Male or Other

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

Provider Address