| NPI | 1639304116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN A MATZINGER Physician 702-380-1974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C50852) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2009-05-27 |