# GOLAN INTEGRATED PHYSICAL MEDICINE

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

## Provider details

- **NPI number:** 1497195580
- **Authorized official:** DAVID ROBERT GOLAN MD (MEDICAL DOCTOR)
- **Authorized official phone:** (808) 463-9726

## Contact information

- **Practice address:** 6592 N DECATUR BLVD, SUITE 115, LAS VEGAS, NV 89131-1037
- **Practice address phone:** (702) 478-9594
- **Practice address fax:** (702) 478-9509
- **Mailing address:** PO BOX 561564, DENVER, CO 80256-1564
- **Mailing address phone:** (702) 202-1850

## Taxonomy

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

## Other

- **Enumeration date:** 07/03/2013
- **Last updated:** 04/25/2022