| NPI | 1164316790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL QUAYLE REYNOLDS Medical Director 702-917-3497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2025-06-06 |
| Last Update Date | 2025-06-06 |