| NPI | 1518261544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE K ECKES Executive Director 702-430-3820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NV 2950) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2011-01-05 |