| Aegis Iom, PLLC | |
|
5323 E Palomino Rd Phoenix AZ 85018-1911 | |
| (702) 670-1588 | |
| Not Available |
| Full Name | Aegis Iom, PLLC |
|---|---|
| Speciality | Psychiatry & Neurology - Clinical Neurophysiology |
| Location | 5323 E Palomino Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Elise Kilmer (MANAGER) |
| Authorized Official Contact | 7026701588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aegis Iom, PLLC Po Box 41861 Mesa AZ 85274-1861 | Aegis Iom, PLLC 5323 E Palomino Rd Phoenix AZ 85018-1911 Ph: (702) 670-1588 |
| NPI Number | 1194217596 |
|---|---|
| Provider Enumeration Date | 05/31/2018 |
| Last Update Date | 05/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194217596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | () | Primary |
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