| NPI | 1790829471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHARINE STARR BENNETT Secretary Treasurer 775-355-3208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 010-1001925939) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |