IndividualActive
Mark Gosnell, IDMT
NPI 1265954952 · Independent Duty Medical Technicians · Tinker Afb, OK
Provider details
- NPI number
- 1265954952
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- IDMT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
7050 Air Depot Blvd
Tinker Afb, OK 73145-8716
Phone: (405) 582-6055
Approximate (ZIP-level) locationGet directions
Mailing address
7050 Air Depot Blvd
Tinker Afb, OK 73145-8716
Registry dates
- Enumerated
- 2017-07-13
- Last updated
- 2017-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.