| NPI | 1629057955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL V JACKSON President 775-329-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 1002152194) |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2020-08-22 |