Individual provider · Type 1 NPI

Dustin Lee Dillon

Student in an Organized Health Care Education/Training Program · Las Vegas, NV

NPI number 1083479224 Active

Practice location

1707 W Charleston Blvd Ste 160
Las Vegas, NV 89102-2354

Mailing address

885 Tiverton Drive
Los Angeles, CA 90095-0001

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XLL4316 (NV)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083479224

Dustin Lee Dillon's National Provider Identifier is 1083479224, issued on Feb 16, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Las Vegas, NV. The record was last updated on May 27, 2025.