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Individual

DR. GREGORY LEE GOETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
9260 W SUNSET RD, STE. 200, LAS VEGAS, NV 89148-4858
(702) 255-3547
(702) 921-2419
Mailing address
645 E MISSOURI AVE, STE 300, PHOENIX, AZ 85012-1351
(602) 262-8917
(602) 262-8890

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1182
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100504861
NV
Enumeration date
02/22/2007
Last updated
03/25/2020
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