person
Dr. Marvin J Gottschall, MD
Military Health Care Provider in Fairchild Afb, Washington
NPI 1982662169

Marvin J Gottschall is a Military Health Care Provider based in Spokane, WA. Marvin J Gottschall practices in Fairchild Afb, WA and has the professional credentials of MD. The NPI Number for Marvin J Gottschall is 1982662169 and holds a License No. MD00004559 (Washington).

The current practice location address for Marvin J Gottschall is 701 Hospital Loop 92 Mdg, Fairchild Afb, WA and can be reached out via phone at 509-247-2617.

Location: 701 Hospital Loop 92 Mdg, Fairchild Afb, WA, 99223-1628
person
Provider Profile Details
NPI Number
1982662169
Provider Name
Marvin J Gottschall
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
701 Hospital Loop 92 Mdg, Fairchild Afb, WA, 99223-1628
Phone Number
509-247-2617
Fax Number
Provider Enumeration Date
05/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
701 Hospital Loop 92 Mdg
City
State
Zip
99011
Phone Number
509-247-2617
Fax Number
person
Provider Business Mailing Address Details
Address
701 Hospital Loop 92 Mdg
City
State
Zip
99011
Phone Number
509-247-2617
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
MD00004559 (Washington)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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