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1912909623
LEE J SECRIST
COEUR D ALENE, ID
NPI
1912909623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: ID M7731)
Enumeration Date
2005-08-12
Last Update Date
2013-08-16
Business Address
Dr. LEE J SECRIST MD
3754 S BRENTWOOD LN
COEUR D ALENE, ID 83814-7053
Phone number: 952-595-1100
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Mailing Address
Dr. LEE J SECRIST MD
11995 SINGLETREE LN SUITE 500
EDEN PRAIRIE, MN 55344-5347
Phone number: 952-595-1301
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