| NPI | 1114470614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA GONZALEZ Credentialing Coordinator 702-839-4821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: NV NV19961142712) |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2016-11-04 |