Individual
EUGENE M KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1441 N 12TH ST FL 3, PHOENIX, AZ 85006-2837
(602) 521-5100
(623) 707-4243
Mailing address
1441 N 12TH ST FL 3, PHOENIX, AZ 85006-2837
(602) 521-5100
(623) 707-4243
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
33968
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
933128
—
AZ
Enumeration date
09/30/2005
Last updated
07/16/2025
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