NPI | 1063989606 |
---|---|
Doing Business As | SPRING MOUNTAIN MEDICAL |
Entity Type | Organization |
Authorized Contact | MATTHEW B ROBERSON President 775-727-8900 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2018-11-01 |
Last Update Date | 2019-08-06 |