| NPI | 1023345071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI A. LEMIEUX Business Manager 775-323-5116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 3602) |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2011-10-25 |