Organization
GOLAN INTEGRATED PHYSICAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R GOLAN (MEDICAL DIRECTOR)
(702) 263-4925
Entity
Organization
Contact information
Practice address
321 N PECOS RD STE 200, HENDERSON, NV 89074-1348
(702) 263-4925
(702) 263-6874
Mailing address
PO BOX 561564, DENVER, CO 80256-1564
(702) 202-1850
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/04/2019
Last updated
07/09/2024
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