| NPI | 1710158001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE G PORRECA Managing Partner 702-869-4554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NV 5987) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: NV 5987) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-03-14 |