Individual
MR. ERIC WILLIAM GAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
901 ROYAL AMETHYST WAY, LAS VEGAS, NV 89178-2432
(617) 694-3813
Mailing address
901 ROYAL AMETHYST WAY, LAS VEGAS, NV 89178-2432
(617) 694-3813
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1945
MA
Other
Enumeration date
04/12/2006
Last updated
01/07/2022
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