Mark Kimball Goddard, M.D.

NPI #1124101621 in Murray, Utah

Provider Information

NPI Number: 1124101621
Entity Type: Individual
Name: Mark Kimball Goddard, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine - Critical Care Medicine
Credential: M.D.
Enumeration Date: Oct 20, 2006
Last Updated: Jan 21, 2009

Practice Location

Address: 5121 S. COTTONWOOD STREET
Address 2: IMC, DIVISION OF PULMONARY/CCM
City: Murray
State: Utah
ZIP Code: 84107
Phone: (801) 507-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Critical Care Medicine — Critical Care Medicine	207RC0200X	Primary
Internal Medicine - Pulmonary Disease — Pulmonary Disease	207RP1001X

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