| Jake Dodge, | |
|
4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | |
| (915) 540-1431 | |
| Not Available |
| Full Name | Jake Dodge |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 4700 Las Vegas Blvd N, Nellis Afb, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114410784 | NPI | - | NPPES |
| SL1306 | Other | NV | NEVADA STATE LICENSING BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | SL1306 (Nevada) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jake Dodge, 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (915) 540-1431 | Jake Dodge, 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (915) 540-1431 |
Dr. Debra A Koenigsberger, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2267 | |
Patricia N Hammer, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2764 | |
Jennifer E Svarverud, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3808 | |
Noel R Colls, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2764 | |
Kristen Dorazio, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Dipti S Patel, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2965 | |
Jessica L Hainsfurther, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2965 |