Organization
MICHAEL R. MADOW, M.D., LTD.
Active
Other names
MICHAEL R. MADOW, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL RICHARD MADOW M.D., LTD. (PSYCHIATRIST)
(702) 269-7401
Entity
Organization
Contact information
Practice address
3033 W HORIZON RIDGE PKWY, SUITE 111, HENDERSON, NV 89052-3838
(702) 269-7401
(702) 269-7406
Mailing address
3033 W HORIZON RIDGE PKWY, SUITE 111, HENDERSON, NV 89052-3838
(702) 269-7401
(702) 269-7406
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
10109
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10005000158
—
NV
Enumeration date
05/12/2009
Last updated
10/19/2010
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