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Individual

DAVID S GOTHELF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
100 N GREEN VALLEY PKWY, SUITE 210, HENDERSON, NV 89074-6391
(702) 269-9995
(702) 944-4056
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0479
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002019093
NV
05
1023057296
NV
01
479
STATE LICENSE
NV
Enumeration date
06/05/2006
Last updated
05/16/2023
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