| NPI | 1740900059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDINWOH OROCK Physician Assistant/ Owner 702-292-3578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-08-29 |