MEDICARE: DODD HYER, M.D. LTD

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	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1477599330
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DODD HYER, M.D. LTD

Provider Business Mailing Address
First Line	:	2635 BOX CANYON DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0450
Country	:	US
Telephone Number	:	702-386-4700
Fax Number	:	702-386-4701

Provider Business Practice Location Address
First Line	:	2635 BOX CANYON DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0450
Country	:	US
Telephone Number	:	702-386-4700
Fax Number	:	702-386-4701

Authorized Official
Title or Position	:	CREDENTIALING COORDINATOR
Name	:	ASHLEY STUDY
Credential	:
Telephone Number	:	702-386-4700

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	01/23/2008

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