MARK GODDARD, M.D.

Internal Medicine - Critical Care Medicine

Active Individual
NPI: 1124101621

Practice Address

5121 S. COTTONWOOD STREET
IMC, DIVISION OF PULMONARY/CCM
Murray, UT 84107

Phone: (801) 507-4000

Specialties

Specialty Code Primary License
Internal Medicine - Critical Care Medicine 207RC0200X Yes 293990-1205 (UT)
Internal Medicine - Pulmonary Disease 207RP1001X No 293990-1205 (UT)

Frequently Asked Questions

NPI 1124101621 is the National Provider Identifier for MARK GODDARD, M.D., a Internal Medicine - Critical Care Medicine provider located in Murray, UT. This NPI was enumerated on October 20, 2006.
MARK GODDARD, M.D. practices at 5121 S. COTTONWOOD STREET, IMC, DIVISION OF PULMONARY/CCM, Murray, UT 84107.

Quick Facts

NPI
1124101621
Type
Individual
Enumerated
Oct 20, 2006
Last Updated
Jan 21, 2009

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