Individual
PHILIP ALAN GOSVENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
591 MCCRAY ST STE 101, HOLLISTER, CA 95023-2224
(831) 634-4444
Mailing address
591 MCCRAY STREET, SUITE 101, HOLLISTER, CA 95023
(831) 634-4444
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA22792
CA
Other
Enumeration date
01/27/2006
Last updated
04/25/2017
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