| NPI | 1639344575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY ANN RODERICK Practice Manager 702-456-7255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 8155) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |