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Contact Information

ADVANCED MINIMALLY INVASIVE SURGICAL
14804 N CAVE CREEK RD STE 200
PHOENIX, AZ85032-4945
 Phone: 480-240-5613
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Integrative Medicine

202D00000X
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for ADVANCED MINIMALLY INVASIVE SURGICAL · (Female)

NPI Number 1871206821
Status Active
Credentials
Entity Individual
Enumeration date 01/04/2023
Last updated 09/26/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ Medicaid 148484
  • AZ Other OTC12137 AZDHS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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