| NPI | 1801192059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE L MCDONALD Practice Manager 702-262-0079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2017-01-12 |