| 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 |
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