NPI 1003664152

Advanced Minimally Invasive Surgical

Organisation Vascular Surgery Physician Mesa, AZ

Practice location

Address: 1134 E University Dr STE 111, Mesa, AZ 85203-8048
Phone: (480) 788-5621
Fax: (480) 779-1277
Mailing address: 202 E Earll Dr STE 360, Phoenix, AZ 85012-2677

Authorised official

Name: Kiup Alexander Kim
Title: Owner
Phone: (480) 323-6072

Registered specialties

Vascular Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X

Other Surgery providers in Arizona →

Registry record

NPI: 1003664152
Entity type: Organization
NPI issued: 13 May 2024
Record last updated: 13 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.