Organization
HENDERSON DERMATOLOGY AND SKIN CANCER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL TAHERI MD (PRESIDENT)
(702) 558-5100
Entity
Organization
Contact information
Practice address
2960 SAINT ROSE PKWY, SUITE 120, HENDERSON, NV 89052-4447
(702) 558-5100
Mailing address
PO BOX 496084, REDDING, CA 96049-6084
(702) 558-5100
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
06/29/2012
Last updated
07/02/2012
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