| NPI | 1447581095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA WILKINSON Business Operations Director 702-818-0446 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G081334) |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2025-09-10 |