Organization
SKIN CANCER AND DERMATOLOGY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI J GIBBONS (BUSINESS MANAGER)
(775) 336-3624
Entity
Organization
Contact information
Practice address
3950 GS RICHARDS BLVD, CARSON CITY, NV 89703-8457
(775) 882-8777
(775) 888-8067
Mailing address
640 W MOANA LN, RENO, NV 89509-4997
(775) 324-0699
(775) 888-8067
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
NV
Other
Enumeration date
10/11/2006
Last updated
05/17/2012
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