| NPI | 1477062065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W GILBERT Manager 702-767-3177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NV NV201111577957) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2017-09-26 |