| NPI | 1609918291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANN MILNE Business Manager 702-385-1393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 4289) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA C40503) |
| 207Q00000X Family Medicine (Licence: TX F0586) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2008-10-23 |