Organization
MARTIN E. SALM, M.D., LTD
Active
Other names
Advanced Cosmetic Surgery And Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL M. SMITH (OFFICE MANAGER)
(775) 588-5000
Entity
Organization
Contact information
Practice address
276 KINGSBURY GRADE, SUITE 101, STATELINE, NV 89449-5910
(775) 588-5000
(775) 588-5001
Mailing address
PO BOX 5910, STATELINE, NV 89449-5910
(775) 588-5000
(775) 588-5001
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
6357
NV
207ND0101X
MOHS-Micrographic Surgery Physician
6357
NV
207ND0900X
Dermatopathology Physician
6357
NV
207NS0135X
Procedural Dermatology Physician
6357
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002003058
—
NV
Enumeration date
04/01/2008
Last updated
04/01/2008
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