| NPI | 1720294259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN C ALLEN President 702-541-8240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2019-11-01 |