| Advanced Iom Specialists, Llc | |
|
2535 W Plata Ave Mesa AZ 85202-7860 | |
| (775) 318-3995 | |
| Not Available |
| Full Name | Advanced Iom Specialists, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2535 W Plata Ave, Mesa, Arizona |
| Authorized Official Name and Position | Elise Kilmer (MANAGER) |
| Authorized Official Contact | 7753183995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Iom Specialists, Llc 2535 W Plata Ave Mesa AZ 85202-7860 Ph: () - | Advanced Iom Specialists, Llc 2535 W Plata Ave Mesa AZ 85202-7860 Ph: (775) 318-3995 |
| NPI Number | 1043728801 |
|---|---|
| Provider Enumeration Date | 01/15/2018 |
| Last Update Date | 01/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043728801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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