Deserae J Goble MD PC

NPI #1407232903 in Logan, Utah

Provider Information

NPI Number: 1407232903
Entity Type: Organization
Organization Name: Deserae J Goble MD PC
Primary Specialty: Family Medicine
Enumeration Date: Aug 6, 2015
Last Updated: Aug 31, 2021

Practice Location

Address: 1451 N 200 E STE 250
City: Logan
State: Utah
ZIP Code: 84341-7570
Phone: (435) 363-7853

Authorized Official

Name: DESERAE GOBLE, MD
Title: OWNER
Phone: (435) 363-7853

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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