| NPI | 1639527278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL SCHOONMAKER Clinical Coordinator 702-778-6003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-05-24 |