Organization
LASER SURGERY HOLDING COMPANY, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VELINA RUELAS (ADMINISTRATOR)
(480) 444-7491
Entity
Organization
Contact information
Practice address
1760 E FLORENCE BLVD BLDG 2, CASA GRANDE, AZ 85122-4776
(480) 444-7491
Mailing address
10255 N 32ND ST, PHOENIX, AZ 85028-3822
(480) 444-7491
(602) 682-5164
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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