Organization
FIFE DERMATOLOGY, P.C.
Active
Other names
SURGICAL DERMATOLOGY AND LASER CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CINDY JONES (OFFICE MANAGER)
(702) 255-6647
Entity
Organization
Contact information
Practice address
6460 MEDICAL CENTER ST, STE 350, LAS VEGAS, NV 89148-2406
(702) 255-6647
(702) 933-1444
Mailing address
6460 MEDICAL CENTER STREET, STE 350, LAS VEGAS, NV 89148
(702) 255-6647
(702) 933-1444
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
13164
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225228034
INDIVIDUAL NPI
NV
Enumeration date
10/28/2009
Last updated
06/03/2015
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