ADVANCED MINIMALLY INVASIVE SURGICAL NPI 1003664152

NPI Information

NPI: 1003664152
Provider Name: ADVANCED MINIMALLY INVASIVE SURGICAL
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
1134 E UNIVERSITY DR STE 111
MESA, AZ
ZIP 85203
Phone: (480) 788-5621
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ADVANCED MINIMALLY INVASIVE SURGICAL is a vascular surgery surgery in Mesa, AZ. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. ADVANCED MINIMALLY INVASIVE SURGICAL NPI is 1003664152. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1134 E UNIVERSITY DR STE 111
MESA, AZ
ZIP 85203-048
Phone: (480) 788-5621
Fax: (480) 779-1277

The provider's authorized official is Kiup Alexander Kim .
The authorized official title is Owner and has the following contact phone number (480) 323-6072.

The enumeration date for this NPI number is 5/13/2024 and was last updated on 5/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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