| NPI | 1225781891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM P. DOUGLAS Billing Manager 775-284-1643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2022-05-04 |