Doctors Bokhari, King, Shirey & Smith Request For An Appointment
Please fill out the form below and one of our friendly staff will contact you. If this is an urgent matter, please directly call our office at, 623-936-5406.
First Name | Initial of Last Name
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First Name
Initial of Last Name
Phone Number
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Have you previously been seen by one of our surgeons?
Yes
No
Do you have a preferred surgeon?
Please Select
Ravia Bokhari, MD, FACS
Jon King, MD, FACS
Lora Shirey, MD
David Smith, MD, FACS
Reason For Appointment:
Please Select
Hernia
Gallbladder
Breast
Endocrine
GERD
Colon/Rectum
Stomach & Small Bowell
Pancreas/Spleen
Skin/Melanoma
Soft Tissue Lesions
Sentinel Node Biopsy
Port-A-Cath/Peritoneal Dialysis Catheter
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