Individual
MR. MARK TRAVIS GOSLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3325 16TH AVE SW, CEDAR RAPIDS, IA 52404-1455
(319) 221-1498
Mailing address
1311 SKYLARK DR, CEDAR RAPIDS, IA 52403-9085
(319) 366-4606
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18446
IA
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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