BRAD M GOATES

LOGAN, UT
NPI1396942785
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  11013846A)
Enumeration Date2007-06-28
Last Update Date2012-03-01
Business Address
Dr. BRAD M GOATES M.D.
412 N 200 E
LOGAN, UT 84321-4038
Phone number: 435-713-2800
Mailing Address
Dr. BRAD M GOATES M.D.
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 435-713-2800