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Individual

DR. ANDREW C KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
MAD RIVER ORTHOPAEDICS & SPORTS MEDICINE, 3798 JANES ROAD SUITE 5, ARCATA, CA 95521
(707) 826-8244
(707) 826-8252
Mailing address
GUAM SDA CLINIC. 388 YPAO RD., TAMUNING, GU 96913
(671) 646-8881

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
G45641
CA
207X00000X
Orthopaedic Surgery Physician
Primary
M-1786
GU

Other

Enumeration date
09/01/2006
Last updated
06/03/2024
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