# GOLAN INTEGRATED PHYSICAL MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417479189
- **Authorized official:** DAVID GOLAN MD (OWNER)
- **Authorized official phone:** (480) 213-8448

## Contact information

- **Practice address:** 3061 S MARYLAND PKWY STE 201, LAS VEGAS, NV 89109-6227
- **Practice address phone:** (702) 396-4993
- **Practice address fax:** (702) 478-9594
- **Mailing address:** PO BOX 561564, DENVER, CO 80256-1564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | 7091 | NV | Yes |

## Other

- **Enumeration date:** 07/13/2017
- **Last updated:** 07/21/2022