| NPI | 1326442484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE BENNION Administrator 702-933-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2025-01-27 |