Minimally Invasive Therapies a Professional Corporation
NPI #1700332285 in Apple Valley, California
Provider Information
- NPI Number
- 1700332285
- Entity Type
- Organization
- Organization Name
- Minimally Invasive Therapies a Professional Corporation
- Primary Specialty
- Urology
- Enumeration Date
- Aug 25, 2016
- Last Updated
- Aug 25, 2016
Practice Location
- Address
- 18400 US HIGHWAY 18
- Address 2
- SUITE A
- City
- Apple Valley
- State
- California
- ZIP Code
- 92307-2306
- Phone
- (760) 242-3939
Authorized Official
- Name
- DR. SAMUEL SHIN KWON LEE, M.D.
- Title
- CEO
- Phone
- (660) 349-0020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Urology |
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