| NPI | 1750893822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA HRIVNAK Credentialing Representative 775-747-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NV 6342) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2017-12-18 |