| NPI | 1558807313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYON E PARKER Managing Member 702-778-2204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2023-01-25 |