NPI | 1245801273 |
---|---|
Doing Business As | MODERN WELLNESS CLINIC |
Entity Type | Organization |
Authorized Contact | ROBERT J WEBB Managing Parner 702-236-7171 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
2084P0800X Psychiatry & Neurology, Psychiatry | |
Enumeration Date | 2021-07-09 |
Last Update Date | 2025-06-12 |