| NPI | 1407609159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ROGERS Practice Manager 775-848-5125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-04-10 |