NPI | 1275940678 |
---|---|
Doing Business As | SILVER STATE SPECIALTY CLINIC |
Entity Type | Organization |
Authorized Contact | CLIFFORD ETIENNE Director 702-771-0304 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NV NV20131689889) |
Enumeration Date | 2014-07-17 |
Last Update Date | 2014-07-17 |