Doctor Name: | GOSHA M SEARS |
NPI Number: | 1649489683 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | LL16333 |
Business Practice Address: | 2074 S 6th St Klamath Falls, OR - 976013372 |
Business Phone Number: | 5418518110 |
Business Fax Number: | 5418518114 |
Mailing Address: | 2074 South 6th St, KLAMATH FALLS |
State: | OR |
Postal Code: | 97601 |
Phone Number: | 5418518110 |
Fax Number: | 5418518114 |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 03/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | LL16333 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |