| NPI | 1255106852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ROSER VP Of Operations 775-222-0045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-11-24 |
| Last Update Date | 2023-11-24 |