| NPI | 1477683563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE SCOTT COPELAND Owner 702-767-2607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: NV 4809) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2008-08-04 |