Pua, Roland Jayson Formoso

Pua, Roland Jayson Formoso is an individual health care provider with primary practice located at 9460 W Flamingo Rd Suite 120, Las Vegas NV 89147-5742. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Pua, Roland Jayson Formoso can be contacted via phone (702) 638-7705.

Contact Information

Primary practice address
9460 W Flamingo Rd Suite 120 Las Vegas NV 89147-5742
Phone: (702) 638-7705
Fax: (702) 638-7706
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 67340 Arizona
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MD202126 Oregon
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X C175306 California
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 15963 Idaho
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 12103 Nevada

Profile Details

NPI number 1215009782
LBN Legal business name Pua, Roland Jayson Formoso
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jan 29th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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