| NPI | 1083046940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON BURKE President 702-808-5983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NV 9779) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV 9779) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2013-08-02 |