Search › Nevada › 208000000X
Agatha Formoso, MD
NPI 1124657036 · on the registry since 2020
Practice
- Address
- 2650 N Tenaya Way # 308
Las Vegas, NV 89128 - Phone
- (702) 870-2099
- Fax
- (702) 869-5347
- Clinicians at this address
- 2
Additional practice sites
- 1919 E Thomas Rd, Phoenix, AZ
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Also registered as
- 390200000X
- Licence states on file
- NV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-11-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada