Organization
RF EYE PC
Active
Other names
Cochise Eye & Laser ASC, Cochsie Eye and Laser
Organization subpart
No
Provider details
NPI number
Authorized official
LETISHA DAWN KUDER (ADMINISTRATOR)
(520) 458-8131
Entity
Organization
Contact information
Practice address
2445 E WILCOX DR, SIERRA VISTA, AZ 85635
(520) 458-8131
(520) 458-0422
Mailing address
2445 E WILCOX DR, SIERRA VISTA, AZ 85635
(520) 458-8131
(520) 458-0422
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118754001AZ
—
AZ
Enumeration date
08/03/2005
Last updated
01/03/2019
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