| NPI | 1104658152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY RICHARDSON President/Owner 775-240-1338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RB0002X Internal Medicine, Bariatric Medicine | |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2025-10-07 |