JAN BARRY GOOSSENS

LOGAN, UT
NPI1881678399
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: UT  10886108-1205)
Enumeration Date2005-11-30
Last Update Date2019-04-26
Business Address
JAN BARRY GOOSSENS M.D.
1400 N 500 E
LOGAN, UT 84341-2455
Phone number: 435-716-1000
Mailing Address
JAN BARRY GOOSSENS M.D.
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 435-716-1000
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