Provider Demographics
NPI:1336757301
Name:DOSS, DAILEY (PA-C)
Entity type:Individual
Prefix:
First Name:DAILEY
Middle Name:
Last Name:DOSS
Suffix:
Gender:M
Credentials:PA-C
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8360 MONTECITO POINTE DR APT 1013
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-4781
Mailing Address - Country:US
Mailing Address - Phone:760-898-1913
Mailing Address - Fax:
Practice Address - Street 1:NORTH LAS VEGAS VA MEDICAL CENTER
Practice Address - Street 2:6900 N PECOS RD
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89086-4400
Practice Address - Country:US
Practice Address - Phone:702-791-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-16
Last Update Date:2022-06-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NVPA2499363A00000X
NMPA2020-0054363A00000X
NVPA0522363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant