NPI

Advanced Laser &eye Center Of Arizona Pc

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2006-05-19
Last updated
2013-01-23

Specialties

Licenses

License AZ
22618

Location

Practice location
3303 E Baseline Rd, #104
City
Gilbert AZ
Postal code
85234-2739
Phone
(480) 632-2020

Organization contact

Name
KIANOUSH KIAN
Title
Owner President
Phone
4806322020

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

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