Organization
ADVANCED IOM SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISE KILMER (MANAGER)
(775) 318-3995
Entity
Organization
Contact information
Practice address
2535 W PLATA AVE, MESA, AZ 85202-7860
(775) 318-3995
Mailing address
2535 W PLATA AVE, MESA, AZ 85202-7860
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
01/15/2018
Last updated
01/15/2018
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