NPI | 1225781636 |
---|---|
Doing Business As | VEGAS DIGESTIVE HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | IVY TAN Manager 702-625-8989 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2022-01-27 |
Last Update Date | 2023-11-28 |