| NPI | 1184697930 |
|---|---|
| Doing Business As | WALLACE LASER AND SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | JEFFREY E SNODGRASS President 615-665-1283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: LA 89) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2022-04-06 |