Organization
SAMUEL C KIM NEUROLOGICAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY KIM (PRACTICE ADMINISTRATOR)
(424) 443-4749
Entity
Organization
Contact information
Practice address
13677 W MCDOWELL RD, GOODYEAR, AZ 85395-2635
(424) 443-4749
(951) 667-7786
Mailing address
2415 E CAMELBACK RD STE 700, PHOENIX, AZ 85016-4245
(424) 443-4749
(951) 667-7786
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
09/05/2023
Last updated
08/27/2024
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