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Organization
GOLD PHYSICAL MEDICINE AND REHABILITATION PC
Active
Organization
GOLD PHYSICAL MEDICINE AND REHABILITATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY SCOTTORN POOLE DO (MANAGER)
(801) 556-5859
Entity
Organization
Contact information
Practice address
840 S RANCHO DR STE 4-740, LAS VEGAS, NV 89106-3837
(702) 242-6911
Mailing address
840 S RANCHO DR STE 4-740, LAS VEGAS, NV 89106-3837
(702) 242-6911
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
06/18/2018
Last updated
07/21/2026
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