Individual
DERALD FARRIMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7324 W CHEYENNE AVE STE 7, LAS VEGAS, NV 89129-7426
(702) 575-9705
Mailing address
8936 SPANISH RIDGE AVE, LAS VEGAS, NV 89148-1354
(702) 998-2816
(702) 998-2991
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
11997
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215901376
—
NV
Enumeration date
02/15/2006
Last updated
10/08/2019
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