| NPI | 1831496306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICE DUBOIS GREGORY President 702-822-1356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: NV 4894) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NV 4894) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: NV 4894) | |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2014-10-15 |