| NPI | 1477026243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID R GOLAN Medical Director 702-263-4925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 111N00000X Chiropractor |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2024-07-09 |