NPI | 1265519821 |
---|---|
Entity Type | Organization |
Authorized Contact | RUDY MANTHEI Director Of Board/Managing Partner 702-589-4904 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NV 3496ASC-0) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2014-09-11 |