Organization
PHOENIX EYE INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIN CHEOL KIM MD, PHD (PRESIDENT)
(623) 773-3937
Entity
Organization
Contact information
Practice address
14155 N 83RD AVE, SUITE 104, PEORIA, AZ 85381-5639
(623) 773-3937
(623) 773-3955
Mailing address
PO BOX 5609, PEORIA, AZ 85385-5609
(623) 773-3937
(623) 773-3955
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
36025
AZ
Other
Enumeration date
09/07/2011
Last updated
05/09/2012
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