Organization · Type 2 NPI
Modern Gentlemen MD PLLC
Urgent Care Clinic/Center · Las Vegas, NV
NPI number
1609536010
Active
Practice location
8432 Ravencrest St
Las Vegas, NV 89139-6874
Mailing address
PO Box 1992
Yuma, AZ 85366-2391
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Care Clinic/Center | 261QE0002X | None listed |
| Health Service Clinic/Center | 261QH0100X | None listed |
| Urgent Care Clinic/Center Primary | 261QU0200X | None listed |
Urgent Care Clinic/Center: Definition to come...
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About NPI 1609536010
Modern Gentlemen MD PLLC's National Provider Identifier is 1609536010, issued on Dec 27, 2021. The primary taxonomy on file is Urgent Care Clinic/Center (261QU0200X), and the practice location is in Las Vegas, NV. The record was last updated on Feb 3, 2022.