| NPI | 1710997291 |
|---|---|
| Doing Business As | DOYNE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARIO OLIVER TABLANTE GODOY Medical Director 702-631-6860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 363AM0700X Physician Assistant, Medical | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2025-04-09 |