Individual
DR. KENNETH B GOSSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4582 N 1ST AVE, SUITE 170, TUCSON, AZ 85718-8603
(520) 318-6035
(520) 795-9953
Mailing address
4881 E GRANT RD STE 101, TUCSON, AZ 85712-2704
(520) 318-6035
(520) 795-9953
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
23966
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
384462
—
AZ
Enumeration date
08/18/2005
Last updated
05/12/2021
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