| NPI | 1164754859 |
|---|---|
| Doing Business As | NEVADA REGIONAL MEDICAL CENTER PROFESSIONAL PRACTICE CLINIC |
| Entity Type | Organization |
| Authorized Contact | JASON ANGLIN CEO/Authorized Official 417-448-3626 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207Y00000X Otolaryngology | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 190-57) | |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2022-12-19 |