| NPI | 1619348422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM W CLARK Medical Director 775-870-1545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: NV DO1419) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2020-12-16 |