NPI | 1508934977 |
---|---|
Doing Business As | DESERT FAMILY MEDICINE OF GREEN VALLEY |
Entity Type | Organization |
Authorized Contact | DAVID S GOTHELF President 702-269-9995 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 1100) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV 479) |
Enumeration Date | 2006-12-01 |
Last Update Date | 2012-04-19 |