| NPI | 1811168933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DANIEL CARPENTER Medical Director 702-642-7711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NV 188855100) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |