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 |