Teejay G. Tripp DO
Neurology Physician in Ponte Vedra, FL(View on Map)
Full Name
Teejay Grant Tripp DO
NPI Number
1629308424
NPI Type
Individual Provider
Gender
Male
Enumeration Date
12/30/2009
Specialties
(Taxonomies)Code
2084N0400X
2084P0804X
2084P0800X
Primary Taxonomy
Yes
No
No
Licenses
State
Alaska
Arizona
Colorado
Florida
Nevada
New Hampshire
Utah
License Number
100970
005662
CDR.0000580
OS19270
CL0066
19551
11583541-1204
Contact
Information
Purpose
Mailing
Location
Address
3300 N TRIUMPH BLVD STE 500
203 FORT WADE RD UNIT 260
City
Lehi
Ponte Vedra
State
UT
FL
Postal Code
84043-6475
32081-5159
Country
US
US
Telephone Number
(801) 821-2333
(801) 821-2333
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/07/2024