Edmond Laser Institute L.L.C. in Edmond - Ambulatory Surgical

Edmond Laser Institute L.L.C. - NPI 1316052517

Edmond Laser Institute L.L.C. is a Ambulatory Surgical in Edmond, Oklahoma. Edmond Laser Institute L.L.C. practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Edmond Laser Institute L.L.C. is 1316052517. The last update date is 2020-08-22.

Edmond Laser Institute L.L.C.'s current location address is 105 S Bryant Ave, Edmond, Oklahoma. You can contact this provider via phone number 4053489797 and fax number 4053489026. The mailing address for Edmond Laser Institute L.L.C. is 105 S Bryant Ave, Edmond, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Edmond Laser Institute L.L.C.
Address 105 S Bryant Ave, Edmond, Oklahoma
Phone Number 4053489797
Fax Number 4053489026
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT/
Authorized Official Name Pearce J Henry
Credentials M.D.
Telephone Number 4053489797

NPI Number Detail

NPI Number 1316052517
Provider Enumeration Date 2006-08-20
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 105 S Bryant Ave
City Edmond
State Oklahoma (OK)
Post Code 730346399
Phone Number 4053489797
Fax Number 4053489026

Provider's Primary Taxonomy Detail

Speciality Ambulatory Surgical
Taxonomy 261Qa1903X
Definition:
Provides outpatient surgical services not requiring hospitalization.

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FAQs about Edmond Laser Institute L.L.C.

What is the unique provider identifier assigned to Edmond Laser Institute L.L.C.?

The Edmond Laser Institute L.L.C. has been issued the NPI (National Provider Identifier) 1316052517 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Edmond Laser Institute L.L.C. is located?

The Edmond Laser Institute L.L.C. is situated at the following address: 105 S Bryant Ave, Edmond, OK, 730346399.

What is Edmond Laser Institute L.L.C.'s specialized field of practice, and what is the corresponding taxonomy classification code?

The Edmond Laser Institute L.L.C.'s area of specialization is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this field of practice is 261Qa1903X.

On what date did the Centers for Medicare & Medicaid Services assign the 1316052517 to Edmond Laser Institute L.L.C.?

The Centers for Medicare & Medicaid Services assigned the 1316052517 to Edmond Laser Institute L.L.C. on 2006-08-20.

As of what date were the details related to Edmond Laser Institute L.L.C. most recently updated or revised?

The information pertaining to Edmond Laser Institute L.L.C., including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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