Organization
VALLEY RETINA SURGEONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIN C KIM MD (MANAGER)
(623) 773-3937
Entity
Organization
Contact information
Practice address
20118 N 67TH AVE, SUITE 300-240, GLENDALE, AZ 85308-4621
(623) 773-3937
(623) 773-3955
Mailing address
PO BOX 11977, GLENDALE, AZ 85318-1977
(623) 773-3937
(623) 773-3955
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
36025
AZ
Other
Enumeration date
01/11/2007
Last updated
08/22/2020
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