Organization
THE RETINA GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALYSSA KIM (PLLC MEMBER)
(480) 898-3937
Entity
Organization
Contact information
Practice address
6262 E BROADWAY RD, STE 106, MESA, AZ 85206-6101
(480) 898-3937
Mailing address
6262 E BROADWAY RD, STE 106, MESA, AZ 85206-6101
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
01/27/2007
Last updated
10/13/2010
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