Organization
CLEMMENSEN, ADAMS, & TACK PSC
Active
Other names
Carson Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ALAN TACK M.D. (PRESIDENT)
(775) 883-7811
Entity
Organization
Contact information
Practice address
1100 S CARSON ST, CARSON CITY, NV 89701-5232
(775) 883-7811
(775) 883-7871
Mailing address
1100 S CARSON ST, CARSON CITY, NV 89701-5232
(775) 883-7811
(775) 883-7871
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
02/15/2008
Last updated
01/22/2015
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