Provider Demographics
NPI:1376713552
Name:SAUL E SCHREIBER
Entity Type:Organization
Organization Name:SAUL E SCHREIBER
Other - Org Name:ADVANCED DERMATOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SAUL
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHREIBER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:702-734-8511
Mailing Address - Street 1:1700 E DESERT INN RD
Mailing Address - Street 2:# 103
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89169-3206
Mailing Address - Country:US
Mailing Address - Phone:702-734-8511
Mailing Address - Fax:702-734-6323
Practice Address - Street 1:1700 E DESERT INN RD
Practice Address - Street 2:# 103
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169-3206
Practice Address - Country:US
Practice Address - Phone:702-734-8511
Practice Address - Fax:702-734-6323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-04
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPA-C59363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVE82169Medicare UPIN
NVV-38898Medicare PIN