Organization
PRESTIGE LASER AND CATARACT INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY LYNN MUSGROVE (ADMINISTRATOR)
(702) 561-7851
Entity
Organization
Contact information
Practice address
710 EASTERN ST STE H, KINGMAN, AZ 86401-5486
(702) 561-7851
Mailing address
710 EASTERN ST STE H, KINGMAN, AZ 86401-5486
(702) 561-7851
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
03/08/2024
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