| NPI | 1750556940 |
|---|---|
| Doing Business As | GREAT WEST MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | CLIFFORD CARROL Partner 702-220-9865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2015-06-22 |