| NPI | 1861539652 |
|---|---|
| Doing Business As | INFECTIOUS DISEASE PARTNERS OF SOUTHERN NEVADA |
| Entity Type | Organization |
| Authorized Contact | RONALD A SHOCKLEY Owner 702-309-2311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-02-04 |