# SAN TAN PERINATAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538603279
- **Authorized official:** MAUREEN LEE M.D. (OWNER & MEDICAL DIRECTOR)
- **Authorized official phone:** (480) 221-9183

## Contact information

- **Practice address:** 3815 S VAL VISTA DR, SUITE 102, GILBERT, AZ 85297-7308
- **Practice address phone:** (480) 221-9183
- **Mailing address:** 3801 E OLD STONE CIR S, CHANDLER, AZ 85249-5796
- **Mailing address phone:** (480) 221-9183

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 40335 | AZ | Yes |

## Other

- **Enumeration date:** 12/15/2016
- **Last updated:** 12/15/2016