Individual
DR. JOHN L GOSNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
247 E 141ST ST., GLENPOOL, OK 74033
(918) 291-1222
(918) 291-1114
Mailing address
247 E. 141ST ST, PO BOX 116, GLENPOOL, OK 74033
(918) 291-1222
(918) 291-1114
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2217
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100764470A
—
OK
Enumeration date
10/20/2006
Last updated
04/10/2012
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