| NPI | 1245234145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GALEN ROBERT BENNETT Administrator 702-214-9516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NV 3221ESR3) |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2008-06-06 |