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NPI Code Detail

MEDICARE: LAS VEGAS PROVIDERS, PLLC

MEDICARE: LAS VEGAS PROVIDERS, PLLC
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 Physician

General Provider Information

NPI Number : 1700776267
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAS VEGAS PROVIDERS, PLLC
Provider Business Mailing Address
First Line : 401 RYLAND ST STE 200A
Second Line :
City : RENO
State : NV
Zip : 89502-1672
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5351 MONTESSOURI ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-1126
Country : US
Telephone Number : 702-251-2200
Fax Number :
Authorized Official
Title or Position : CEO
Name : DR. DANIEL GOLDEN
Credential : MD
Telephone Number : 725-272-6532
Provider Enumeration Date : 07/07/2025
Last Update Date : 01/23/2026

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Directions to “LAS VEGAS PROVIDERS, PLLC ” Practice Location

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