| NPI | 1184835993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD CHUDACOFF Owner 702-360-9630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: NV 12108) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |