Individual
MIHAE GRACE JOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6644 E BAYWOOD AVE, APOGEE MEDICAL GROUP, MESA, AZ 85206-1747
(480) 321-4391
(480) 981-4624
Mailing address
PO BOX 708850, SANDY, UT 84070-8850
(800) 846-5314
(801) 352-9502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD20030642
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
63224861
—
NM
Enumeration date
04/07/2006
Last updated
07/08/2007
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