Organization
ROEHL T PENA MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY IRENE PENA (RN)
(702) 309-3360
Entity
Organization
Contact information
Practice address
7280 AZURE DR, SUITE 130, LAS VEGAS, NV 89130-4402
(702) 309-3360
Mailing address
7280 AZURE DR, SUITE 130, LAS VEGAS, NV 89130-4402
(702) 309-3360
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9935
NV
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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