| NPI | 1174913024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON GENE DUNCAN Owner/Provider 775-843-8428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NV APRN001965) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: CA 95001903) |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2022-06-21 |