| NPI | 1689912107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI LABRECQUE Accts Mgr 702-453-3799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NV 14179) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV 14179) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-09-12 |