Advanced Minimally Invasive Surgical | |
14804 N Cave Creek Rd Ste 200 Phoenix AZ 85032-4945 | |
(480) 240-5613 | |
Not Available |
Full Name | Advanced Minimally Invasive Surgical |
---|---|
Speciality | Integrative Medicine |
Location | 14804 N Cave Creek Rd Ste 200, Phoenix, Arizona |
Authorized Official Name and Position | Kiup Alexander Kim (OWNER) |
Authorized Official Contact | 4803236072 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Advanced Minimally Invasive Surgical 202 E Earll Dr Ste 360 Phoenix AZ 85012-2677 Ph: (480) 240-5613 | Advanced Minimally Invasive Surgical 14804 N Cave Creek Rd Ste 200 Phoenix AZ 85032-4945 Ph: (480) 240-5613 |
NPI Number | 1871206821 |
---|---|
Provider Enumeration Date | 01/04/2023 |
Last Update Date | 09/26/2023 |
Certification Date | 09/26/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871206821 | NPI | - | NPPES |
148484 | Medicaid | AZ | |
OTC12137 | Other | AZ | AZDHS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
202D00000X | Integrative Medicine | (* (Not Available)) | Primary |
Amra Stafford, Psyd, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 E Weldon Ave, Suite 320, Phoenix, AZ 85012 Phone: 602-456-7565 Fax: 602-266-0234 | |
Pro Iom Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 Phone: 602-482-2282 | |
Liberty Care Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8111 N 19th Ave Apt 2038, Phoenix, AZ 85021 Phone: 602-367-7916 | |
Insight-therapy Az Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4545 E Shea Blvd Ste 235, Phoenix, AZ 85028 Phone: 602-315-4068 Fax: 602-675-2705 | |
White Tiger Integrated Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 E Weldon Ave Ste 220, Phoenix, AZ 85012 Phone: 603-637-7361 | |
Eden Recovery Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2538 E University Dr Ste 180, Phoenix, AZ 85034 Phone: 480-390-3375 | |
Native Country Healthcare Systems Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4805 W Thomas Rd, Phoenix, AZ 85031 Phone: 602-706-8741 |