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 |