| NPI | 1275034621 |
|---|---|
| Doing Business As | SUMMERLIN FUNCTIONAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JOHN M BOWMAN President 702-333-2627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-04-17 |