| 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 |