Individual
DAE WOONG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21321 E OCOTILLO RD STE 133, QUEEN CREEK, AZ 85142-5995
(480) 987-5525
(480) 987-5115
Mailing address
21321 E OCOTILLO RD STE 133, QUEEN CREEK, AZ 85142-5995
(480) 987-5525
(480) 987-5115
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7074
AZ
Other
Enumeration date
04/23/2018
Last updated
01/06/2023
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