| NPI | 1568290856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANN PERRY Office Manager 775-253-5955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2025-02-13 |