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John Issac Goli
Prosthetic/Orthotic Supplier in Henderson, Nevada
NPI 1447443320

John Issac Goli is a Prosthetic/Orthotic Supplier based in Henderson, NV. John Issac Goli practices in Henderson, NV. The NPI Number for John Issac Goli is 1447443320 and holds a License No. 010C-2007302783 (Nevada).

The current practice location address for John Issac Goli is 2642 Horizon Ridge Pkwy, Henderson, NV and can be reached out via phone at 702-553-3273 and via fax at 702-795-7463.

Location: 2642 Horizon Ridge Pkwy, Henderson, NV, 89052-6480
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447443320
Provider Name
John Issac Goli
Credential
Provider Entity Type
Individual
Gender
Male
Address
2642 Horizon Ridge Pkwy, Henderson, NV, 89052-6480
Phone Number
702-553-3273
Fax Number
702-795-7463
Provider Enumeration Date
08/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2642 Horizon Ridge Pkwy
City
Henderson
State
Nevada
Zip
89052-6480
Phone Number
702-553-3273
Fax Number
702-795-7463
person
Provider Business Mailing Address Details
Address
2642 Horizon Ridge Pkwy
City
Henderson
State
Nevada
Zip
89052-6480
Phone Number
702-553-3273
Fax Number
702-795-7463
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
010C-2007302783 (Nevada)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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