NPI | 1679610158 |
---|---|
Doing Business As | SIERRA INTEGRATIVE MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | BRUCE KIRIN FONG Managing Member 775-828-5388 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV NV0909) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 909) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2014-11-18 |