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Organization

EPIPHANY DERMATOLOGY OF NEVADA - HATCH, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GHEORGHE PUSTA (CEO)
(512) 628-0465
Entity
Organization

Contact information

Practice address
2904 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052-5016
(702) 906-0060
(702) 906-0072
Mailing address
7300 RANCH ROAD 2222 STE 200, AUSTIN, TX 78730-3204
(512) 628-0465
(512) 628-0468

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
04/21/2023
Last updated
04/25/2024
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