LAURENCE M SUSINI MD PC
Medical Practice at Calle Portal, Sierra Vista, AZ

License number
Arizona 17611
Category
Medical Practice
Type
Orthopaedic Surgery
Owner
Name: SANDY KAPLAN
Title: CONTRACTS
Phone: (520) 458-6331
Address
Address
155 Calle Portal STE 100, Sierra Vista, AZ 85635
National Provider ID: 1629099569
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LAURENCE M. SUSINI, M.D., PC

Sierra Vista, AZ

Industry:
Medical Doctor's Office
Doing business as:
Laurence M Susini
Registration:
Feb 24, 2005
Addresses:
155 Calle Portal #100, Sierra Vista, AZ 85635 (Physical)
77 Calle Portal, Sierra Vista, AZ 85635
State ID:
-1182966-7
Expiration:
PERPETUAL
President, Owners:
Nohemi M. Stuckey (Medical Assistant),Michelle L. Hayes (Office Manager),Sandy Kaplan (Contracts),...
Agent:
Grb Service Llc,3507 N Campbell Ave #111, Tucson, AZ 85719 (Physical)

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