| NPI | 1265937221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY E KINCH Credentialing Manager 702-401-4483 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NV 14728) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2024-07-17 |