| NPI | 1659610483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG MITCHELL WEINGROW Physician/Owner 702-658-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NV 14309) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2022-02-14 |