ADVANCED MINIMALLY INVASIVE SURGICAL; NPI #1003664152

Contact Information

ADVANCED MINIMALLY INVASIVE SURGICAL

1134 E UNIVERSITY DR STE 111
MESA, AZ 85203-8048

Phone: 480-788-5621
Fax: 480-779-1277
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Vascular Surgery	2086S0129X	76	Physician/Peripheral Vascular Disease

Indicates primary specialty

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NPI Profile & details for ADVANCED MINIMALLY INVASIVE SURGICAL

NPI Number	`1003664152`
LBN Legal business name	ADVANCED MINIMALLY INVASIVE SURGICAL
Authorized official	KIUP KIM - (OWNER)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	05/13/2024
Last updated	05/13/2024 - About 2 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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