| Mclv2020 Llc | |
|
1597 E Windmill Ln Las Vegas NV 89123-1920 | |
| (702) 361-0125 | |
| Not Available |
| Full Name | Mclv2020 Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1597 E Windmill Ln, Las Vegas, Nevada |
| Authorized Official Name and Position | Jonathan Maxham (OWNER) |
| Authorized Official Contact | 8016600676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mclv2020 Llc 2156 Fountain Springs Dr Henderson NV 89074-1576 Ph: (801) 660-0676 | Mclv2020 Llc 1597 E Windmill Ln Las Vegas NV 89123-1920 Ph: (702) 361-0125 |
| NPI Number | 1275398570 |
|---|---|
| Provider Enumeration Date | 02/15/2024 |
| Last Update Date | 02/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275398570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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