Organization
ADVANCED MINIMALLY INVASIVE SURGICAL
Active
Parent organization
ADVANCED MINIMALLY INVASIVE SURGICAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED MINIMALLY INVASIVE SURGICAL
Authorized official
KIUP ALEXANDER KIM (OWNER)
(480) 323-6072
Entity
Organization
Contact information
Practice address
412 WHIPPLE ST, PRESCOTT, AZ 86301-1712
(480) 788-5621
(480) 779-1277
Mailing address
202 E EARLL DR STE 360, PHOENIX, AZ 85012-2677
(480) 788-5621
(480) 779-1277
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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