Healthcare Provider Details

I. General information

NPI: 1801877527
Provider Name (Legal Business Name): BRUCE JAMES YEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 07/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 E SOUTHERN AVE STE 102
TEMPE AZ
85282-7510
US

IV. Provider business mailing address

PO BOX 22057
TEMPE AZ
85285-2057
US

V. Phone/Fax

Practice location:
  • Phone: 480-831-6073
  • Fax: 480-820-3785
Mailing address:
  • Phone: 480-831-6073
  • Fax: 480-820-3785

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number13286
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: