OrganizationActive
Advanced Minimally Invasive Surgical
NPI 1003664152 · Vascular Surgery Physician · Mesa, AZ
Provider details
- NPI number
- 1003664152
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Advanced Minimally Invasive Surgical
- Organization subpart
- Yes
- Authorized official
- Kiup Kim, Owner(480) 323-6072
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1134 E University Dr Ste 111
Mesa, AZ 85203-8048
Phone: (480) 788-5621
Fax: (480) 779-1277
Approximate (ZIP-level) locationGet directions
Mailing address
202 E Earll Dr Ste 360
Phoenix, AZ 85012-2677
Registry dates
- Enumerated
- 2024-05-13
- Last updated
- 2024-05-13
- Certified
- 2024-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.