| NPI | 1942921200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDIN ABDAGIC Medical Director / Owner 702-690-1633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2023-02-16 |