NPI 1871206821
Advanced Minimally Invasive Surgical
Practice location
- Address
- 14804 N Cave Creek Rd STE 200, Phoenix, AZ 85032-4945
- Phone
- (480) 240-5613
- 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 (2)
Integrative Medicine Physician
Primary
Community/Behavioral Health Agency
Registry record
- NPI
- 1871206821
- Entity type
- Organization
- NPI issued
- 4 Jan 2023
- Record last updated
- 26 Sep 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.