Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN BURK GOSSOM, MD
Active Sole ProprietorDR. JOHN BURK GOSSOM, MD is a Geriatric Medicine healthcare provider located in FRIDAY HARBOR, Washington. NPI 1245221886 is currently active in the NPPES registry. Verify at CMS.
Geriatric Medicine · FRIDAY HARBOR, WA
Registration Details
- NPI Number
- 1245221886
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 2, 2005 (20.806873304452 yrs)
- Last Updated
- Mar 4, 2011
- License
-
MD00018422 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
689 AIRPORT CENTER DRSTE BFRIDAY HARBOR, WA, 98250Browse WA providers · Browse ZIP 98250
- Phone
- 3603781338
- Fax
- 3603781830
- Primary Specialty
-
Geriatric Medicine
207QG0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.