NPI | 1134532773 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY SCOTT OSBORNE Owner 775-762-3383 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NV NV20141368596) |
Enumeration Date | 2014-06-10 |
Last Update Date | 2014-06-10 |