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DAVIS GROUP, LTD.

Physicians Dermatology

Provider NPI: 1871917666

Organization Information:
Organization Name:  DAVIS GROUP, LTD.
Organization is Subpart
Authorized Official:  CRAIG  DAVIS  MEDICAL DIRECTOR  702-489-4838

Practice Location:
8440 W LAKE MEAD BLVD 104 LAS VEGAS, NV 89128-7648 US
Tel: 702-489-4838  Fax: 702-489-4837

Business Mailing Address:
8440 W LAKE MEAD BLVD 104 LAS VEGAS, NV 89128-7648 US
Tel: 702-489-4838  Fax: 702-489-4837

NPI Information:
NPI: 1871917666
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207N00000XPhysicians
Dermatology
NV10713
N207ND0101XPhysicians
Dermatology
NV10713
N207ND0900XPhysicians
Dermatology
NV10713
N207R00000XPhysicians
Internal Medicine
NV14027
N207RR0500XPhysicians
Internal Medicine
NV14027
N207ZD0900XPhysicians
Pathology
NV10713
N207ZP0101XPhysicians
Pathology
NV10713
N208D00000XPhysicians
General Practice
NV10713
Y261QM2500XAmbulatory Health Care Facilities
Clinic/Center
NV10713

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 261QM2500X

Type:

Classification:



Definition:



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