| NPI | 1619492378 |
|---|---|
| Doing Business As | SURGICAL DERMATOLOGY AND LASER CENTER |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS J. FIFE CEO 702-255-6647 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2017-08-03 |