# GOLD PHYSICAL MEDICINE AND REHABILITATION PC

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

## Provider details

- **NPI number:** 1861986465
- **Authorized official:** STANLEY SCOTTORN POOLE DO (MANAGER)
- **Authorized official phone:** (801) 556-5859

## Contact information

- **Practice address:** 840 S RANCHO DR STE 4-740, LAS VEGAS, NV 89106-3837
- **Practice address phone:** (702) 242-6911
- **Mailing address:** 840 S RANCHO DR STE 4-740, LAS VEGAS, NV 89106-3837
- **Mailing address phone:** (702) 242-6911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/18/2018
- **Last updated:** 07/21/2026