| NPI | 1760905541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ERNST Physician Assistant/Owner 702-600-7391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA1736) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2017-07-24 |