Individual
J RICHARD GOSS
Active
Individual
J RICHARD GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00031022
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003992819
—
WA
01
—
110182596
RAIL ROAD MEDICARE
WA
01
—
2925
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/27/2006
Last updated
01/24/2012
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