GENESIS MEDICAL LASER CENTER LLC NPI 1851548218

NPI Information

GENESIS MEDICAL LASER CENTER, LLC is a pain clinic center in Bowling Green, KY. GENESIS MEDICAL LASER CENTER, LLC NPI is 1851548218. The provider is registered as an organization entity type.
The provider Is Doing Business As Genesis Medical Laser Ctr.

The provider's business location address is:

1711 DESTINY LN
SUITE 107
BOWLING GREEN, KY
ZIP 42104-066
Phone: (270) 842-6096
Fax: (270) 842-6097

The provider's authorized official is David Stemm .
The authorized official title is Managing Partner and has the following contact phone number (270) 842-6096.

The enumeration date for this NPI number is 8/27/2008 and was last updated on 8/27/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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