| NPI | 1407023260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC AVAKIAN Clinic Administrator 702-362-3322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |