| NPI | 1740313451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD G ZUNDEL Owner 775-825-2954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NV 500) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |