Individual
ERIC JOHN GLOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
509 N BRIGHT LEAF BLVD, SMITHFIELD, NC 27577
(919) 934-8171
(919) 989-7297
Mailing address
PO BOX 1376, SMITHFIELD, NC 27577
(919) 934-8171
(919) 989-7297
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101010315
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4553986
—
MI
01
—
5101010315
CONTROLLED SUBSTANCE
—
Enumeration date
10/11/2005
Last updated
03/07/2023
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