| NPI | 1538328984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES TED PALMER Manager 702-565-6211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NV B456) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |