Provider Demographics
NPI:1295831329
Name:YEE, ADRAIN WC (MD)
Entity Type:Individual
Prefix:
First Name:ADRAIN
Middle Name:WC
Last Name:YEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2336 LAKELINE DR
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84109-1462
Mailing Address - Country:US
Mailing Address - Phone:801-467-4571
Mailing Address - Fax:
Practice Address - Street 1:3460 PIONEER PKWY
Practice Address - Street 2:
Practice Address - City:WEST VALLEY CITY
Practice Address - State:UT
Practice Address - Zip Code:84120-2049
Practice Address - Country:US
Practice Address - Phone:801-993-9526
Practice Address - Fax:801-733-5872
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT161763-1205207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT2000857OtherUNITED HEALTHCARE
UT28496OtherPEHP
UTQM0000015628OtherALTIUS
UT870532396YE1OtherEDUCATORS MUTUAL
UT35876OtherDESERET MUTUAL
UT53005OtherHEALTHY U
UTPR00683OtherMOLINA