Individual
ROEHL PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7280 W AZURE DR STE 130, LAS VEGAS, NV 89130
(702) 309-3360
(702) 309-3370
Mailing address
2345 E PRATER WAY STE 207, SPARKS, NV 89434-9634
(702) 309-3360
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9935
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770520306
—
NV
Enumeration date
06/01/2006
Last updated
06/22/2018
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