| NPI | 1063497774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | L BRUCE FORD President 775-331-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NV A75ASC-9) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2017-09-19 |