NPI | 1306475181 |
---|---|
Entity Type | Organization |
Authorized Contact | MESKELO BOBO Owner 702-849-3302 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
Enumeration Date | 2020-04-03 |
Last Update Date | 2022-10-11 |