Roehl T Pena Md | |
7280 Azure Dr Suite 130 Las Vegas NV 89130-4402 | |
(702) 309-3360 | |
Not Available |
Full Name | Roehl T Pena Md |
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Speciality | Internal Medicine |
Location | 7280 Azure Dr, Las Vegas, Nevada |
Authorized Official Name and Position | Amy Irene Pena (RN) |
Authorized Official Contact | 7023093360 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Roehl T Pena Md 7280 Azure Dr Suite 130 Las Vegas NV 89130-4402 Ph: (702) 309-3360 | Roehl T Pena Md 7280 Azure Dr Suite 130 Las Vegas NV 89130-4402 Ph: (702) 309-3360 |
NPI Number | 1194910265 |
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Provider Enumeration Date | 09/11/2007 |
Last Update Date | 09/11/2007 |
Identifier | Type | State | Issuer |
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1194910265 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 9935 (Nevada) | Primary |
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