| NPI | 1093059248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD SPEARS Owner 702-458-2304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2012-11-11 |
| Last Update Date | 2025-08-20 |