NPI 1144429820

Cosmetic Dermatology By Sean Degnan

Organisation Dermatology Physician Stateline, NV

Practice location

Address: 165 Hwy 50 Suite 100, Stateline, NV 89449-5757
Phone: (775) 588-3300
Fax: (775) 588-3353
Mailing address: PO Box 5757, Stateline, NV 89449-5757

Authorised official

Name: Mary R Estrada
Title: Office Manager
Phone: (775) 588-3300

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 5488 (NV)

Other Dermatology providers in Nevada →

Registry record

NPI: 1144429820
Entity type: Organization
NPI issued: 13 Jul 2007
Record last updated: 28 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.