| NPI | 1992172761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY LEO DURAN Owner 775-340-2140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NV 13009) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |