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Organization

JDR DERMATOLOGY RESEARCH, LLC.

Active
Other names
JDR Dermatology Research
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN DULL (BILLING MANAGER)
(702) 430-5333
Entity
Organization

Contact information

Practice address
9080 W POST RD STE 100, LAS VEGAS, NV 89148
(702) 331-4123
Mailing address
9080 W POST RD STE 100, LAS VEGAS, NV 89148-2419
(702) 331-4123

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
09/04/2018
Last updated
09/04/2018
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