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1396942785
BRAD M GOATES
LOGAN, UT
NPI
1396942785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 11013846A)
Enumeration Date
2007-06-28
Last Update Date
2012-03-01
Business Address
Dr. BRAD M GOATES M.D.
412 N 200 E
LOGAN, UT 84321-4038
Phone number: 435-713-2800
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Mailing Address
Dr. BRAD M GOATES M.D.
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 435-713-2800
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