Organization
W MILYANI PC
Active
Other names
Maverick Skin and Cancer
Organization subpart
No
Provider details
NPI number
Authorized official
CLINTON MARTIN (OWNER)
(435) 599-7877
Entity
Organization
Contact information
Practice address
1301 BERTHA HOWE AVE STE 2, MESQUITE, NV 89027-7503
(435) 599-7877
(435) 359-5021
Mailing address
4825 HWY 95 STE 2, FORT MOHAVE, AZ 86426-8315
(435) 599-7877
(435) 359-5021
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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