NPI | 1699702605 |
---|---|
Entity Type | Organization |
Authorized Contact | BRITTANY STRYKER Practice Manager 702-697-7070 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: NV 1002446902) |
Enumeration Date | 2006-06-26 |
Last Update Date | 2022-07-21 |