NPI | 1659594307 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID B CHAFFIN Medical Director 775-329-2300 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NV Pending) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2020-08-22 |