Organization
KK MUKKAVILLI PLC
Active
Organization
KK MUKKAVILLI PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE POLLOCK (OFFICE MANAGER)
(801) 949-6730
Entity
Organization
Contact information
Practice address
3333 E INDIAN SCHOOL RD, SUITE 4, PHOENIX, AZ 85018-5015
(602) 852-0200
(888) 959-8755
Mailing address
3333 E INDIAN SCHOOL RD, SUITE 4, PHOENIX, AZ 85018-5015
(602) 852-0200
(888) 959-8755
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD29911
AZ
Other
Enumeration date
07/05/2012
Last updated
08/20/2012
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