Missouri Laser, LLC
NPI #1336327204 in Springfield, Missouri
Provider Information
- NPI Number
- 1336327204
- Entity Type
- Organization
- Organization Name
- Missouri Laser, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Feb 4, 2008
- Last Updated
- Jun 5, 2008
Practice Location
- Address
- 334 E KEARNEY ST
- Address 2
- PMB 221
- City
- Springfield
- State
- Missouri
- ZIP Code
- 65803-3018
- Phone
- (520) 547-4130
Authorized Official
- Name
- CHRIS GLEASON
- Title
- CEO
- Phone
- (520) 547-4130
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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