NPI 1447443320

John Issac Goli

Practitioner Prosthetic/Orthotic Supplier Henderson, NV

Practice location

Address: 2642 Horizon Ridge Pkwy #a5, Henderson, NV 89052-6480
Phone: (702) 553-3273
Fax: (702) 795-7463

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 010C-2007302783 (NV)

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Registry record

NPI: 1447443320
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Aug 2007
Record last updated: 23 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.