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1487994562
EDWIN CLIFFORD MCGOUGH
SALT LAKE CITY, UT
NPI
1487994562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: UT 154013-1205)
Enumeration Date
2013-02-26
Last Update Date
2014-05-27
Business Address
-- EDWIN CLIFFORD MCGOUGH MD
705 N PIONEER FORK RD
SALT LAKE CITY, UT 84108-1642
Phone number: 801-554-9481
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Mailing Address
-- EDWIN CLIFFORD MCGOUGH MD
705 N PIONEER FORK RD
SALT LAKE CITY, UT 84108-1642
Phone number: 801-554-9481
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