Individual
DR. FREDERICK GOLL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3195 SAINT ROSE PKWY, SUITE 210, HENDERSON, NV 89052-3501
(702) 792-6700
(702) 792-7198
Mailing address
3195 SAINT ROSE PKWY, SUITE 210, HENDERSON, NV 89052-3501
(702) 792-6700
(702) 792-7198
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
7728
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2002895
—
NV
Enumeration date
04/26/2006
Last updated
08/28/2012
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