Individual
DR. KIRK D MINKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7529 E BROADWAY RD STE 101, MESA, AZ 85208-2007
(480) 945-4343
(480) 945-4350
Mailing address
7529 E BASELINE, SUITE 101, MESA, AZ 85208
(480) 945-4343
(480) 945-4350
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
33081
AZ
2085R0204X
Vascular & Interventional Radiology Physician
Primary
33081
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z7086
HEALTH NET OF AZ
AZ
05
—
872227
—
AZ
01
—
AZ0221810
BCBSAZ
AZ
Enumeration date
02/07/2006
Last updated
08/27/2025
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