Individual
MAX CHUNG HO KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20940 N TATUM BLVD, SUITE 250, PHOENIX, AZ 85050-4265
(480) 538-7075
(480) 538-7952
Mailing address
20940 N TATUM BLVD STE 250, PHOENIX, AZ 85050-7254
(480) 538-7075
(480) 538-7952
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
35715
AZ
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
35715
AZ
Other
Enumeration date
08/05/2006
Last updated
12/28/2017
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