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Organization

PULLMAN URGENT CARE PLLC

Active
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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
421 NE STADIUM WAY, PULLMAN, WA 99163-3825
(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
207R00000X
Internal Medicine Physician
Primary
261QP2300X
Primary Care Clinic/Center
261QU0200X
Urgent Care Clinic/Center
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
08/20/2025
Last updated
07/27/2026
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