| NPI | 1255089975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID R GOLAN Owner/Medical Director 702-396-4993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2023-09-06 |