| NPI | 1982297149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN A GEPHARDT Manager 702-912-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2021-02-18 |