| NPI | 1003875873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS K. DEVRIES Owner 775-674-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NV 1830ASC-8) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2020-08-22 |