Individual
DOUGLAS THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9097 W POST RD, SUITE 100, LAS VEGAS, NV 89148-2411
(702) 430-5333
(702) 430-5335
Mailing address
9097 W POST RD, SUITE 100, LAS VEGAS, NV 89148-2411
(702) 430-5333
(702) 430-5335
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
65027
AZ
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
5901
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070003256
RAILROAD MEDICARE
NV
01
—
V105879
MEDICARE PTAN
NV
Enumeration date
07/24/2006
Last updated
01/20/2023
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