| NPI | 1396615514 |
|---|---|
| Doing Business As | DIABETIC OBESITY CLINICAL SPECIALIST |
| Entity Type | Organization |
| Authorized Contact | CATHERYN GOVEREAU Administrator 702-979-9910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 111N00000X Chiropractor |
| 133V00000X Dietitian, Registered | |
| 207Q00000X Family Medicine | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 2080P0205X Pediatrics, Pediatric Endocrinology | |
| 208100000X Physical Medicine & Rehabilitation | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2025-11-11 |
| Last Update Date | 2025-11-11 |