Organization
GOLD PHYSICAL MEDICINE AND REHABILITATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY POOLE DO (OWNER)
(801) 556-5859
Entity
Organization
Contact information
Practice address
840 S RANCHO DR STE 4-740, LAS VEGAS, NV 89106-3837
(702) 242-6911
Mailing address
840 S RANCHO DR STE 4-740, LAS VEGAS, NV 89106-3837
(702) 242-6911
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
06/18/2018
Last updated
05/03/2024
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