| NPI | 1770975963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA M CLAIBORNE Billing Manager 775-770-0066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NV 13450) |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |