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NPI Code Detail

MEDICARE: SKIN DOCS

MEDICARE: SKIN DOCS
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 Physician

General Provider Information

NPI Number : 1538708573
Entity Type Code : Organization
Provider Name (Legal Business Name) : SKIN DOCS
Provider Business Mailing Address
First Line : 410 S RANCHO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4802
Country : US
Telephone Number : 702-349-9001
Fax Number :
Provider Business Practice Location Address
First Line : 2860 E DESERT INN RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-3605
Country : US
Telephone Number : 702-551-9487
Fax Number : 702-924-0634
Authorized Official
Title or Position : DERMATOLOGIST
Name : DR. JONATHAN BELLEW
Credential : DO
Telephone Number : 702-349-9001
Provider Enumeration Date : 12/21/2019
Last Update Date : 06/23/2021

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Directions to “SKIN DOCS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.