| NPI | 1417684713 |
|---|---|
| Doing Business As | PAHRUMP COMMUNITY PHYSICIANS GROUP |
| Entity Type | Organization |
| Authorized Contact | TILLIE ANDRADE Mso Director 702-449-9173 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2022-08-08 |