| NPI | 1669669990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN L. RICKS Owner 775-884-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 9435) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 9435) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |