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Individual

ROBIN SANN GOSSUM

Active
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Individual

ROBIN SANN GOSSUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
99-215
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00068358
NM
01
1000473
LOVELACE
01
202007381
PRESBYTERIAN HEALTH PLANS
01
2083796
CCN
01
2340202
UHC
01
9120159
PHCS
01
NM001H17
BCBS NM
NM
01
PROVP13125
MOLINA
Enumeration date
05/27/2006
Last updated
11/01/2011
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