| NPI | 1982493458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW SCOTT COO 702-580-7197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 207Q00000X Family Medicine | |
| 207QA0505X Family Medicine, Adult Medicine | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2025-05-01 |
| Last Update Date | 2025-06-04 |