Organization
LASER FOOT SURGERY CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL BENSON (BILLING/CREDENTIALING MANAGER)
(702) 600-7977
Entity
Organization
Contact information
Practice address
880 SEVEN HILLS DR STE 150, HENDERSON, NV 89052-4380
(833) 693-3381
(702) 852-0429
Mailing address
9107 WILSHIRE BLVD STE 450, BEVERLY HILLS, CA 90210-5535
(323) 440-4299
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/08/2019
Last updated
06/06/2020
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