| NPI | 1083867329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D MILLIGAN President 702-898-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: NV 11818) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2010-09-15 |