| NPI | 1972901320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK ANTHONY SHALLENBERGER Medical Director 775-884-3990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 4951) |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2014-12-17 |