Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | 24591 | AZ |
NPI | 1952498768 |
---|---|
Provider Name | Mr. Karl J. Hekimian |
First Address | Tucson, AZ 85745-2655 |
Second Address | Tucson, AZ 85745-2655 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 24/01/2011 |