Organization · Type 2 NPI
Laser Spine Surgery Center of Pennsylavnia, LLC
Ambulatory Surgical Clinic/Center · Wayne, PA
NPI number
1366675316
Active
Practice location
656 E. Swedesford Road, Suite 105
Wayne, PA 19087
Fax (484) 253-1790
Mailing address
5332 Avion Park Drive
Tampa, FL 33607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1366675316
Laser Spine Surgery Center of Pennsylavnia, LLC's National Provider Identifier is 1366675316, issued on Aug 25, 2009. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Wayne, PA. The record was last updated on Jan 25, 2017.