Newsletter 87 April 07
Contents
Dr. Emil Frei, III chosen as
CCMS’ “Honorary Member”
Malpractice Filings Against
Health Care Providers, Jan 2001 – Feb 2007
Southern Nevada Health Officer Report
Is there room in your home for
a medically fragile child?
Installation Dinner Announcement
Dr. Emil Frei, III chosen as CCMS’ “Honorary Member”
The CCMS Bylaws read: an Honorary Member is
a person distinguished for his or her services or attainments in the field of
health or meritorious contributions to medicine. The Board of Trustees unanimously chose Dr. Frei, III for Honorary Membership in the Medical Society.
Dr. Emil Frei III is one of the world's leading oncologists, a pioneer of chemotherapy and a leader in medical research, clinical practice and education. His distinguished career includes 40 years in top leadership positions. He served as Chief of Medicine at National Cancer Institute, Associate Scientific Director at M. D. Anderson, and Director and Physician-in-Chief at the Dana-Farber Cancer Institute. He continues as Physician-in-Chief, Emeritus, at Dana-Farber.
He has been a major contributor to the successful application of chemotherapy, particularly the use of chemotherapeutic agents in combination for acute leukemia in children and in Hodgkin's disease and chemotherapy following surgical removal of the primary tumor in patients with the more common tumors including breast cancer and osteosarcoma. He produced major therapeutic advances in head and neck cancers. He has been particularly effective in applying the sciences of pharmacology, toxicology, clinical trial design and cytokinetics. Tens of thousands of patients have been cured by these treatments.
Dr. Frei's career in medicine began in 1948 after participating in the country's V-12 program of the Navy. He served in both WW II and the Korean War as a general physician including time on the battlefield. He then served at the National Institutes of Health in the National Cancer Institute division as Chief of Medicine and was principal investigator in the leukemia research program.
He has been an industry leader, serving as past president of American Association for Cancer Research (AACR), American Society of Clinical Oncology (ASCO) and Cancer and Leukemia Group B (CALGB) clinical research group. He has also served on the advisory or director boards of numerous companies and non-profit organizations, including Adherex Technologies, Angstrom, CaP Cure, Celator Pharmaceuticals, DIAD Research, Immunogen, Vion Pharmaceuticals, Aid for Cancer Research, Cancer Research Institute, Journal of Clinical Oncology and the New England Journal of Medicine.
Dr. Frei has been a leader in medical education, serving as
Professor of Medicine at The University of Texas from 1965-1972 and at
Dr. Frei has made Las Vegas his home with his family since 2004. Retired from full-time practice, Dr. Frei now lectures, writes and offers consulting services in areas including grant applications and reviews, clinical trials, industry collaboration and management advice.
2007 Nominating Committee’s Slate
Your CCMS Nominating Committee has chosen the candidates listed below. Any member may nominate an additional candidate for any of the positions, subject to the following:
(a) The additional nominees must be voting members with two or more year's consecutive membership in the Society.
(b) Each nomination must bear the signature endorsement of four members in good standing.
(c) All nominations must be submitted in writing before April 15th.
President-elect: Jerry Jones, MD
Secretary: Annette Teijeiro, MD
Delegate Chair: Mitchell Forman, DO
Trustee
(five)
Trustee Joseph Adashek, MD
Trustee
Trustee Martin Schaffer, MD
Trustee Michael Verni, MD
Nominating
Committee (four) George Alexander, MD
Edwin Kingsley, MD
Rhonda
Robbins, MD
Carol
Vanderharten, MD
Appointed per bylaws: Warren Evins, MD, PhD
Ron Kline, MD
President’s Message
The Lost Boys and
Girls of
By
Sometimes,
some of us find ourselves lost, confused, wondering where to start, what to
do. Not to suggest that we don't have
enough to do, on the contrary we are overwhelmed with too many things to
do. "Doctor go to room one, doctor,
line two, do your records at Valley, Sunrise, Desert Springs, go round in three
hospitals, dictate for surgery, check your labs, don't forget your delinquent
charts, don't forget department meetings." Who has time to eat, sleep, see family or friends?
Who has time to help in the community?
Recently,
I was listening to a young lady tell her story about how she helped out some of
the "Lost Boys of Darfur". She
was asked why she went all the way to
It is truly
life transforming when we can give a helping hand to someone in need,
especially in a world where we're so busy that we have become almost numb to
joy and happiness, suffering and pain.
