Individual
MR. CHARLES RAY GOSNELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
497 WEST LOTT, BUFFALO, WY 82834-1609
(307) 684-2228
(307) 684-5385
Mailing address
497 WEST LOTT, BUFFALO, WY 82834-1609
(307) 684-2228
(307) 684-2177
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
3668A
WY
2085U0001X
Diagnostic Ultrasound Physician
Primary
3668A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
312761
BLUE CROSS
WY
Enumeration date
01/09/2006
Last updated
09/11/2025
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