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Organization
ADVANCED LASER & SURGICENTER OF ARIZONA, PC
Active
Organization
ADVANCED LASER & SURGICENTER OF ARIZONA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIANOUSH KIAN MD (ADMINISTRATOR)
(480) 632-2020
Entity
Organization
Contact information
Practice address
3303 E BASELINE RD, #104, GILBERT, AZ 85234-2739
(480) 632-2020
(480) 632-2121
Mailing address
3303 E BASELINE RD, #104, GILBERT, AZ 85234-2739
(480) 632-2020
(480) 632-2121
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OSC3540
AZ
Other
Enumeration date
05/19/2006
Last updated
05/08/2013
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