Bruce Lee
Bruce Lee is registered under Substance Abuse Rehabilitation Facility in Salt Lake City, Utah. Practices as a sole proprietor. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
344 E 100 S Ste 301Salt Lake City, UT 84111-1727 Not confirmed with CMS for 11 years — call before visiting
Phone: (801) 322-4257
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X |
|---|
Record details
| NPI number | 1134518210 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 13, 2015 |
| Last updated in NPPES | January 13, 2015 |
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