| NPI | 1790055473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN GABELICH Chief Operating Officer 775-322-7811 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: NV NV20071378617) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV NV20071378617) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2018-07-12 |