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Organization

VISION SURGERY & LASER CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JON-MARC WESTON M.D. (OWNER)
(541) 672-2020
Entity
Organization

Contact information

Practice address
2435 NW KLINE ST, ROSEBURG, OR 97471-1687
(541) 672-2020
(541) 673-8084
Mailing address
2435 NW KLINE ST, ROSEBURG, OR 97470-1690
(541) 672-2020
(541) 673-8084

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
071532
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
262457
OR
Enumeration date
06/12/2006
Last updated
06/26/2015
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