NPI | 1306111950 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN A HOLPER Medical Director 702-878-3510 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NV 6061) |
Enumeration Date | 2012-03-15 |
Last Update Date | 2012-03-15 |