| NPI | 1124053210 |
|---|---|
| Doing Business As | DAVITA MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | EMILY CASTILLO Associate Director 702-480-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM 32D0685327) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2024-03-29 |