Organization
AGAPE INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY KIM (OWNER)
(623) 203-4858
Entity
Organization
Contact information
Practice address
2314 E MINE CREEK RD, PHOENIX, AZ 85024-8685
(623) 203-4858
(888) 543-8256
Mailing address
2314 E MINE CREEK RD, PHOENIX, AZ 85024-8685
(623) 203-4858
(888) 543-8256
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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