| NPI | 1235363987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA TRIBBLE Administrator/Don 702-589-9250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NV 5381ASC-0) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2019-05-10 |