Individual
AUSTIN GOTTSCHALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
224 W D. L. INGRAM AVENUE BLDG. 1408, CANNON AFB, NM 88103
(575) 904-6942
Mailing address
1962 E SUNSET DR, LAYTON, UT 84040-5711
(801) 671-6294
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
UNKNOWN
TX
Other
Enumeration date
06/02/2021
Last updated
12/04/2023
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