Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Minimally Invasive Surgical

Organization Vascular Surgery Physician · NPI 1558119602

Advanced Minimally Invasive Surgical provides Vascular Surgery Physician services in Prescott, Arizona. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

412 Whipple St
Prescott, AZ 86301-1712
Phone: (480) 788-5621
Fax: (480) 779-1277
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X

Record details

NPI number1558119602
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAdvanced Minimally Invasive Surgical
Authorized official Kiup Kim — Owner · (480) 323-6072
NPI enumeratedMay 13, 2024
Last updated in NPPESMay 13, 2024
Certification dateMay 13, 2024
Mailing address202 E Earll Dr Ste 360, Phoenix, AZ 85012-2677

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