| NPI | 1437158771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE L LAPOLLA Medical Staff Credentialing Manager 702-258-5521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NV C14-00279-3-092590) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2019-01-09 |