Doctor Name: | MRS. GABRIELA B GOSS |
NPI Number: | 1902836794 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | 34007781S |
Business Practice Address: | 2555 Creekwood Ct Springfield, OH - 455044056 |
Business Phone Number: | 9373270552 |
Business Fax Number: | 9373270556 |
Mailing Address: | 2555 Creekwood Ct, SPRINGFIELD |
State: | OH |
Postal Code: | 455044056 |
Phone Number: | 9373270552 |
Fax Number: | 9373270556 |
NPI Enumeration Date: | 07/04/2006 |
NPI Last Update Date: | 01/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 34007781S |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |