Individual provider · Type 1 NPI

Agatha Matsos Formoso, MD

Pediatrics Physician · Las Vegas, NV

NPI number 1124657036 Active

Practice location

2650 N Tenaya Way # 308
Las Vegas, NV 89128-1102

Fax (702) 869-5347

Mailing address

6355 S Buffalo Dr Fl 3
Las Vegas, NV 89113-2133

Other practice locations

  • 1919 E Thomas Rd, Phoenix, AZ 85016-7710 · (602) 933-0945

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000X24172 (NV)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1124657036

Agatha Matsos Formoso, MD's National Provider Identifier is 1124657036, issued on Apr 2, 2020. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Las Vegas, NV. The record was last updated on Nov 16, 2023.