| NPI | 1427245257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ROY LANZKOWSKY CEO 702-839-1203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NV 3563ASC-6) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2007-10-31 |