NPI | 1790916823 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT JACKSON TAIT Orthopaedic Surgeon 702-565-6565 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2009-08-06 |
Last Update Date | 2013-06-26 |