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NPI Code Detail

MEDICARE: DAVID R GOLAN MD

MEDICARE: DAVID R GOLAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician7091NV
2208100000XPhysical Medicine & Rehabilitation Physician7091NV

General Provider Information

NPI Number : 1457441206
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID R GOLAN MD
Provider Business Mailing Address
First Line : 3753 HOWARD HUGHES PKWY STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-0952
Country : US
Telephone Number : 702-419-5379
Fax Number : 702-546-5654
Provider Business Practice Location Address
First Line : 3753 HOWARD HUGHES PKWY STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-0952
Country : US
Telephone Number : 702-419-5379
Fax Number : 702-546-5654
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2006
Last Update Date : 12/30/2024

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