| NPI | 1366630543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMMON WILCOX Physician 775-727-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2008-06-26 |