Individual
DR. MARIO PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6900 PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9020
(702) 396-7587
Mailing address
6900 PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9020
(702) 396-7587
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8299
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487674123
—
NV
01
—
P00853259
RAILROAD MEDICARE
NV
Enumeration date
07/19/2006
Last updated
09/26/2013
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