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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ROLAND JAYSON FORMOSO PUA, MD

Active

DR. ROLAND JAYSON FORMOSO PUA, MD is a Gastroenterology healthcare provider located in LAS VEGAS, Nevada. NPI 1215009782 is currently active in the NPPES registry. Verify at CMS.

Gastroenterology · LAS VEGAS, NV

Registration Details

NPI Number
1215009782
Provider Type
Individual
Gender
Male
NPI Issued
Nov 13, 2006 (19.772039361647 yrs)
Last Updated
Jan 29, 2024
Licenses
67340 (AZ)
MD202126 (OR)
C175306 (CA)
15963 (ID)
12103 (NV)

Practice Information

Address
9460 W FLAMINGO RD
SUITE 120
LAS VEGAS, NV, 891475742
Browse NV providers · Browse ZIP 89147
Phone
7026387705
Fax
7026387706
Primary Specialty
Gastroenterology
207RG0300X
Additional Specialty
Gastroenterology
Additional Specialty
Gastroenterology
Additional Specialty
Gastroenterology
Additional Specialty
Gastroenterology

Other Gastroenterology Providers in LAS VEGAS, NV

Name Credential NPI
MARK ZIMMERMAN M.D. 1376514646
SYED FAWAD HUSSAIN MD 1265408041
DR. LEONARDO ALDECOA GAN-LIM M.D. 1134180839
ORANIA LIVIA TIGAIERU M.D. 1881641611
DR. MIKE Y JEONG DO 1144251075
DR. VINCENT O. CHU MD 1649299470
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.