| NPI | 1497189138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN L MACDONALD Managing Member 702-370-4309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-12-20 |