| NPI | 1528628047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARMAINE NESBITT Contracting & Credentialing 702-330-3102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2022-11-16 |