Individual
DR. BRIAN CHRISTOPHER GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 757-2101
Mailing address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 757-2101
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
52276
AZ
2085R0202X
Diagnostic Radiology Physician
53334
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168088
—
AZ
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
Enumeration date
06/09/2009
Last updated
12/07/2018
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