| NPI | 1831521228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE D FORTUNATO Managing Member 702-450-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-07 |