Organization
SCOTT MACLEOD DO LTD
Active
Other names
Dermatherapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT MACLEOD D.O. (PRESIDENT)
(702) 796-7546
Entity
Organization
Contact information
Practice address
653 N TOWN CENTER DR, LAS VEGAS, NV 89144-0514
(702) 796-7546
(702) 869-6146
Mailing address
653 N TOWN CENTER DR, SUITE 512, LAS VEGAS, NV 89144-0514
(702) 796-7546
(702) 869-6146
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
610
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC8832
BCBS
NV
01
—
P00287084
RR MEDICARE
NV
Enumeration date
03/06/2007
Last updated
10/12/2007
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