| NPI | 1710496617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE EDDINS Chief Administrator 702-489-3201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 225100000X Physical Therapist | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2022-07-21 |