Provider Demographics
NPI:1932485869
Name:DR ROBERT J FUTORAN PC
Entity Type:Organization
Organization Name:DR ROBERT J FUTORAN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:FUTORAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-410-5822
Mailing Address - Street 1:9811 W CHARLESTON BLVD STE 2-691
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-7528
Mailing Address - Country:US
Mailing Address - Phone:702-410-5822
Mailing Address - Fax:702-483-5507
Practice Address - Street 1:341 N BUFFALO DR STE D
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89145-0376
Practice Address - Country:US
Practice Address - Phone:702-410-5822
Practice Address - Fax:702-483-5507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-24
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5253207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty