| NPI | 1053823120 |
|---|---|
| Doing Business As | VIVIDA DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS F FIFE President/CEO 702-255-6647 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2018-05-09 |