Organization
ADVANCED VEIN & LASER CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAIL MARKOFF RN (ADMINISTRATOR)
(937) 748-8905
Entity
Organization
Contact information
Practice address
572 N MAIN ST, SPRINGBORO, OH 45066-9552
(937) 748-8905
(937) 748-8906
Mailing address
572 N MAIN ST, SPRINGBORO, OH 45066-9552
(937) 748-8905
(937) 748-8906
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
07/20/2006
Last updated
08/22/2020
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