NPI | 1285826594 |
---|---|
Entity Type | Organization |
Authorized Contact | MARGO HENDRICKSON Owner 702-733-8202 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: NV 7183) |
Enumeration Date | 2007-08-10 |
Last Update Date | 2009-01-06 |