NPI | 1922274836 |
---|---|
Entity Type | Organization |
Authorized Contact | RAYMOND P NICHOLL Medical Director 702-798-7770 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NV 4452) |
Enumeration Date | 2008-05-01 |
Last Update Date | 2023-09-06 |