NPI | 1548410848 |
---|---|
Entity Type | Organization |
Authorized Contact | ALICE BUCKLEY President 702-294-1919 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
363L00000X Nurse Practitioner | |
Enumeration Date | 2008-09-23 |
Last Update Date | 2008-09-23 |