Organization
PULLMAN URGENT CARE PLLC
Active
Other names
Pullman Urgent Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUILLERMO MODAD MD (OWNER)
(509) 590-2602
Entity
Organization
Contact information
Practice address
1490 NE NORTH FAIRWAY RD STE C, PULLMAN, WA 99163-6077
(509) 590-2602
(509) 508-4024
Mailing address
1145 IDLERS REST RD, MOSCOW, ID 83843-8124
(208) 301-8255
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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