| NPI | 1114984549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANNE CROSS Office Manager 775-753-5571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: NV 2172ASC-8) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2015-03-12 |