Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Modern Gentlemen MD PLLC

Organization Emergency Care Clinic/Center · NPI 1609536010

Modern Gentlemen MD PLLC is an Emergency Care Clinic/Center in Las Vegas, Nevada. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8432 Ravencrest St
Las Vegas, NV 89139-6874
Phone: (206) 551-0154
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urgent Care Clinic/Center (primary) Taxonomy 261QU0200X
Emergency Care Clinic/Center Taxonomy 261QE0002X
Health Service Clinic/Center Taxonomy 261QH0100X

Record details

NPI number1609536010
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Minckler — Owner · (833) 436-8633
Other names Valley Express Med; Valley Express Med
NPI enumeratedDecember 27, 2021
Last updated in NPPESFebruary 3, 2022
Certification dateFebruary 3, 2022
Mailing addressPo Box 1992, Yuma, AZ 85366-2391

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