We live in a world where we have become so hyper stimulated that it
takes a lot to affect us anymore. Yet
there is nothing more touching, more rewarding, more humanizing than to connect
with our brothers and sisters in need.
Oftentimes, we find ourselves living with such tunnel vision; we are
barely able to meaningfully interact with family and work. We haven't even had a chance to discuss our “
In our community there are so many incredible ways to interact, ways to reach out and make a difference. I would like to share a few projects that the Society's CommunityHealth/Community Relations Committee is exploring. You can find information on our web page at www.clarkcountymedical.org (under service opportunities).
Last month
I wrote about Volunteers in Medicine Incorporated (VIMI), a national solution
to
I have
recently reviewed some history of free clinics in
Larry
Matheis shared with me his belief that in the long run all health care should
be compensated. Taking this a step
further, many believe eventually that we will have universal health
insurance. They are probably right but
it will not happen at the state level.
It will have to come from a federal mandate. However, what do we do over the next five to
ten years? If you have been reading the
news, you have seen that Barbara Buckley and the assembly passed a plan that
will help approximately 15,000 of our estimated 400,000 uninsured. Our state budget is tight. We have a no-tax policy, and, heaven knows,
we do not want any more tax burden than we already have right now. For the time being, a free clinic is
definitely the answer. Ideally, the
clinic needs to be located in the "inner city," old Vegas, near UMC
and the medical school, perhaps even on land that has been set aside for the
I am a UCLA
medical school alumnus. In
In the meantime,
a beautiful, smaller opportunity for service for volunteer physicians has
presented itself to CCMS and to you. It
will be a great way for us to get started with volunteer service activity right
away. The project is a volunteer free
clinic at the Department of Juvenile Justices Services. They have a facility on
The average stay is about 20 days, though many stay as long as 6 months. The ages range from 8 to 17 years old, both boys and girls, including pregnant girls. At times they have as many as 10 pregnant girls incarcerated, with usually no prior, or limited, prenatal care. They do have four registered nurse positions; two of these positions are currently filled. They have one nurse practitioner. There is one treatment room. In addition, we may have available two treatment rooms on wheels.
There are the usual health care needs: colds, asthma, rashes, prenatal care and STDs. National studies show that as many as 50% of the children admitted to the juvenile justice system have STDs. Currently, if a child is very sick, they can take them to UMC, which is a security problem since they have to go under armed guard to UMC. Most of the kids do not have insurance. If they had Medicaid on admission, once they enter the juvenile justices system, they lose the benefit because of their incarceration. We are currently setting up a clinic and need volunteers for this program.
This is a perfect opportunity for CCMS, local organized medicine, to try again to get involved with volunteer medicine in our community. It is a great opportunity to learn how to deal with the issues of volunteer medicine and to get an idea of the interest physicians have for such a project. This is a wonderful time for CCMS as an organization and each of us as individuals to connect with our community in a very special way, to perform a service that only we can do.
I started
by sharing a story about a young lady who is helping the Lost Boys of
Darfur. Can we not take 2-4 hours a
month to help the lost boys and girls of
As you may
know, the working uninsured extends to many doctor's
offices nowadays. We are very excited
about St Mary's PPO; we are hopeful that it will be an affordable health plan
for you and your staff, as it has been in
The plan will require all interested physician groups to have their employees complete the initial application paperwork and go through an initial underwriting process whereby plan rates will be derived. Once underwriting is complete, all interested groups will have an Open Enrollment period, which is their one-time opportunity to join the plan.
A variety of PPO and HSA qualified High Deductible Health Plans will be offered, as well as a dental and vision insurance offering. Employees within each office will have the ability to choose any medical plan that they would like to have, making this a very attractive offering for diverse groups.
Please contact Clark and Associates of Nevada, Inc. at 775-828-7420 as soon possible. This plan is scheduled for implementation on May 1, 2007 so hurry!
