MR. Mark Gosnell JR., IDMT
NPI #1265954952 in Tinker Afb, Oklahoma
Provider Information
- NPI Number
- 1265954952
- Entity Type
- Individual
- Name
- MR. Mark Gosnell JR., IDMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Credential
- IDMT
- Enumeration Date
- Jul 13, 2017
- Last Updated
- Jul 13, 2017
Practice Location
- Address
- 7050 AIR DEPOT BLVD
- City
- Tinker Afb
- State
- Oklahoma
- ZIP Code
- 73145-8716
- Phone
- (405) 582-6055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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