| NPI | 1427199116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY D HOWE Administrstor 702-866-6802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV 9141) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV 9590) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2008-04-20 |