| NPI | 1790936458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ELAN VAN WAGNER Owner 702-990-0333 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: NV 9533) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-10-01 |