| NPI | 1710697578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LEWIS Manager 702-530-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2023-04-18 |