| NPI | 1154016665 |
|---|---|
| Doing Business As | ACADEMIC DERMATOLOGY OF NEVADA |
| Entity Type | Organization |
| Authorized Contact | KERRI LOOMIS Credential Agent 702-463-1038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-08-11 |