Individual
DAVID A. GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
800 E ATWATER AVE, BLOOMINGTON, IN 47405-3635
(812) 855-4447
Mailing address
800 E ATWATER AVE, BLOOMINGTON, IN 47405-3635
(812) 855-4447
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002651
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100359660
—
IN
Enumeration date
03/09/2006
Last updated
03/04/2009
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