NPI 1265954952
Mark Gosnell, IDMT
Practice location
- Address
- 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716
- Phone
- (405) 582-6055
Registered specialties
Independent Duty Medical Technicians
Primary
Registry record
- NPI
- 1265954952
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Jul 2017
- Record last updated
- 13 Jul 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.