| NPI | 1811873672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL STOTLAND President 702-763-4376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2025-08-15 |
| Last Update Date | 2025-08-22 |