Organization
NEVADA CENTER FOR DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENJI SAX (PRACTICE MANAGER)
(775) 827-8100
Entity
Organization
Contact information
Practice address
650 SIERRA ROSE DR, STE. A, RENO, NV 89511-2081
(775) 827-8100
Mailing address
650 SIERRA ROSE DR, STE. A, RENO, NV 89511-2357
(775) 827-8100
(775) 827-8835
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8902
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ7776
MEDICARE RAILROAD
NV
Enumeration date
05/10/2007
Last updated
05/26/2015
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