NPI | 1720889009 |
---|---|
Doing Business As | BODY BY DESIGN, MD |
Entity Type | Organization |
Authorized Contact | AUBREY AGBALOG Office Manager 702-703-5597 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine |
207R00000X Internal Medicine | |
207RB0002X Internal Medicine, Bariatric Medicine | |
208D00000X General Practice | |
363LF0000X Nurse Practitioner, Family | |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2025-03-21 |
Last Update Date | 2025-03-21 |