| NPI | 1619702180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY CASTILLO Associate Director Credentialing 702-579-3253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 213ES0103X Podiatrist Foot & Ankle Surgery | |
| 363A00000X Physician Assistant | |
| 363LA2200X Nurse Practitioner Adult Health | |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2024-09-04 |