NPI Provider: 1538440367
Contact Name: KIM CHEOL MIN
Position: PRESIDENT
Phone: (623) 773-3937
Phoenix Eye Institute Pllc Information:
Phoenix Eye Institute Pllc organization have npi 1538440367, taxonomy code is 207W00000X with license number is 36025 in . This Business address located in PO BOX 5609, PEORIA, AZ 85385 Arizona.
Practice Location
Address: 14155 N 83RD AVE, PEORIA, AZ 85381
Phone: (623) 773-3937
Business Location
Address: PO BOX 5609, PEORIA, AZ 85385
Phone: (623) 773-3937
Fax: (623) 773-3955
Taxonomy
Taxonomy Code: 207W00000X
License Number: 36025
License Number of State: AZ
Primary Taxonomy Switch: Y
Enumeration Date: 09/07/2011
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