National Provider Identifier Database

ICU423R
Integrative Medicine

A physician who specializes in the treatment of the whole person through prevention and treatment based on medical evidence. Integrative medicine considers all factors that influence health, wellness, and disease – including mind, body, and spirit. Conventional and alternative methods are used to facilitate the body’s innate healing response. Appropriate consideration is given to use of less-invasive and less-harmful interventions, when possible. It also incorporates all appropriate therapeutic approaches, health care modalities, and disciplines to achieve optimal health and healing.


Contact Information

ICU423R
1101 W GUADALUPE RD STE 1
MESA, AZ85210-7601
Phone: 480-788-5621
Fax: 480-779-1277
Website:
Specialty Taxonomy Code
* Integrative Medicine 202D00000X
Community/Behavioral Health 251S00000X

* Indicates primary specialty

NPI Profile & details for ICU423R

NPI Number 1528752300
Legal business name
LBN
ICU423R
Authorized official KIUP KIM - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/06/2023
Last updated 06/06/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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