Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samuel Lee

Individual provider Physician Assistant · NPI 1720802036

Samuel Lee is a Physician Assistant in Magna, Utah. Qualified in 2025, 1 year ago. Practices with Exodus Healthcare Network PLLC, a 26-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
1
Licensed in
UT
In the registry since
2024

Practice location Address checks out

3665 S 8400 W
Magna, UT 84044-4907
Phone: (801) 250-9638
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14231252-1206 (UT)

Record details

NPI number1720802036
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 13, 2024
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025
Mailing address6056 Ridge Rd, Highland, UT 84003-3611

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Exodus Healthcare Network Pllc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Magna