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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