| NPI | 1659617520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI LABRECQUE Accounts Manager 702-453-3799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 12190) |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2012-12-21 |