| NPI | 1376830554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL TUSANG SWARTZ Owner 775-782-3933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2024-02-01 |