| NPI | 1740766005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON PEPITO Owner 702-638-7705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NV 16969) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |