| NPI | 1790819282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EGIDIO Practice Manager 702-474-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV M07-02190-1-080989) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2011-07-29 |