| NPI | 1215089826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP HARTWELL Owner Operating Manager 702-346-4234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 8286) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |