Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 1335 | NV |
N | 207ND0101X | MOHS-Micrographic Surgeon | 1335 | NV |
N | 207ND0101X | MOHS-Micrographic Surgeon | 20A8338 | CA |
N | 207ND0101X | MOHS-Micrographic Surgeon | 3795 | AZ |
N | 207ND0101X | MOHS-Micrographic Surgeon | 8013A | WY |
NPI | 1053522573 |
---|---|
Provider Name | Dr. Alison Yah-San Tam |
First Address | Las Vegas, NV 89135 |
Second Address | Las Vegas, NV 89113 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2007 |
Last Update Date | 12/08/2014 |