| NPI | 1861726028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GALE KOCH Chief Operating Officer 702-735-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 10127) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2009-09-21 |