Cosmetic Dermatology by Sean Degnan
Organization Active NPI Dermatology Physician · Stateline, NV
NPI 1144429820 · NPPES record last updated Nov 28, 2012
Key facts
- NPI
- 1144429820
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- 5488 (NV)
- Legal business name
- COSMETIC DERMATOLOGY BY SEAN DEGNAN
- Practice address
- 165 Hwy 50
Suite 100
Stateline, NV 89449-5757 - Phone
- (775) 588-3300
- Fax
- (775) 588-3353
- NPI assigned
- Jul 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Mary R Estrada
- Title
- Office Manager
- Phone
- (775) 588-3300
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician |
207N00000X | 5488 | NV | Yes |
Addresses
Primary practice location
165 Hwy 50
Suite 100
Stateline, NV 89449-5757
Mailing address
PO Box 5757
Stateline, NV 89449-5757
Phone (775) 588-3300
Other providers in Stateline, NV
- Dennis Doyle Bowman
- Benjamin Daniel Bradford
- Steven Laurence Brooks
- Patricia Anne Bucher
- Jay Chung
- Sean M Degnan
- Nichole Delaplante
- Tania Josephine Dickson-Humphries
- Eric J Ewald Jr.
- Eyezone, Inc.
All providers in Stateline, NV · Dermatology Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.