| NPI | 1578109419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAITLIN BOYLE Drector 775-813-4777 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2024-07-16 |