| NPI | 1942657473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE DAWN ROWENS Owner 702-449-4889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2016-05-13 |