Provider Demographics
NPI:1871517490
Name:FUTORAN, ROBERT J (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:J
Last Name:FUTORAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:341 N. BUFFALO DRIVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89145
Mailing Address - Country:US
Mailing Address - Phone:702-410-5822
Mailing Address - Fax:702-483-5507
Practice Address - Street 1:341 NORTH BUFFALO DR.
Practice Address - Street 2:SUITE D
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89145-1119
Practice Address - Country:US
Practice Address - Phone:702-410-5822
Practice Address - Fax:702-483-5507
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2013-03-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV5253207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002019195Medicaid
A22076Medicare UPIN
NV002019195Medicaid