NPI 1508430661

Obl

Organisation Integrative Medicine Physician Phoenix, AZ

Practice location

Address: 14804 N Cave Creek Rd STE 200, Phoenix, AZ 85032-4945
Phone: (480) 240-5613
Fax: (480) 205-1063
Mailing address: 202 E Earll Dr STE 360, Phoenix, AZ 85012-2677

Authorised official

Name: Kiup Kim
Title: Founder / Ceo
Phone: (480) 788-5621

Registered specialties (4)

Integrative Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202D00000X

Other Integrative Medicine providers in Arizona →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

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Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Registry record

NPI: 1508430661
Entity type: Organization
NPI issued: 13 May 2021
Record last updated: 4 May 2023

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.