Clark County District Court Medical Malpractice Filings
Against Health Care Providers, Jan 2001 –Feb 2007
2001 2002 2003
2004 2005 2006 2007
Jan 39 33 108 61 41 50 109
Feb 20 14 98 72 63 61 41
Mar 35 30 169 123 64 38
Apr 37 34 111 81 70 58
May 37 35 126 65 14 71
Jun 27 24 103 90 65 83
Jul 19 100 114 45 66 74
Aug 54 51 76 67 33 82
Sep 20 65 105 79 36 51
Oct 37 83 110 59 26 74
Nov 38 184 59 78 68 50
Dec 9 170 67 47 30 28
Sum
372 823
1246 867 581 720 150
Member News
Congratulations and Welcome to the
·
·
Lin-Chi Chen, MD - Internal Medicine,
·
Camille A Falkner,
MD – OB-Gyn, 3121 S Maryland Parkway #60, Las Vegas, NV
89109
·
Abid Husain, MD - Internal Medicine, 98 E Lake Mead Parkway #103,
Henderson, NV 89015
Applicants to Go Before Credentialing Committee
·
Daniel Goodenberger, MD - Internal
Medicine
If you have any pertinent information about these
membership candidates, please contact:
For information on becoming a member of the
Southern Nevada Health District Report
Public health accomplishments in
By Donald S. Kwalick, MD, MPH, Chief Health Officer
In my 10 years at the Southern Nevada
Health District, I have experienced first hand the increased demands the
threats of terrorism and emerging infections have placed on public health
agencies. In recent years we have had to focus our efforts on a wide range of
priorities, including potential bioterrorism from anthrax and smallpox, to new
diseases such as SARS, and now the threat of an influenza pandemic.
Working with my
very capable and dedicated staff, we have managed to effectively address these
priorities without neglecting the ongoing public health needs of our community.
Our initiatives and programs have had an enormous impact on the health of the
visitors and residents in
- Supporting more stringent tobacco
control laws in our community – an effort that culminated in the passage
of the Nevada Clean Indoor Air Act in November 2006.
- Decreasing new cases of tuberculosis
from more than 100 in 2000 to approximately 70 cases last year through
directly observed therapy and case follow up.
- Implementing hepatitis A
immunization requirements for food handlers, day care attendees and
attendants and thereby decreasing the number of reported cases county-wide
from more than 200 in 1998 to 7 in 2006.
- Constructing and developing the
Southern Nevada Public Health Laboratory on our campus. Prior to the
construction of the laboratory,
- Partnering with the Southern Nevada
Health Access Consortium to implement the first primary care clinic at the
- Implementing a youth oriented
tobacco control program that contributed to a decrease in adolescent
smoking from more than 25 percent in 2001 to less than 20 percent.
Reducing smoking rates leads to a decrease in chronic obstructive
pulmonary disease and lung cancer in adulthood
- Partnering with stakeholders to
implement educational and outreach activities for fluoridation of
- Developing and establishing School
Based Health Centers (SBHC) to provide health and health education
services on a menu-driven, voluntary, parental-permission basis in the
- Expanding our surveillance and
environmental control activities to prevent hantavirus,
plague,
- Strengthening our inspection,
education and regulatory functions over food establishments and hotels,
motels, public swimming pools, and solid waste disposal to protect the
public.
These
accomplishments are the culmination of the efforts of our dedicated public
health staff and community partners. I am proud to have served my community and
to have been a part of so many successful efforts to improve the health and
well-being of
Alliance
By Pauline Lee & Andrea Yu, 2006-07
CCMS
Thanks
to the support of Southern Nevadan physicians, community hospitals, our
members, and friends of the medical community,
Lisa
Gollard, Holiday Greeting Card Project Chairperson,
worked tirelessly with Co-President Andrea Yu and Co-President Elect Estela
Hansen, to ensure the project's success. As nurse professionals, raising funds
to encourage nurses to train and stay in
Lisa Gollard also acknowledges the success was due to volunteers like:
Wendy Agrawal Annette Mohs
Sheila Bazemore Donna Newsom
Beverly Daly Dix Bonnie Ng
Marian Haas Cheri Resh
Tammy Johnson Kirsten Rimoldi
Randi Lampert Ryan Tselikis
Co-President- Pauline Lee Pam Wallace
Is there room in your home for a medically fragile child?
By Jill Galloway, LCSW
Recruitment and Training Supervisor
Department of Family Services
The Clark County Department of Family Services is responsible for finding safe, secure and caring homes for children whose parents are temporarily, and sometimes permanently, unable to care for them. The most vulnerable of these children are those with significant and often challenging medical needs. These medically fragile children in the custody of the Department of Family Services are frequently the most difficult to find an appropriate home. All too often these children remain in shelter care for longer periods of time than other children due to a lack of homes that can meet their medical needs. The children most typically in this situation have G-tubes, shunts, frequent breathing treatments, HIV/AIDS, or need injections for conditions like diabetes. The Department is looking for families that can provide day-to-day attention to these children's physical, emotional and social needs.
