Individual
RICHARD CASEY GORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6889 S EASTERN AVE, LAS VEGAS, NV 89119-4687
(702) 434-1200
Mailing address
PO BOX 9072, PAHRUMP, NV 89060-9072
(775) 513-2914
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
2002250085
NV
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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