Healthcare Provider Details

I. General information

NPI: 1376668988
Provider Name (Legal Business Name): DENNIS ALLEN FALLS M.D.,
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 W LAKE MEAD BLVD SUIT 314
LAS VEGAS NV
89128-0297
US

IV. Provider business mailing address

7500 W LAKE MEAD BLVD SUIT 314
LAS VEGAS NV
89128-0297
US

V. Phone/Fax

Practice location:
  • Phone: 702-966-5911
  • Fax: 702-212-4620
Mailing address:
  • Phone: 702-966-5911
  • Fax: 702-212-4620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279P1004X
TaxonomyPulmonary Diagnostics Registered Respiratory Therapist
License NumberRC753
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: