| NPI | 1932379344 |
|---|---|
| Doing Business As | PIONEER FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN T. WAGNER Medical Director 702-364-9988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 9669) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |