Individual
RENE P PENA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2031 MCDANIEL ST, STE 230, NORTH LAS VEGAS, NV 89030-6309
(702) 649-7300
(702) 649-7306
Mailing address
2031 MCDANIEL ST, STE 230, NORTH LAS VEGAS, NV 89030-6309
(702) 649-7300
(702) 649-7306
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6357
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02002821
—
NV
Enumeration date
06/24/2005
Last updated
07/08/2007
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