NPI | 1134553068 |
---|---|
Other Name | HUNTRIDGE FAMILY CLINIC |
Entity Type | Organization |
Authorized Contact | JOHN R PHOENIX Owner 702-523-9025 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV APRN001359) |
Enumeration Date | 2013-08-28 |
Last Update Date | 2024-08-03 |