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Organization

MARVIN D SPANN MD PLLC

Active
Other names
Couture Dermatology and Plastic Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
MARVIN DOUGLAS SPANN M.D. (OWNER)
(702) 998-9001
Entity
Organization

Contact information

Practice address
9950 W FLAMINGO RD STE 105, LAS VEGAS, NV 89147-8555
(702) 998-9001
(702) 998-8282
Mailing address
PO BOX 35914, LAS VEGAS, NV 89133-5914
(702) 998-9001
(702) 998-8282

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
13132
NV
208200000X
Plastic Surgery Physician
13247
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1043716251
NPI
NV
01
1134548456
NPI
NV
01
1407044399
NPI
NV
01
1700964780
NPI
NV
01
1871964676
NPI
NV
01
1972263622
NPI
NV
01
1972750370
NPI
NV
Enumeration date
08/07/2012
Last updated
09/18/2023
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