Individual
JUSTIN PUOPOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5495 S RAINBOW BLVD STE 101, LAS VEGAS, NV 89118-1872
(702) 477-0772
Mailing address
PO BOX 30077, SALT LAKE CITY, UT 84130-0077
(702) 477-0772
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
DO1947
NV
Other
Enumeration date
05/18/2009
Last updated
10/20/2017
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