NPI | 1871930982 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE K DUNLAP Practice Manager 775-461-0021 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NV 8077) |
Enumeration Date | 2013-05-30 |
Last Update Date | 2020-03-03 |