| 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 |