Greg R. Goodman MD

NPI 1023019346 - Surgery - 2086S0129X

NPI Details
NPI 1023019346
Gender Male
Enumeration Date 08/09/2005
Last Updated 05/31/2012
Entity Type Individual
Active Over 12 years ago
Practice Location
MURRAY UT, 84107, US
Phone (801) 713-1010
Fax (801) 713-0665
Business Location
SALT LAKE CITY UT, 84123-5632, US
Phone (801) 284-1702
Fax (801) 262-3897
Taxonomy Code 2086S0129X
License State Utah
License Number 179027-1205
Remove 1023019346 NPI Number

According to our database, Dr. Greg R. Goodman MD NPI is 1023019346, taxonomy code is 2086S0129X and license number is 179027-1205, license state is located at Utah. Greg R. Goodman MD physically located at 5323 S. Woodrow Street, Murray UT, 84107. NPI Number Greg R. Goodman MD has the Individual type.

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1023019346 NPI number is provided on an as is basis without warranty of any kind. 1023019346 is maintained by the National Plan & Provider Enumeration System. The contents of Greg R. Goodman MD are for informational purposes only.