Organization
MIRKIL MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. V. JEROME MIRKIL M.D. (OWNER)
(702) 734-6363
Entity
Organization
Contact information
Practice address
4275 BURNHAM AVE, SUITE #127A, LAS VEGAS, NV 89119-5488
(702) 734-6363
(702) 734-6374
Mailing address
4275 BURNHAM AVE, SUITE #127A, LAS VEGAS, NV 89119-5488
(702) 734-6363
(702) 734-6374
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4719
NV
Other
Enumeration date
10/16/2006
Last updated
08/22/2020
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