| NPI | 1356077044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH KNAPP VP Clinical Operations 775-502-4536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2024-03-25 |