| NPI | 1013715895 |
|---|---|
| Other Name | PEDIATRICIAN |
| Entity Type | Organization |
| Authorized Contact | COLLEEN BAKER Office Manager 775-825-4744 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2025-03-06 |
| Last Update Date | 2025-03-06 |