| Organization Name: | GOLAN INTEGRATED PHYSICAL MEDICINE, P.C. |
| NPI Number: | 1497195580 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID ROBERT GOLAN (MEDICAL DOCTOR) |
| Mailing Address: | 6592 N Decatur Blvd Ste 115 Las Vegas |
| State: | NV US |
| Postal Code: | 891311038 |
| Phone Number: | 7023967993 |
| Fax Number: | |
| NPI Enumeration Date: | 07/03/2013 |
| NPI Last Update Date: | 01/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204C00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |