Individual
DR. ROMAN FAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 WELLNESS WAY STE 402, LAS VEGAS, NV 89106-4145
(702) 485-5000
(702) 485-5005
Mailing address
50 S STEPHANIE ST STE 101, HENDERSON, NV 89012-5731
(702) 202-4776
(702) 202-6110
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
16329
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831459486
—
NV
Enumeration date
05/16/2012
Last updated
03/29/2023
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