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Individual

DOUGLAS JACKSON FIFE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6460 MEDICAL CENTER ST, SUITE 350, LAS VEGAS, NV 89148
(702) 255-6647
(702) 933-1444
Mailing address
6460 MEDICAL CENTER ST, SUITE 350, LAS VEGAS, NV 89148
(702) 255-6647
(702) 933-1444

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13164
NV
174400000X
Specialist
A95522
CA

Other

Enumeration date
07/27/2007
Last updated
04/14/2016
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