| NPI | 1164210621 |
|---|---|
| Doing Business As | VEGAS IDEAL PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | HANNAH RAE STONE CEO 702-824-4013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2025-04-25 |
| Last Update Date | 2025-04-25 |