Advanced Minimally Invasive Surgical

NPI #1558119602 in Prescott, Arizona

Provider Information

NPI Number: 1558119602
Entity Type: Organization
Organization Name: Advanced Minimally Invasive Surgical
Subpart: Yes (part of a larger organization)
Parent Organization: ADVANCED MINIMALLY INVASIVE SURGICAL
Primary Specialty: Surgery - Vascular Surgery
Enumeration Date: May 13, 2024
Last Updated: May 13, 2024

Practice Location

Address: 412 WHIPPLE ST
City: Prescott
State: Arizona
ZIP Code: 86301-1712
Phone: (480) 788-5621

Authorized Official

Name: KIUP ALEXANDER KIM
Title: OWNER
Phone: (480) 323-6072

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X	Primary

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Individual Providers

Provider Name	Specialty	City
Marc M. Sedwitz, M.D.	Surgery - Vascular Surgery	Prescott	AI Deep Dive
DR. Phung Ngoc Le, D.O.	Surgery - Vascular Surgery	Prescott	AI Deep Dive
MR. Alan S Walters, MD	Surgery - Vascular Surgery	Prescott	AI Deep Dive
Casey L Huston, MD PC	Surgery - Vascular Surgery	Scottsdale	AI Deep Dive

Organizations

Provider Name	Specialty	City
Alan S. Walters, M.d., Pllc	Surgery - Vascular Surgery	Prescott	AI Deep Dive

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