In the coming year, the Department of Family Services has a goal of adding at least 50 new foster homes that are capable of caring for these medically vulnerable children. While the Department does train each foster parent on the specific medical needs of medically fragile children, it is helpful for the foster parent to have some basic understanding of the needs of the child. These children need food, clothing, a comfortable place to sleep, transportation to and from their appointments, and of course, the opportunity to enjoy a life full of traditional family activities. The basic requirements to become a resource foster family for these children include the desire to care for and provide a safe and secure environment for children. There is a training program provided by the Department that is required, an application, a background check, and an interview in the home. For more information on how you can help the Department in its recruitment efforts, or to request more information on becoming a foster parent, please call 455-0181.
Classifieds
OFFICE SPACE AVAILABLE: 1500 sf build-out, first floor, utilities included. Central location at Sahara/Rancho, older building, ample parking, I-15
access. Other short term, month to month leases available. Contact Melba at 702-384-1494.
OFFICE SPACE AVAILABLE: 2400 sf commercial now available for build-out in the
seeking a retired/semi-retired MD wanting to earn good
pay with a part-time, flexible schedule.
Needs current
for
Equipment
for
for
lease: 2600 sq ft on W Charleston between Rancho and
Practice
& Equipment for
Need Internist or Family Physician: will provide new office/full staff support, EMR, X-rays. Set your own hours, full or part time. Email resumes at staff@childrensurgentcare.com or call at 898-6400.
FOR
LEASE: 4000(+/-) sq.ft.
Office space (1700 sq ft) available: for sublease in central location (2020 Goldring) near Valley/UMC. Currently seeing surgery patients half day 1-2x /wk. Call 688-1343.
OB/GYN Physician needed: Nevada Health Centers is recruiting for a Board Certified OB for its Las Vegas Clinic. This is an opportunity to join an experienced team and to work with a supportive staff. We offer a competitive compensation package with full benefits. Email your CV to sharders@nvrhc.org.
SEEKING BOARD
CERTIFIED/ELIGIBLE MD OR DO: UNSOM's Family and
Community Medicine in
OFFICE IN SOUTHWEST FOR LEASE:
OFFICE FOR LEASE IN SOUTHWEST:
Office
space available:
Minutes
MINUTES SYNOPSIS
Tuesday, December 19, 2006; 6:00 P.M.
Minutes (November 2006)
The minutes were approved unanimously.
Financial Report
Dr. Havins presented the financial report. He discussed the additional income of approximately $17,000.00 and that employee expenses were up slightly. Clark County Medical Society's revenues have increased and expenses are up slightly from November of last year. Clark County Medical Society has $547,000 in the bank as compared to last November in which the Clark County Medical Society had $430,000 in the bank.
Membership Report
There were 662 dues-paid members; last year at this time there were 613 paid members. Total including dues exempt members was 787.
Credentials Committee
Dr.
Forman recommended on behalf of the Credentials Committee that the following
members be approved for active membership: Pauline L Chao, MD - Internal Medicine; Aaron J Goodrum, MD - Radiology; Ashok K Gupta, MD - Radiology;
Alan J Sacks, MD - OB-Gyn;
Building Committee
Dr. Jameson discussed the Building Committee's latest plan to refurbish the Clark County Medical Society property and make repairs as needed. It was pointed out by Dr. Havins that no concrete decision has been made and the Building Committee is not ready to make any recommendations. The building appraisal amount was revealed as $700,000.00.
Health District Report
Dr. Sands reported on the courtroom proceedings on the question five preliminary injunction case. Dr. Jameson mentioned that she spoke with the government liaison of Harrah's and discussed the possibility of a mostly non-smoking casino with a small section for smokers.
Dr. Sands reported that Dr. Kwalick will be retiring in March and he will fill the position of Assistant Health Officer.
Scholarship Fund Report
Dr. Jameson reported that there will be a Scholarship Committee meeting on January 2nd of 2007. She reported that they will be seeking to change the bylaws so that there are two signatories on the Scholarship Fund account to better distribute funds.
