| NPI | 1063646560 |
|---|---|
| Former Legal Business Name | MICHAEL R. MADOW, M.D. |
| Entity Type | Organization |
| Authorized Contact | MICHAEL RICHARD MADOW Psychiatrist 702-269-7401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 10109) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2010-10-19 |