| NPI | 1083030431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN A GRINER Office Manager 702-822-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NV 6303) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2014-03-10 |