Individual
DR. KEITH ALAN GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3042 W. QUEEK CREEK RD., CHANDLER, AZ 85286-0038
(520) 796-2600
Mailing address
PO BOX 38, SACATON, AZ 85147-0001
(602) 528-1200
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103300903
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31587500
—
NM
05
—
35352060
—
CO
05
—
892697
—
AZ
Enumeration date
12/02/2005
Last updated
09/12/2018
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