| NPI | 1922008523 |
|---|---|
| Doing Business As | NEVADA CANCER INSTITUTE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | PHILLIP MANNO Interim Director 702-822-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0200X Clinic/Center, Oncology |
| Additional Taxonomies | 261QX0203X Clinic/Center, Oncology, Radiation |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2011-06-16 |