| NPI | 1215504816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA WILKINSON Business Operations Director 702-818-0446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2024-11-11 |