Individual
DR. THOMAS ALLEN DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
615 ELLIOT PEAK AVE, LAS VEGAS, NV 89183-6295
(702) 374-2877
(702) 948-0130
Mailing address
615 ELLIOT PEAK AVE, LAS VEGAS, NV 89183-6295
(702) 374-2877
(702) 948-0130
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16129
NV
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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