| NPI | 1780129577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERN VONTRICE PALMER CEO 702-325-8928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: NV 171630) |
| Additional Taxonomies | 211D00000X Assistant, Podiatric (Licence: NV 171630) |
| 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NV 171630) | |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-03 |