# JEFFREY M GOSSLEE MD APMC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568851053
- **Authorized official:** JEFFREY M GOSSLEE MD (OWNER)
- **Authorized official phone:** (318) 841-8844

## Contact information

- **Practice address:** 725 N ASHLEY RIDGE LOOP, SUITE 400, SHREVEPORT, LA 71106-7232
- **Practice address phone:** (318) 841-8844
- **Mailing address:** 725 N ASHLEY RIDGE LOOP, SUITE 400, SHREVEPORT, LA 71106-7232
- **Mailing address phone:** (318) 841-8844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 026087 | LA | Yes |

## Other

- **Enumeration date:** 01/21/2015
- **Last updated:** 01/21/2015