| NPI | 1689652638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PENDLETON Administrator 702-731-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NV 3303ASC-7) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2023-10-09 |