| NPI | 1720060890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLOYD GATHERUM C.F.O. 702-346-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NV B355) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV APN00314) |
| 207Q00000X Family Medicine (Licence: NV 8194) | |
| 207Q00000X Family Medicine (Licence: NV 97) | |
| 207R00000X Internal Medicine (Licence: NV 0841) | |
| 207R00000X Internal Medicine (Licence: NV 10328) | |
| 208000000X Pediatrics (Licence: NV 10669) | |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2020-08-22 |