NPI 1780852368

Clemmensen, Adams, & Tack Psc

Organisation Dermatology Physician Carson City, NV

Practice location

Address: 1100 S Carson St, Carson City, NV 89701-5232
Phone: (775) 883-7811
Fax: (775) 883-7871

Authorised official

Name: David Alan Tack
Title: President
Phone: (775) 883-7811

Registered specialties (4)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Nevada →

MOHS-Micrographic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X

Dermatopathology Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0900X

Procedural Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207NS0135X

Registry record

NPI: 1780852368
Entity type: Organization
NPI issued: 15 Feb 2008
Record last updated: 22 Jan 2015

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.