| NPI | 1982493458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW SCOTT Authorizedd Official 702-580-7197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207QA0505X Family Medicine, Adult Medicine | |
| Enumeration Date | 2025-05-01 |
| Last Update Date | 2025-10-24 |