| NPI | 1780856559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL M. SMITH Office Manager 775-588-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NV 6357) |
| Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: NV 6357) |
| 207ND0900X Dermatology Dermatopathology (Licence: NV 6357) | |
| 207NS0135X Dermatology Procedural Dermatology (Licence: NV 6357) | |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |