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Individual

ROBERT R GAO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3022 S DURANGO DR STE 100, LAS VEGAS, NV 89117-4440
(702) 269-0781
(702) 269-0788
Mailing address
PO BOX 530369, HENDERSON, NV 89053-0369
(702) 269-0781
(702) 269-0788

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
9991
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002018489
NV
01
CC9211
BCBS
NV
01
V36620
MEDICARE GROUP ID
NV
01
V36621
MEDICARE ID
NV
Enumeration date
11/03/2005
Last updated
03/24/2023
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