| NPI | 1780139048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY E. FLATT Credentialing Manager 702-463-9820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 10622) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-19 |