Organization
ARIZONA GLAUCOMA SPECIALISTS - NORTH PHOENIX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAX CHUNG HO KIM M.D. (PRESIDENT)
(480) 538-7075
Entity
Organization
Contact information
Practice address
20940 N TATUM BLVD, SUITE 250, PHOENIX, AZ 85050-7246
(480) 538-7075
(480) 538-7952
Mailing address
20940 N TATUM BLVD, SUITE 250, PHOENIX, AZ 85050-7246
(480) 538-7075
(480) 538-7952
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35715
AZ
Other
Enumeration date
04/15/2014
Last updated
09/29/2014
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