Individual
TIMOTHY GOOSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1390 E YOSEMITE AVE, #B, MERCED, CA 95340-8221
(209) 580-3400
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
118-033
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
NA1720
CA
367500000X
Certified Registered Nurse Anesthetist
RN 99747-030
WI
Other
Enumeration date
06/29/2007
Last updated
08/12/2013
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