Provider Demographics
NPI:1215469648
Name:HODGES-WILLS, TONI DENISE (DO)
Entity type:Individual
Prefix:DR
First Name:TONI
Middle Name:DENISE
Last Name:HODGES-WILLS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:851 S RAMPART BLVD STE 260
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89145-4888
Mailing Address - Country:US
Mailing Address - Phone:702-813-7200
Mailing Address - Fax:702-805-8277
Practice Address - Street 1:851 S RAMPART BLVD STE 260
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89145-4888
Practice Address - Country:US
Practice Address - Phone:702-813-7200
Practice Address - Fax:702-805-8277
Is Sole Proprietor?:No
Enumeration Date:2017-04-03
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVDO2900207VG0400X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program