NPI | 1366284143 |
---|---|
Doing Business As | PDS MEDICAL GROUP NORTH LAS VEGAS |
Entity Type | Organization |
Authorized Contact | APRIL KING Credentialing Manager 469-221-5944 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2024-06-11 |
Last Update Date | 2024-08-26 |