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NPI Code Detail

MEDICARE: CRAIG PARSON DO

MEDICARE: CRAIG PARSON DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician2729NV

General Provider Information

NPI Number : 1396192761
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRAIG PARSON DO
Provider Business Mailing Address
First Line : 9780 W SKYE CANYON PARK DR STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89166-6625
Country : US
Telephone Number : 702-589-3100
Fax Number : 702-851-7725
Provider Business Practice Location Address
First Line : 9780 W SKYE CANYON PARK DR STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89166-6625
Country : US
Telephone Number : 702-589-3100
Fax Number : 702-851-7725
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2016
Last Update Date : 06/07/2023

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Directions to “ CRAIG PARSON DO” Practice Location

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