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Organization
AZ KIDNEY DR LLC
Active
Organization
AZ KIDNEY DR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUSSAY ALSAMKARI MD (OWNER)
(602) 741-5504
Entity
Organization
Contact information
Practice address
436 E SOUTHERN AVE, TEMPE, AZ 85282-5216
(480) 336-2039
(602) 207-8899
Mailing address
436 E SOUTHERN AVE, TEMPE, AZ 85282-5216
(480) 336-2039
(602) 207-8899
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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