| NPI | 1003288671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN GEPHARDT Owner/Md 702-245-5960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV C20150922-2144) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2016-05-06 |