Fife Dermatology, PC 1

NPI #1619492378 in Las Vegas, Nevada

Provider Information

NPI Number: 1619492378
Entity Type: Organization
Organization Name: Fife Dermatology, PC 1
Subpart: Yes (part of a larger organization)
Parent Organization: FIFE DERMATOLOGY, PC
Primary Specialty: Dermatology
Enumeration Date: Aug 3, 2017
Last Updated: Aug 3, 2017

Practice Location

Address: 10080 WEST ALTA DRIVE
Address 2: SUITE 120
City: Las Vegas
State: Nevada
ZIP Code: 89145-8651
Phone: (702) 255-6647

Authorized Official

Name: MR. DOUGLAS J. FIFE, M.D.
Title: CEO
Phone: (702) 255-6647

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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