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Organization

AEGIS IOM, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELISE KILMER (MANAGER)
(702) 670-1588
Entity
Organization

Contact information

Practice address
5323 E PALOMINO RD, PHOENIX, AZ 85018-1911
(702) 670-1588
Mailing address
PO BOX 41861, MESA, AZ 85274-1861

Taxonomy

Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary

Other

Enumeration date
05/31/2018
Last updated
05/31/2018
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