| NPI | 1851548218 |
|---|---|
| Doing Business As | GENESIS MEDICAL LASER CTR |
| Entity Type | Organization |
| Authorized Contact | DAVID STEMM Managing Partner 270-842-6096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2008-08-27 |