| NPI | 1780232421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT TOLEDO Director 702-616-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-08-27 |