Organization
LASER SURGERY HOLDING COMPANY, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VELINA RUELAS (OFFICE MANAGER)
(602) 258-7003
Entity
Organization
Contact information
Practice address
2000 E SOUTHERN AVE, 106, TEMPE, AZ 85282-7549
(602) 258-7003
(602) 682-5164
Mailing address
10255 N 32ND ST, PHOENIX, AZ 85028-3851
(602) 258-7003
(602) 682-5164
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OSC7561
AZ
Other
Enumeration date
05/07/2016
Last updated
05/07/2016
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