MR. MARK GOSNELL JR., IDMT

Military Health Care Provider - Independent Duty Medical Technicians

Active Individual
NPI: 1265954952

Practice Address

7050 AIR DEPOT BLVD
Tinker Afb, OK 73145

Phone: (405) 582-6055

Specialties

Specialty Code Primary License
Military Health Care Provider - Independent Duty Medical Technicians 1710I1003X Yes -

Frequently Asked Questions

NPI 1265954952 is the National Provider Identifier for MR. MARK GOSNELL JR., IDMT, a Military Health Care Provider - Independent Duty Medical Technicians provider located in Tinker Afb, OK. This NPI was enumerated on July 13, 2017.
MR. MARK GOSNELL JR., IDMT practices at 7050 AIR DEPOT BLVD, Tinker Afb, OK 73145.

Quick Facts

NPI
1265954952
Type
Individual
Enumerated
Jul 13, 2017
Last Updated
Jul 13, 2017

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