MEDICARE: DR. ROBERT J. FUTORAN M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VX0201X	Gynecologic Oncology Physician	5253	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871517490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT J. FUTORAN M.D

Provider Business Mailing Address
First Line	:	341 N. BUFFALO DRIVE
Second Line	:	SUITE D
City	:	LAS VEGAS
State	:	NV
Zip	:	89145
Country	:	US
Telephone Number	:	702-410-5822
Fax Number	:	702-483-5507

Provider Business Practice Location Address
First Line	:	341 NORTH BUFFALO DR.
Second Line	:	SUITE D
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-1119
Country	:	US
Telephone Number	:	702-410-5822
Fax Number	:	702-483-5507

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	03/27/2013

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