| NPI | 1245012731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREI RAZADIN Administrator 702-369-5436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner |
| 207Q00000X Family Medicine | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2023-11-01 |