| NPI | 1558240911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER RUGGEROLI Practice Administrator 702-258-1601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2025-08-29 |
| Last Update Date | 2025-08-29 |