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 |