Icu423R
Icu423R is an Integrative Medicine Physician in Mesa, Arizona. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
1101 W Guadalupe Rd Ste 1Mesa, AZ 85210-7601
Phone: (480) 788-5621
Fax: (480) 779-1277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Integrative Medicine Physician (primary) | Taxonomy 202D00000X |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
Record details
| NPI number | 1528752300 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kiup Kim — Owner · (602) 730-6438 |
| NPI enumerated | June 6, 2023 |
| Last updated in NPPES | June 6, 2023 |
| Certification date | June 6, 2023 |
| Mailing address | 202 E Earll Dr Ste 360, Phoenix, AZ 85012-2677 |
Other providers in Mesa
-
Gb Family Care LLC
1101 W Guadalupe Rd Ste 1, Mesa, AZ 85210-7601 · (480) 788-5621
-
Dr. Ty M Tallman, NMD
1910 S Stapley Dr Ste 120, Mesa, AZ 85204-6676 · (480) 219-2624