Individual
DANIELLE L GOSSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2100 W CLINCH AVE, 120, KNOXVILLE, TN 37916-2288
(865) 637-7290
(865) 637-7289
Mailing address
2100 W CLINCH AVE, 120, KNOXVILLE, TN 37916-2288
(865) 637-7290
(865) 637-7289
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001555A
IN
363AM0700X
Medical Physician Assistant
2669
TN
363AS0400X
Surgical Physician Assistant
2669
TN
Other
Enumeration date
07/19/2013
Last updated
10/09/2015
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