| NPI | 1073955266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI LABRECQUE Accts. Mgr 702-453-3799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD603948250) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60394820) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2013-07-29 |