Provider Demographics
NPI:1447060314
Name:GEE, JUSTIN T
Entity type:Individual
Prefix:
First Name:JUSTIN
Middle Name:T
Last Name:GEE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:277 S 1000 E APT 103
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-3897
Mailing Address - Country:US
Mailing Address - Phone:916-832-4598
Mailing Address - Fax:
Practice Address - Street 1:277 S 1000 E
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-3896
Practice Address - Country:US
Practice Address - Phone:916-832-4598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty