NPI | 1699962431 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANCISCO PERAZA President 702-732-7440 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 363AM0700X Physician Assistant Medical |
363L00000X Nurse Practitioner | |
Enumeration Date | 2007-09-25 |
Last Update Date | 2012-09-13 |