| NPI | 1154434124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN E MACKEY CEO 702-650-3390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NV 4200) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-08-22 |