| NPI | 1013793132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICHA HUTCHCRAFT Assoc Director Business Services 775-423-3634 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-09-05 |