NPI | 1053618348 |
---|---|
Doing Business As | MOUNTAIN FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | RYAN GINI Manager 775-624-6000 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 9483) |
Enumeration Date | 2011-02-22 |
Last Update Date | 2012-01-19 |