NPI | 1033471941 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN PUDIWITR Administrator 702-306-4505 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: NV E0271022011-6) |
Enumeration Date | 2012-06-15 |
Last Update Date | 2012-06-15 |