Organization · NPI-2

Advanced Minimally Invasive Surgical

Surgery · Phoenix, AZ

NPI number1295056919
StatusActive
Last updated in NPPESOct 18, 2022

Details

NPI
1295056919
Entity type
Organization (NPI-2)
Legal business name
Advanced Minimally Invasive Surgical
Organization subpart
No
Enumeration date
Jun 16, 2010
Certification date
Oct 18, 2022
Last updated
Oct 18, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery––Yes
207Q00000X Family Medicine––
207QA0505X Family Medicine, Adult Medicine––
207QB0002X Family Medicine, Bariatric Medicine––
251S00000X Community/Behavioral Health––

Practice location

202 E Earll Dr Ste 360
Phoenix, AZ 85012-2677

Phone 480-788-5621 · Fax 480-779-1277

Mailing address

202 E Earll Dr Ste 360
Phoenix, AZ 85012-2677

Phone 480-788-5621 · Fax 480-779-1277

Other practice locations

333 N Dobson Rd
Chandler, AZ 85224-4412

Phone 480-788-5621 · Fax 480-779-1277

5060 N 19th Ave Ste 106
Phoenix, AZ 85015-3211

Phone 480-788-5621 · Fax 480-779-1277

2737 W Baseline Rd Ste 27
Tempe, AZ 85283-1051

Phone 480-788-5621 · Fax 480-779-1277

5060 N 19th Ave Ste 207
Phoenix, AZ 85015-3212

Phone 480-788-5621 · Fax 480-779-1277

1455 W Chandler Blvd Ste B11
Chandler, AZ 85224-6128

Phone 480-788-5621 · Fax 480-779-1277

202 E Earll Dr Ste 360
Phoenix, AZ 85012-2677

Phone 480-788-5621 · Fax 480-779-1277

Authorized official

Kiup Alex Kim
Manager
4802997654

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