Individual
GORDON SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 BRUSH ST APT 429, LAS VEGAS, NV 89107-4064
(360) 298-6738
Mailing address
900 BRUSH ST APT 429, LAS VEGAS, NV 89107-4064
(360) 298-6738
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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