NPI | 1881651826 |
---|---|
Doing Business As | INNOVATIVE CARE PHYSICIANS |
Entity Type | Organization |
Authorized Contact | IVAN LEE GOLDSMITH Owner/Director 702-367-0808 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 6116) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV 6116) |
363A00000X Physician Assistant (Licence: NV PA1149) | |
Enumeration Date | 2006-04-26 |
Last Update Date | 2014-08-06 |