NPI | 1558618710 |
---|---|
Doing Business As | COUTURE DERMATOLOGY AND PLASTIC SURGERY |
Entity Type | Organization |
Authorized Contact | MARVIN DOUGLAS SPANN Owner 702-998-9001 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NV 13132) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: NV 13247) |
Enumeration Date | 2012-08-07 |
Last Update Date | 2023-09-18 |