Individual
DODGE ALAN SLAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1070 WIGWAM PARKWAY, #100, HENDERSON, NV 89074
(702) 454-0201
(702) 454-1245
Mailing address
1070 WIGWAM PARKWAY, #100, HENDERSON, NV 89074
(702) 454-0201
(702) 454-1245
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
500
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002002729
—
NV
Enumeration date
08/02/2006
Last updated
06/18/2021
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