NSMA Report
Larry Matheis discussed the legislative updates in his newsletter. Dr. Havins reminded the board to sign up for the NSMA newsletter via e-mail.
AMA Report
Dr.
Horne informed the board about the excellent feedback from participants at the
American Medical Association Conference recently held in
NBME Report
Dr. Rodriguez stated the NBME will be increasing their application dues by $100.00. He suggested that doctors use the website to pay dues, thereby reducing their rates.
President's Report
Dr. Jameson spoke to Bill Stephans about the Clark County Medical Society receiving a 5% MLAN discount after their reorganization. Bill Stephans told Dr. Jameson that he would help the Clark County Medical Society receive that discount.
Administrative Report
Dr. Havins stated that he contacted Valerie Clark from the St. Mary's Health Program (Catholic Healthcare West). He stated that Valerie said that the Clark County Medical Society will receive very competitive rates. He stated that Dr. Jameson recently approved a letter to all Clark County Medical Society members to solicit those who might be receiving quotes from this program. Dr. Havins stated that the earliest this program would be in effect is in April of 2007.
Dr. Kline asked Dr. Havins about the Allscripts program. Dr. Havins replied that it is still ongoing and physicians can sign up online. Dr. Evins stated that you still need to print out the prescription and fax it to the pharmacy. Larry Matheis stated the Board of Pharmacy is working on legislation on how to approve electronic signatures on prescriptions. The board decided to wait six months before encouraging members to try this program.
Dr. Havins stated that he receive lawn care bids for the Clark County Medical Society property. The bids from prospective companies were looked at by members. A motion was made and seconded to use Total Lawn Care at a cost of $180.00 per month.
Lastly, Dr. Havins announced that Marlaina Burns will be leaving the Clark County Medical Society and Janiceanne Poblete will serve as the new Membership Coordinator.
New Business
Dr.
Teijeiro stated that in the past, Clark County Medical Society encouraged
members to be delegates by reimbursing them for delegate fees. A motion was made to reimburse members
$500.00 for delegate fees. The motion
was seconded and passed. Dr. Teijeiro
also asked members to submit resolutions to her even if they do not plan to
attend the meeting in
Adjournment
There being no further business, the meeting was adjourned at 7:45 p.m.
BOARD OF TRUSTEES MEETING
MINUTES SYNOPSIS
Tuesday, Janurary 16, 2006; 6:00 P.M.
Minutes (December 2006)
The minutes were approved unanimously.
Financial Report
Revenues were $348,594.13 compared to $297,476.22 last year at this time. The expenses were $196,604.45 compared to $153,639.15 last year at this time. The bank balance for the end of December was $544,461.75 compared to $419,849.02 last year at this time.
Membership Report
Janiceanne Poblete reported there were 704 dues-paid members; last year at this time there were 635 paid members. Total including dues exempt members was 832.
Credentials Committee
The following applicants were be approved for active membership: Judy M Jackson, MD-Radiation Oncology;
Sikisam A Magoyag, MD-Internal Medicine; Paul J Michaels, MD-Pathology; Sanket L Patel, MD-Internal Medicine; Ronald A Shockley, MD-Internal Medicine. Six physicians reinstated their membership:Dennis R Moore, II - Pediatrics; Leo Germin, MD - Neurology; John J Lee, MD - Cardiology; Andrew M Cohen, MD - Radiation Oncology; Larry J Edwards, MD - Ob-Gyn; Darren W Soong, MD - General Surgery.
Health District Report
Dr Sands described the new disease reporting regulations. The West Nile Virus reporting requirement had expired but the SNHD re-instituted the reporting requirements.
Community Bank of
Bruce Ford presented the benefits of the credit card program which they are offering exclusively to CCMS members. Some of those benefits are: allowing 60 days to pay off the balance before interest accrues; 5.9% introductory rate for the first 6 months, prime for the life of the card thereafter; easy application process; airline miles option; and overdraft protection at the prime rate.
Scholarship Fund Report
Dr.
