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Contact Information

GOLAN INTEGRATED PHYSICAL MEDICINE
3061 S MARYLAND PKWY STE 201
LAS VEGAS, NV89109-6227
 Phone: 702-396-4993
 Fax: 702-478-9594
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromusculoskeletal Medicine, Sports Medicine

204C00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for GOLAN INTEGRATED PHYSICAL MEDICINE

NPI # 1417479189
LBN Legal business name GOLAN INTEGRATED PHYSICAL MEDICINE
Authorized official DAVID GOLAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/13/2017
Last updated 07/21/2022 - About 4 years ago
Identifiers
NV License # 7091
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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