| NPI | 1164289732 |
|---|---|
| Doing Business As | TABLE MOUNTAIN FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | EMILY CASTILLO Regional Medical Staff Manager 702-579-3253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2024-02-29 |