| NPI | 1104547975 |
|---|---|
| Former Legal Business Name | AIM HEALTHCARE PROVIDERS, LLC |
| Entity Type | Organization |
| Authorized Contact | KELLY KARANIUK Credentialing Direct 480-494-2465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2022-09-12 |