| Gorman Moapa Valley Family Pratice Pllc Michael J Gorman Sole Mbr | |
|
1925 Whipple Ave Ste 30 Logandale NV 89021 | |
| (702) 398-3621 | |
| (702) 398-3639 |
| Full Name | Gorman Moapa Valley Family Pratice Pllc Michael J Gorman Sole Mbr |
|---|---|
| Speciality | Family Medicine |
| Location | 1925 Whipple Ave, Logandale, Nevada |
| Authorized Official Name and Position | Michael Justin Gorman (PHYSICIAN / OWNER) |
| Authorized Official Contact | 7023983621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gorman Moapa Valley Family Pratice Pllc Michael J Gorman Sole Mbr Po Box 357 Logandale NV 89021-0357 Ph: (702) 398-3621 | Gorman Moapa Valley Family Pratice Pllc Michael J Gorman Sole Mbr 1925 Whipple Ave Ste 30 Logandale NV 89021 Ph: (702) 398-3621 |
| NPI Number | 1073762894 |
|---|---|
| Provider Enumeration Date | 09/17/2008 |
| Last Update Date | 09/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073762894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO1423 (Nevada) | Primary |
Mesquite Clinic Management Company Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1925 Whipple Ave Ste 30, Logandale, NV 89021 Phone: 702-398-3621 Fax: 702-398-3639 |