NPI | 1023311784 |
---|---|
Entity Type | Organization |
Authorized Contact | YOLANDA ROMO Credentialing Coordinator 775-283-3096 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 12752) |
Enumeration Date | 2010-12-17 |
Last Update Date | 2010-12-17 |