Individual
JOSE RAMON TROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2810 S RAINBOW BLVD STE B, LAS VEGAS, NV 89146-5150
(702) 492-7208
(702) 361-2273
Mailing address
9975 S EASTERN AVE, SUITE 110, LAS VEGAS, NV 89183-7949
(702) 492-7208
(702) 616-0657
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA545
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790885713
—
NV
01
—
PA545
NV LICENSE
NV
Enumeration date
09/22/2006
Last updated
01/28/2020
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