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 Clinic/Center |
Enumeration Date | 2018-02-21 |
Last Update Date | 2018-04-17 |