Individual
MIN CHEOL KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14155 NORTH 83RD AVENUE, SUITE 1103, PEORIA, AZ 85381
(480) 495-6492
Mailing address
PO BOX 11977, GLENDALE, AZ 85318-1977
(480) 495-6492
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
36025
AZ
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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