| NPI | 1992038152 |
|---|---|
| Doing Business As | BODYLOGICMD OF LAS VEGAS |
| Entity Type | Organization |
| Authorized Contact | JACK ANSTANDIG Director 866-972-5182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NV 13232) |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2009-09-04 |