Mark Goodrich, PAC

NPI #1356447882 in Clinton, Utah

Provider Information

NPI Number: 1356447882
Entity Type: Individual
Name: Mark Goodrich, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Sep 15, 2006
Last Updated: Oct 13, 2009

Practice Location

Address: 1477 NORTH 2000 WEST
Address 2: WESTSIDE MEDICAL
City: Clinton
State: Utah
ZIP Code: 84015
Phone: (801) 774-8888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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