Integrative Dermatology PA Clinic

NPI #1821896804 in Henderson, Nevada

Provider Information

NPI Number: 1821896804
Entity Type: Organization
Organization Name: Integrative Dermatology PA Clinic
Primary Specialty: Dermatology
Enumeration Date: Mar 5, 2025
Last Updated: Mar 7, 2025

Practice Location

Address: 1110 ECHO PASS ST.
City: Henderson
State: Nevada
ZIP Code: 89052
Phone: (941) 840-1387

Authorized Official

Name: FEROZA THOMPSON, PA-C
Title: PHYSICIAN ASSOCIATE
Phone: (941) 840-1387

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Health Service — Health Service	261QH0100X
Clinic/Center - Urgent Care — Urgent Care	261QU0200X
Dermatology	207N00000X	Primary

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