# ADVANCED LASER & SURGICENTER OF ARIZONA, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538113238
- **Authorized official:** KIANOUSH KIAN MD (ADMINISTRATOR)
- **Authorized official phone:** (480) 632-2020

## Contact information

- **Practice address:** 3303 E BASELINE RD, \#104, GILBERT, AZ 85234-2739
- **Practice address phone:** (480) 632-2020
- **Practice address fax:** (480) 632-2121
- **Mailing address:** 3303 E BASELINE RD, \#104, GILBERT, AZ 85234-2739
- **Mailing address phone:** (480) 632-2020
- **Mailing address fax:** (480) 632-2121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | OSC3540 | AZ | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 05/08/2013