Individual
TODD RICHARD DUKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4275 BURNHAM AVE, STE. 105, LAS VEGAS, NV 89119-5488
(702) 734-6363
(702) 734-6374
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO1599
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346496114
—
NV
01
—
DO1599
STATE LICENSE
NV
Enumeration date
08/13/2008
Last updated
10/17/2022
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