NPI | 1548398647 |
---|---|
Doing Business As | CANYON TRAILS FAMILY PRACTICE & SPORTS MEDICINE |
Entity Type | Organization |
Authorized Contact | MICHAEL J GUNTER President 702-228-7117 |
Organization Subpart ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: NV 8113) |
Enumeration Date | 2007-03-01 |
Last Update Date | 2011-02-01 |