| NPI | 1942472303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE M PETERSON Owner 702-332-8353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: NV APN000830 NV) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-04-15 |