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1905 Civic Center Dr North Las Vegas NV 89030-7143 | |
| (702) 475-8874 | |
| (888) 481-1462 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 1905 Civic Center Dr, North Las Vegas, Nevada |
| Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
| Authorized Official Contact | 4074477120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4700 Millenia Blvd Ste 650 Orlando FL 32839-6013 Ph: (407) 447-7120 | 1905 Civic Center Dr North Las Vegas NV 89030-7143 Ph: (702) 475-8874 |
| NPI Number | 1962281477 |
|---|---|
| Provider Enumeration Date | 09/25/2023 |
| Last Update Date | 02/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962281477 | NPI | - | NPPES |
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Modern Care Chiropractic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3925 N. Martin Luther King Blvd., Suite 120, North Las Vegas, NV 89032 Phone: 702-900-2709 | |
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