| NPI | 1720750243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEKAH DEE TRUMAN Practice Manager 702-906-0027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Enumeration Date | 2021-10-03 |
| Last Update Date | 2021-10-03 |