| NPI | 1376203091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEVI KOTLARSKY Managing Member 702-861-3989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 2083X0100X Preventive Medicine Occupational Medicine |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2024-03-27 |