Dr Greg R Goodman, MD | |
5323 S. Woodrow Street, #102, Murray, UT 84107 | |
(801) 713-1010 | |
(801) 713-0665 |
Full Name | Dr Greg R Goodman |
---|---|
Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 5323 S. Woodrow Street, Murray, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023019346 | NPI | - | NPPES |
D0968 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 179027-1205 (Utah) | Primary |
Entity Name | Mountain Medical Physician Specialists Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720035520 PECOS PAC ID: 5294639407 Enrollment ID: O20031120000357 |
Mailing Address | Practice Location Address |
---|---|
Dr Greg R Goodman, MD 5444 Green St, Salt Lake City, UT 84123-5632 Ph: (801) 284-1702 | Dr Greg R Goodman, MD 5323 S. Woodrow Street, #102, Murray, UT 84107 Ph: (801) 713-1010 |
Dr. Philippe Paci, MDCM Surgery Medicare: Accepting Medicare Assignments Practice Location: 5171 S Cottonwood St Ste 210, Murray, UT 84107 Phone: 507-284-2511 | |
Mark John Ott, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5169 S Cottonwood St, Suite 400, Murray, UT 84107 Phone: 801-507-3462 Fax: 801-507-3061 | |
Dr. Steven W Merrell, MD Surgery Medicare: Medicare Enrolled Practice Location: 5323 S. Woodrow Street, #102, Murray, UT 84107 Phone: 801-713-1010 Fax: 801-713-0665 | |
Robert Dirk Noyes, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 5169 Cottonwood St, #440, Murray, UT 84107 Phone: 801-507-3915 Fax: 801-507-3916 | |
Clark J Rasmussen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5169 Cottonwood St, Suite 410, Murray, UT 84107 Phone: 801-266-8850 | |
Steven R Granger, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5169 S Cottonwood St Ste 400, Murray, UT 84107 Phone: 801-507-3460 Fax: 801-507-3458 |