| NPI | 1073931952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERYN L GOVEREAU Administrator 702-979-9910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 111NR0400X |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 2080P0205X Pediatrics, Pediatric Endocrinology | |
| 208600000X Surgery | |
| 208D00000X General Practice | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2025-01-20 |