| NPI | 1447702493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALANA TRUSS Finance Manager 702-248-0554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2023-09-07 |