Gorman Moapa Valley Family Pratice Pllc Michael J Gorman Sole Mbr

NPI 1073762894 - Family Medicine - 207Q00000X

NPI Details
NPI 1073762894
Enumeration Date 09/17/2008
Last Updated 09/17/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name MICHAEL JUSTIN MICHAEL
Position PHYSICIAN / OWNER
Phone (702) 398-3621
Fax (702) 398-3639
Practice Location
1925 WHIPPLE AVE
STE 30
LOGANDALE NV, 89021, US
Phone (702) 398-3621
Fax (702) 398-3639
Business Location
PO BOX 357
LOGANDALE NV, 89021-0357, US
Phone (702) 398-3621
Fax (702) 398-3639
Toxanomy
Taxonomy Code 207Q00000X
License State Nevada
License Number DO1423
Remove 1073762894 NPI Number
 

According to our database, Gorman Moapa Valley Family Pratice Pllc Michael J Gorman Sole Mbr NPI is 1073762894, taxonomy code is 207Q00000X and license number is DO1423, license state is located at Nevada. Gorman Moapa Valley Family Pratice Pllc Michael J Gorman Sole Mbr physically located at 1925 Whipple Ave, Logandale NV, 89021. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1073762894 NPI number is provided on an as is basis without warranty of any kind. 1073762894 is maintained by the National Plan & Provider Enumeration System. The contents of Gorman Moapa Valley Family Pratice Pllc Michael J Gorman Sole Mbr are for informational purposes only.