| NPI | 1912992983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMER H WHARTON-ALI President 702-399-3404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NV 3863) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2008-01-08 |