Organization
LASER PAIN AWAY
Active
Other names
ARIZONA ADVANCED HEALTH, LASER PAIN AWAY
Organization subpart
No
Provider details
NPI number
Authorized official
JASON CALDWELL DOM (OWNER)
(480) 370-0527
Entity
Organization
Contact information
Practice address
6025 E MCKELLIPS RD STE 102, MESA, AZ 85215-2862
(480) 370-0527
Mailing address
6025 E MCKELLIPS RD STE 102, MESA, AZ 85215-2862
(480) 370-0527
(480) 534-5927
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013
ACUPUNCTURE
AZ
Enumeration date
03/23/2020
Last updated
06/21/2022
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