| NPI | 1649978396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN TRANQUILLO Administrative Director 702-604-5274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2025-02-05 |