Registry details
Type
Individual
Primary specialty
Dermatology
Enumerated
Jan 27, 2006
License(s)
E4161 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 6900 N PECOS RD | North Las Vegas, NV 89086-4400 | 702-791-9000 |
| MAILING | 5427 ROTTWEILER CT | Las Vegas, NV 89131-2747 | 870-776-8003 |
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