NPI | 1043677784 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON E RUCH Owner Medical Director 702-614-1250 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 12553) |
Enumeration Date | 2016-01-26 |
Last Update Date | 2016-01-26 |