| NPI | 1659721140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG M JORGENSON President 702-279-6977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2023-04-28 |