Healthcare Provider Details

I. General information

NPI: 1265552319
Provider Name (Legal Business Name): SANDRA YEE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 05/25/2024
Certification Date: 05/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4635 S LAKESHORE DR STE 135
TEMPE AZ
85282-7127
US

IV. Provider business mailing address

PO BOX 1284
GILBERT AZ
85299-1284
US

V. Phone/Fax

Practice location:
  • Phone: 480-460-1600
  • Fax: 480-460-1600
Mailing address:
  • Phone: 480-460-1600
  • Fax: 480-460-1600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number23067
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: