MARK GOODRICH, PAC
Physician Assistant
Active
Individual
NPI: 1356447882
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 2729721206 (UT) |
Frequently Asked Questions
NPI 1356447882 is the National Provider Identifier for MARK GOODRICH, PAC, a Physician Assistant provider located in Clinton, UT. This NPI was enumerated on September 15, 2006.
MARK GOODRICH, PAC practices at 1477 NORTH 2000 WEST, WESTSIDE MEDICAL, Clinton, UT 84015.
Quick Facts
- NPI
- 1356447882
- Type
- Individual
- Enumerated
- Sep 15, 2006
- Last Updated
- Oct 13, 2009
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