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

Pullman Urgent Care PLLC

Organization Internal Medicine Physician · NPI 1063399905

Pullman Urgent Care PLLC is an Internal Medicine Physician in Pullman, Washington. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
5
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

421 NE Stadium Way
Pullman, WA 99163-3825
Phone: (509) 590-2602
Fax: (509) 508-4024
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Primary Care Clinic/Center Taxonomy 261QP2300X
Urgent Care Clinic/Center Taxonomy 261QU0200X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1063399905
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Guillermo Modad — Owner · (509) 590-2602
Other names Pullman Urgent Care Llc
NPI enumeratedAugust 20, 2025
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026
Mailing address1145 Idlers Rest Rd, Moscow, ID 83843-8124

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