NPI | 1235309030 |
---|---|
Doing Business As | PARK HILL FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | CHARLEZETTA ROBERSON Physician Assistant 702-871-3730 |
Organization Subpart ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NV 546) |
Additional Taxonomies | 251S00000X |
363A00000X Physician Assistant (Licence: NV 546) | |
Enumeration Date | 2008-03-07 |
Last Update Date | 2019-04-05 |