NPI | 1134588387 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMUEL C. WINTER Owner 775-387-2093 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NV 1267) |
Enumeration Date | 2016-02-16 |
Last Update Date | 2016-02-24 |