Individual
VINCENT JEROME MIRKIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10652 S EASTERN AVE STE A, HENDERSON, NV 89052-4953
(702) 476-2800
(702) 476-2040
Mailing address
1250 S CLEARVIEW AVE STE 100, URGENT CARE EXTRA, MESA, AZ 85209-3378
(480) 988-9108
(480) 813-4460
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4719
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376628594
—
NV
01
—
P00357781
RAILROAD MEDICARE
NV
Enumeration date
10/26/2006
Last updated
08/25/2015
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