NPI | 1144552266 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD AMUSSEN EVANS President 702-457-2225 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NV B-354) |
Enumeration Date | 2010-02-01 |
Last Update Date | 2010-02-01 |