Provider Demographics
NPI:1649717117
Name:DODS, LEAH
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:DODS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 E SUNSET RD STE 27
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-3519
Mailing Address - Country:US
Mailing Address - Phone:702-626-7263
Mailing Address - Fax:
Practice Address - Street 1:2700 E SUNSET RD STE 27
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-3519
Practice Address - Country:US
Practice Address - Phone:702-776-8400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-23
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator