Individual
NORMAN ALBERT GOSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17TH AND C ST., BLDG. 11582, FORT LEWIS, WA 98433
(253) 966-1991
(253) 967-2639
Mailing address
7902 56TH STREET CT W, UNIVERSITY PLACE, WA 98467-5904
(253) 566-0460
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
MD00022390
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VAD000
—
WA
Enumeration date
08/17/2006
Last updated
07/08/2007
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