NPI 1124032990

David Alan Tack, MD

Practitioner Dermatology Physician Carson City, NV

Practice location

Address: 1100 S Carson St, Carson City, NV 89701-5232
Phone: (775) 883-7811
Mailing address: 227 St Albans Pl, Carson City, NV 89703-4546

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 11209 (NV)

Other Dermatology providers in Nevada →

Registry record

NPI: 1124032990
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jul 2006
Record last updated: 8 Jul 2007

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.