| NPI | 1942068101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW SCOTT CEO 702-487-2613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |