Organization
FIFE DERMATOLOGY, P.C.
Active
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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