Individual
JOSHUA DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2329
(702) 383-2000
Mailing address
42 MATADOR LN, DAVIE, FL 33324-5541
(202) 856-1284
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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