| NPI | 1609347301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABEGAIL CONCON Ap RN 702-778-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2018-12-07 |