| NPI | 1609654094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAN BERTOLA Administrator 702-846-0668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 208800000X Urology |
| 2088F0040X Urology Female Pelvic Medicine and Reconstructive Surgery | |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2025-09-02 |