Individual
DIANE S GOEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2350 W HORIZON RIDGE PKWY, HENDERSON, NV 89052-5075
(702) 564-8556
(702) 564-4485
Mailing address
2350 W HORIZON RIDGE PKWY, HENDERSON, NV 89052-5075
(702) 564-8556
(702) 564-4485
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5529
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002018184
—
NV
05
—
003102184
—
NV
Enumeration date
08/12/2005
Last updated
06/17/2015
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