Individual
MOONSUK KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 342-2000
Mailing address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11248
AZ
Other
Enumeration date
08/07/2025
Last updated
02/17/2026
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