Organization
LASER SURGERY HOLDING COMPANY, LTD
Active
Other names
Laser Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
VELINA RUELAS (ADMINISTRATOR)
(602) 908-0956
Entity
Organization
Contact information
Practice address
20199 N 67TH AVE, GLENDALE, AZ 85308-7001
(480) 444-7491
(480) 908-4079
Mailing address
2228 W NORTHERN AVE STE B210, PHOENIX, AZ 85021-9336
(480) 444-7491
(480) 908-4079
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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