| NPI | 1114553229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY SCOTT JOHNSTON Managing Partner 702-339-8602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty |
| Additional Taxonomies | 261QI0500X Clinic/Center Infusion Therapy |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2020-11-03 |