Organization
FIFE DERMATOLOGY, PC 1
Active
Parent organization
FIFE DERMATOLOGY, PC
Other names
Surgical Dermatology and Laser Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIFE DERMATOLOGY, PC
Authorized official
MR. DOUGLAS J. FIFE M.D. (CEO)
(702) 255-6647
Entity
Organization
Contact information
Practice address
10080 WEST ALTA DRIVE, SUITE 120, LAS VEGAS, NV 89145-8651
(702) 255-6647
(702) 933-1444
Mailing address
10080 WEST ALTA DRIVE, SUITE 120, LAS VEGAS, NV 89145-8651
(702) 255-6647
(702) 933-1444
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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