Provider Demographics
NPI:1033373865
Name:SELLERS, TERRELL LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:TERRELL
Middle Name:LEE
Last Name:SELLERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1594 S. 705 E.
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84297
Mailing Address - Country:US
Mailing Address - Phone:801-319-3432
Mailing Address - Fax:
Practice Address - Street 1:100 N JOHNSON MILL RD
Practice Address - Street 2:
Practice Address - City:MIDWAY
Practice Address - State:UT
Practice Address - Zip Code:84049-6764
Practice Address - Country:US
Practice Address - Phone:435-654-3700
Practice Address - Fax:435-654-7111
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-10
Last Update Date:2017-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT293281-1205207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine