| NPI | 1386062628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE WISHNIEV Owner 702-739-6467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |