| NPI | 1902596372 |
|---|---|
| Doing Business As | EMERALD BAY MEDICAL |
| Entity Type | Organization |
| Authorized Contact | ROBERT WHIPPLE Owner 702-218-2284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2024-05-09 |