Individual
DR. GREGORY MAXWELL GOSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
320 WARNER DR, LEWISTON, ID 83501-4441
(208) 743-3523
(833) 941-3874
Mailing address
115 E 19TH ST, ROSWELL, NM 88201-5110
(575) 622-7600
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
M-17333
ID
207X00000X
Orthopaedic Surgery Physician
MD18516
RI
207X00000X
Orthopaedic Surgery Physician
MD2024-0348
NM
207X00000X
Orthopaedic Surgery Physician
TP315
KY
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
A132443
CA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
M-17333
ID
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
MD18516
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A132443
CALIFORNIA MEDICAL LICENSE NUMBER
—
01
—
MD2024-0348
NM LICENSE
NM
Enumeration date
05/23/2013
Last updated
12/10/2024
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