| NPI | 1255516357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARISSA BARRETTOKO Partner 702-213-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 11077) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2020-09-11 |