Organization
SOUTHWEST SKIN & LASER CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN SAFKO M.D. (OWNER)
(702) 731-0933
Entity
Organization
Contact information
Practice address
2900 E DESERT INN RD, SUITE 202, LAS VEGAS, NV 89121-3619
(702) 731-0933
(702) 731-9928
Mailing address
2900 E DESERT INN RD, SUITE 202, LAS VEGAS, NV 89121-3619
(702) 731-0933
(702) 731-9928
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
5369
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002002934
—
NV
Enumeration date
10/11/2011
Last updated
10/11/2011
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