| NPI | 1174960629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI LABRECQUE Accounts Manager 702-453-3799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60329818) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2018-11-13 |