSAC 1871893115
MS. ALEXANDRA DAWN THOMAS 1366726895
DANIEL EDMUND BANELLIS 1194087015
ERIC LINDGREN CSUDC 1821417551
CHRIS OSTLER 1962891978
GEORGE RIVERA 1538601356
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.