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NPI Code Detail

MEDICARE: MARSHALL J GOLDEN MD

MEDICARE:   MARSHALL J GOLDEN  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
12085R0202XDiagnostic Radiology Physician15601NV
22085R0202XDiagnostic Radiology Physician20277MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750358008
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARSHALL J GOLDEN MD
Provider Business Mailing Address
First Line : 11553 SNOW CREEK AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89135-1669
Country : US
Telephone Number : 952-212-1314
Fax Number :
Provider Business Practice Location Address
First Line : 2020 PALOMINO LN STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4894
Country : US
Telephone Number : 702-759-8600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2006
Last Update Date : 09/27/2019

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Directions to “ MARSHALL J GOLDEN MD” Practice Location

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