| NPI | 1801225271 |
|---|---|
| Doing Business As | BELLAVUE MEDICAL |
| Entity Type | Organization |
| Authorized Contact | RAFAEL MIRCHOU CEO 702-641-1240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |