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ADVANCED MINIMALLY INVASIVE SURGICAL NPI 1992486138


NPI Information

NPI: 1992486138
Provider Name: ADVANCED MINIMALLY INVASIVE SURGICAL
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
14418 W MEEKER BLVD # B-205
SUN CITY WEST, AZ
ZIP 85375
Phone: (480) 788-5621
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ADVANCED MINIMALLY INVASIVE SURGICAL is a podiatrist in Sun City West, AZ. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. ADVANCED MINIMALLY INVASIVE SURGICAL NPI is 1992486138. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14418 W MEEKER BLVD # B-205
SUN CITY WEST, AZ
ZIP 85375-283
Phone: (480) 788-5621
Fax: (480) 779-1277

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

The enumeration date for this NPI number is 7/31/2023 and was last updated on 9/6/2023.


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
1208600000XSurgeryNo
2213E00000XPodiatristYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.