| NPI | 1992259105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BROWN President 702-626-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2016-08-16 |