Organization
CHO LONG KIM NMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA SHAKESPEARE (MANAGER)
(928) 554-5633
Entity
Organization
Contact information
Practice address
505 S MADISON DR, TEMPE, AZ 85281-7213
(480) 900-7952
(480) 999-3346
Mailing address
23700 N 23RD AVE APT 32, PHOENIX, AZ 85085-2018
(480) 900-7952
(480) 999-3346
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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