NPI | 1457372047 |
---|---|
Doing Business As | DESERT PEAK REHALBILITATION & PAIN MANAGEMENT |
Entity Type | Organization |
Authorized Contact | EDWARD MICHAEL OUTLAW President 702-592-0713 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: NV 10630) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2020-08-22 |