| NPI | 1326342585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN PRESTON CAUDILL Partner 702-287-8602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL OS5974) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |