NPI | 1841259611 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS K DEVRIES Owner 775-674-1100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NV 3981ASC-3) |
Enumeration Date | 2006-03-21 |
Last Update Date | 2023-11-28 |