Doctor Name: | MRS. DENISE MICHELLE GOSS |
NPI Number: | 1225026008 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD/LD,CDE |
License Number: | LD876 |
Business Practice Address: | 1805 N York St Ste E Muskogee, OK - 744031404 |
Business Phone Number: | 9186870201 |
Business Fax Number: | 9186870665 |
Mailing Address: | 24885 S 470 Rd, TAHLEQUAH |
State: | OK |
Postal Code: | 744641518 |
Phone Number: | 9184530238 |
Fax Number: | |
NPI Enumeration Date: | 10/06/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | LD876 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |