| NPI | 1730992967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNA GAUFF Owner 702-721-8505 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-01-30 |