| NPI | 1295056919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIUP ALEX KIM Manager 480-299-7654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QA0505X Family Medicine, Adult Medicine | |
| 207QB0002X Family Medicine, Bariatric Medicine | |
| 251S00000X | |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2022-10-18 |