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Individual

MARIA SARAH SOPHIE BOVENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, PHD

Contact information

Practice address
653 N TOWN CENTER DR STE 410, LAS VEGAS, NV 89144-0518
(702) 456-3120
Mailing address
653 N TOWN CENTER DR STE 410, LAS VEGAS, NV 89144-0518
(702) 456-3120

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
23802
NV
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
23802
NV
207NS0135X
Procedural Dermatology Physician
23802
NV

Other

Enumeration date
03/27/2017
Last updated
05/23/2025
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