MARK GOODRICH

CLINTON, UT
NPI1356447882
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  2729721206)
Enumeration Date2006-09-15
Last Update Date2009-10-13
Business Address
-- MARK GOODRICH PAC
1477 NORTH 2000 WEST WESTSIDE MEDICAL
CLINTON, UT 84015
Phone number: 801-774-8888
Mailing Address
-- MARK GOODRICH PAC
1477 NORTH 2000 WEST WESTSIDE MEDICAL
CLINTON, UT 84015
Phone number: 801-774-8888
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