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 |