Organization
BALANCED MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GABRIELA B GOSS DO (SOLE PROPRIETOR)
(740) 746-0453
Entity
Organization
Contact information
Practice address
29002 ROCKSTULL RD, SUGAR GROVE, OH 43155-9644
(740) 746-0453
(740) 743-0453
Mailing address
29002 ROCKSTULL RD, SUGAR GROVE, OH 43155-9644
(740) 746-0453
(740) 743-0453
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
34007781S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2335351
—
OH
Enumeration date
12/05/2006
Last updated
03/12/2008
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