| NPI | 1801573266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANN MURATA Owner 775-237-3524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2023-10-16 |