NPI | 1164871075 |
---|---|
Doing Business As | AZ GASTRO CARE ENDOSCOPY CENTER |
Entity Type | Organization |
Authorized Contact | JAE HO KIM Medical Director 480-393-0575 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Additional Taxonomies | 261QE0800X Clinic/Center, Endoscopy |
Enumeration Date | 2016-06-10 |
Last Update Date | 2025-07-07 |