Organization
FIFE DERMATOLOGY PC
Active
Organization
FIFE DERMATOLOGY PC
Active
Other names
Vivda Dermatology, Vivida Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS JACKSON FIFE MD (PHYSICIAN)
(702) 255-6647
Entity
Organization
Contact information
Practice address
2110 E FLAMINGO RD # 213, LAS VEGAS, NV 89119-5190
(702) 255-6647
(702) 933-1444
Mailing address
2110 E FLAMINGO RD # 213, LAS VEGAS, NV 89119-5190
(702) 255-6647
(702) 933-1444
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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