NPI | 1770713646 |
---|---|
Entity Type | Organization |
Authorized Contact | TRAVIS NORMAN SARGENT President 702-263-4925 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NV b01276) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV b01276) |
Enumeration Date | 2009-07-24 |
Last Update Date | 2009-07-24 |