| NPI | 1538531538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER FISHER Provider Md 702-556-0519 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: NV 13659) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |