| NPI | 1235779752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY SCHULTE Executive Director 702-254-1777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |