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 |