Individual
DR. ALLAN C GOCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
310 BUTTERCUP DR, MOUNTAIN HOME, AR 72653-2921
(870) 508-7080
(870) 508-7865
Mailing address
310 BUTTERCUP DR, MOUNTAIN HOME, AR 72653-2921
(870) 508-7080
(870) 508-7865
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
036113252
IL
207T00000X
Neurological Surgery Physician
40812
KY
207T00000X
Neurological Surgery Physician
Primary
C-5399
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102485001
—
AR
01
—
P00912408
RAILROAD MEDICARE- NNIKY
KY
Enumeration date
05/11/2006
Last updated
09/13/2021
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