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NPI 1396308607 · Dermatology Physician · Las Vegas, NV
Provider details
- NPI number
- 1396308607
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 178951 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
5185 S Durango Dr Ste 1
Las Vegas, NV 89113-0149
Phone: (702) 475-8608
Fax: (702) 789-0098
Approximate (ZIP-level) locationGet directions
Mailing address
5185 S Durango Dr Ste 1
Las Vegas, NV 89113-0149
Registry dates
- Enumerated
- 2019-04-22
- Last updated
- 2026-02-25
- Certified
- 2026-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.