Ellerton reported that the Scholarship Fund Corporation should soon have a
memorandum of understanding between the Community College and Nevada State
College for nursing scholarships. The
UNLV Foundation issues have not yet been settled and the Directors will have to
meet again to discuss those issues. The
Scholarship Fund Corporation has allocated $10,000 to UNSOM. Dr. Ellerton was elected to be the
Scholarship Chair. Dr. Havins was elected
Vice-President. Dr. Jameson was elected
Secretary and Dr. Ron Kline was elected Treasurer. The Bylaws of the Scholarship were changed so
that other signatories besides Dr. Ellerton would be added. The Bylaws now provide for 2 of the 4
Officers to sign for authorization to distribute Scholarship Fund Corporation's
assets. Dr. Ellerton agreed to write an
article abut the Scholarship Fund for the
NSMA Report
Dr. Evins reported the Legislative Core Group will meet weekly with the lobbyists starting Thursday, February 8th and then on every Wednesday evenings. Meetings are at CCMS at 6 PM. All interested members are invited to attend these meetings.
AMA Report
Dr. Horne stated he received one request for a resolution for the AMA meeting in June related to a pharmacist's right to not fill the morning after pill prescriptions. The AMA already had a resolution that a study was to be conducted
Community Health/Relations Committee
Guest
speakers from the
Dr.
Jones stated the Dear Doctor program will now go through the
Administrative Report
Dr.
Havins explained the progress made in working with Valerie Clark, the agent who
handles the St Mary's Health Plan for
The meeting was adjourned.
Installation Dinner Announcement
Save the Date:
2007 Installation Dinner and Awards
Ceremony will be held on
Saturday,
July 14, 2007
at the
CME
CALENDAR
Bechtel
NV
Chapter
Pri-Med Institute (877) 4PRI-
Sierra
Health Services 242-7735
Apr 12 - “Why Hospice”
Southwest
Medical Associates 242-7735
Apr 4 - “The Role of Culture When Practicing
Medicine”
1 Medical Ethics Credit
Apr 13 - “Protecting Your Medical License”
2 Medical Ethics Credits
Apr 14 - “Prognosis and Proper Documentation”
1 Medical Ethics Credit
Apr 5 - “
Apr 11 - “Emergency Medicine & Space”
Apr 13 - “Maintaining Optimal MPA Dosing
Following Kidney Transplantation”
Apr 27 - “Public Health Ethics & Disease
Reporting”
2 Hour CME Ethics
203-785-4578
for registration or 821-0010 for info
Apr 11-13 - 1st Annual John R Murren Memorial Symposium - “Advances in Thoracic Oncology”
Education
Opportunities for Practice Managers, Call the NV Medical Group Management
Association:
697-5471
ext 134
Only
Referrals:
The following referrals were provided to CCMS members in the first quarter of 2007 (through March 19)
Specialty Referrals
Addiction Medicine 0
Allergy 1
Anesthesiology 0
Cardiology 7
Cardiovascular Surgery 0
Dermatology 4
Diagnostic Radiology 0
Endocrinology 7
Family Practice 1
Gastroenterology 2
General Surgery 1
Geriatrics 1
Gynecologic Oncology 0
Hematology 2
Infectious Medicine 1
Internal Medicine 9
Nephrology 0
Neurology 6
Neurosurgery 1
Ob-Gyn 10
Occupational Med 0
Oncology 4
Ophthalmology 2
Oral/Maxillofacial Surg. 0
Orthopaedic Surgery 4
Otolaryngology 2
Pain Mgmt/Medicine 5
Pathology 0
Pediatrics 2
Ped. Surgery 0
Physical Med/Rehab 2
Plastic Surgery 1
Psychiatry 1
Pulmonology 0
Radiology 0
Rheumatology 0
Thoracic Surgery 1
Toxicology 0
Urology 4
Vascular Surgery 0
Website Referrals 10
Totals 88
County
Line
Colliers International…836-3756…….. www.lvcolliers.com
Commercial Specialists…..364-0909
Comprehensive Cancer Centers of NV ……952-3400
Ensemble Real Estate Services ….562-7595
Impress Communications …. 367-7771
Medical Group Management Association ….. 697-5471 ext. 134
Medicus……..512-467-2800 ……. www.medicusinsurance.com
MxSecure, Inc …..888-580-1010 …. www.mxsecure.com
Nevada Docs Support Association, Inc …….. 215-4894 …… www.nvdocs.com
Nevada Mutual Insurance Company ….. 798-6001 ….. www.nevadamutual.com
Premier Physicians Insurance Company…..860-6130 ... www.ppicmedmal.com
The Firm……. 739-9933
United Blood Services……….228-4483