ADVANCED LASER & SURGICENTER OF ARIZONA, PC
Ambulatory Health at Baseline Rd, Gilbert, AZ

License number
Arizona OSC3540
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: KIANOUSH KIAN MD
Title: ADMINISTRATOR
Phone: (480) 632-2020
Address
Address
3303 E Baseline Rd #104, Gilbert, AZ 85234
National Provider ID: 1538113238
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ADVANCED LASER & SURGICENTER OF ARIZONA, PC

3303 E Baseline Rd #104, Gilbert, AZ 85234

Registration:
Dec 9, 2002
State ID:
-1055778-7
Expiration:
PERPETUAL
President:
Kianoush Kian Md (President), 7500 N Black Rock Trl, Paradise Valley, AZ 85253 (Physical)
Agent:
John F Goodson,% The Forakis Law Firm Plc 346 E Palm Ln, Phoenix, AZ 85004 (Physical)
Business type:
HEALTH CARE

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