| NPI | 1306438569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE M SHELTON Credentialing Manager 702-503-8576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2021-02-23 |