| NPI | 1467767541 |
|---|---|
| Other Name | MD LASER CENTER |
| Entity Type | Organization |
| Authorized Contact | NANCY STAAHL Administrator/Office Manager 209-577-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA G37452) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2022-11-09 |