Organization
ARIZONA MINIMALLY INVASIVE SINUS INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN L TRAIKOVICH (MANAGER)
(623) 516-0930
Entity
Organization
Contact information
Practice address
19636 N 27TH AVE STE 206, PHOENIX, AZ 85027-4015
(602) 788-0088
(602) 931-4544
Mailing address
19636 N 27TH AVE STE 206, PHOENIX, AZ 85027-4015
(602) 788-0088
(602) 931-4544
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
07/29/2013
Last updated
01/06/2019
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