| NPI | 1750827580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERN VONTRICE PALMER CEO 702-325-8928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: NV 171630) |
| Additional Taxonomies | 126800000X Dental Assistant |
| 156FX1101X Technician/Technologist, Ophthalmic Assistant (Licence: NV 171630) | |
| 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: 171630) | |
| 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: NV 171630) | |
| 246ZX2200X Specialist/Technologist, Other, Orthopedic Assistant (Licence: NV 171630) | |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-01-18 |