Doctor Name: | DIANNA MARIE GOSS |
NPI Number: | 1477699676 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RT (R) |
License Number: | |
Business Practice Address: | 3502 Rainbow Dr # B Rainbow City, AL - 359066310 |
Business Phone Number: | 2564422779 |
Business Fax Number: | |
Mailing Address: | 90 Autumn Trce, ODENVILLE |
State: | AL |
Postal Code: | 351206758 |
Phone Number: | 2054679468 |
Fax Number: | |
NPI Enumeration Date: | 01/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471M1202X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Magnetic Resonance Imaging |
Taxonomy Definition: |