Organization
MODERN WELLNESS CLINIC, LLC
Active
Other names
Modern Wellness Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J WEBB PA (MANAGING PARNER)
(702) 236-7171
Entity
Organization
Contact information
Practice address
5375 S FORT APACHE RD, LAS VEGAS, NV 89148-7623
(702) 463-9159
Mailing address
5375 S FORT APACHE RD, LAS VEGAS, NV 89148-7623
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RI0200X
Infectious Disease Physician
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
07/09/2021
Last updated
04/20/2026
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