| NPI | 1053799171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI LABRECQUE Accounts Manager 702-453-3799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR30054726) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR30054726) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |