| NPI | 1760143226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ROSENBERG Physician 702-803-0552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2022-01-06 |