| NPI | 1154850097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY RYAN DUNCAN CEO, Surgical Assistant 775-420-1788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2022-01-05 |