NPI | 1336830769 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN L TRANQUILLO Practice Director 702-721-0965 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0001X Radiology Radiation Oncology |
Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology |
Enumeration Date | 2023-05-17 |
Last Update Date | 2025-02-11 |