| NPI | 1467787192 |
|---|---|
| Doing Business As | MESA VIEW MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | LLOYD GATHERUM Director/Authorized Official 702-345-4396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NV 872) |
| Additional Taxonomies | 174400000X Specialist (Licence: NV 11576) |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2015-07-01 |