| NPI | 1528530383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY POLLARD Practice Owner 702-374-7013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2019-02-04 |