Search › Idaho › 207VG0400X
Lee Self, MD
NPI 1639121361 · on the registry since 2006 · sole proprietor
Practice
- Address
- 2020 S Johns Ave Ste B
Emmett, ID 83617 - Phone
- (208) 425-7507
- Fax
- (208) 541-9341
- Organisation at this address
- Lee Self Md Pa
Jonathan Barrus Do Pc
Hines Orthopedics And Sports Medicine, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 23000 Sweet Ola Hwy, Ola, ID
Registry record
- Primary taxonomy
- 207VG0400X
207VG0400X
- Also registered as
- 207V00000X
207VX0000X - Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-11-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho