| Agape Internal Medicine LLC | |
|
2314 E Mine Creek Rd Phoenix AZ 85024-8685 | |
| (623) 203-4858 | |
| (888) 543-8256 |
| Full Name | Agape Internal Medicine LLC |
|---|---|
| Speciality | Internal Medicine - Sports Medicine |
| Location | 2314 E Mine Creek Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Tiffany Kim (OWNER) |
| Authorized Official Contact | 6232034858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Internal Medicine LLC 2314 E Mine Creek Rd Phoenix AZ 85024-8685 Ph: (623) 203-4858 | Agape Internal Medicine LLC 2314 E Mine Creek Rd Phoenix AZ 85024-8685 Ph: (623) 203-4858 |
| NPI Number | 1992179691 |
|---|---|
| Provider Enumeration Date | 11/18/2015 |
| Last Update Date | 11/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992179691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RS0010X | Internal Medicine - Sports Medicine | (NU) | Primary |
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