Organization
MELISSA KYRIMIS, MD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARISSA NICKOLS (CREDENTIALING MANAGER)
(928) 535-6667
Entity
Organization
Contact information
Practice address
5448 WHITE MOUNTAIN BLVD, 200, LAKESIDE, AZ 85929-5739
(928) 535-6667
Mailing address
5448 WHITE MOUNTAIN BLVD, 200, LAKESIDE, AZ 85929-5739
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
26344
AZ
Other
Enumeration date
01/26/2010
Last updated
05/24/2010
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