Organization
M. DOUGLAS GOSSMAN, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
M DOUGLAS GOSSMAN MD (PHYSICIAN/OWNER)
(502) 495-2122
Entity
Organization
Contact information
Practice address
2302 HURSTBOURNE VILLAGE DR STE 700, LOUISVILLE, KY 40299-1878
(502) 495-2122
(502) 719-0146
Mailing address
2302 HURSTBOURNE VILLAGE DR STE 700, LOUISVILLE, KY 40299-1878
(502) 495-2122
(502) 719-0146
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
21642
KY
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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