Organization
ADVANCED MINIMALLY INVASIVE SURGICAL
Active
Parent organization
ADVANCED MINIMALLY INVASIVE SURGICAL
Other names
Arizona Foot Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED MINIMALLY INVASIVE SURGICAL
Authorized official
KIUP ALEXANDER KIM MD (TRUSTEE/OWNER)
(480) 323-6072
Entity
Organization
Contact information
Practice address
14418 W MEEKER BLVD # B-205, SUN CITY WEST, AZ 85375-5283
(480) 788-5621
(480) 779-1277
Mailing address
202 E EARLL DR STE 360, PHOENIX, AZ 85012-2677
(480) 788-5621
(480) 779-1277
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
09/06/2023
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