Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
261QP2300X |
| NPI Number | 1588284236 |
| LBN Legal business name | MVP MEDICAL CLINIC, PLLC |
| Authorized official | JESSICA BRANTON - (OWNER/PROVIDER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/23/2020 |
| Last updated | 04/23/2020 - About 6 years ago |
| Identifiers | n/a |
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