MEDICARE: DR. DENNIS ALLEN FALLS M.D.,

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2279P1004X	Pulmonary Diagnostics Registered Respiratory Therapist	RC753	NV

General Provider Information

NPI Number	:	1376668988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENNIS ALLEN FALLS M.D.,

Provider Business Mailing Address
First Line	:	7500 W LAKE MEAD BLVD
Second Line	:	SUIT 314
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0297
Country	:	US
Telephone Number	:	702-966-5911
Fax Number	:	702-212-4620

Provider Business Practice Location Address
First Line	:	7500 W LAKE MEAD BLVD
Second Line	:	SUIT 314
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0297
Country	:	US
Telephone Number	:	702-966-5911
Fax Number	:	702-212-4620

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	07/09/2007

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