Organization
GOLAN INTEGRATED PHYSICAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ROBERT GOLAN MD (MEDICAL DOCTOR)
(808) 463-9726
Entity
Organization
Contact information
Practice address
6592 N DECATUR BLVD, SUITE 115, LAS VEGAS, NV 89131-1037
(702) 478-9594
(702) 478-9509
Mailing address
PO BOX 561564, DENVER, CO 80256-1564
(702) 202-1850
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6983960001
PTAN
NV
Enumeration date
07/03/2013
Last updated
04/25/2022
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