NPI | 1205088838 |
---|---|
Entity Type | Organization |
Authorized Contact | JEREMY PHILLIPS CEO 775-398-1981 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NV 6596) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NV 9713) |
Enumeration Date | 2008-10-14 |
Last Update Date | 2023-03-08 |