| NPI | 1770751968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS BERGERON Member 775-738-2034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: NV 1001187571) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-11 |