Mark Kimball Goddard, MD | |
5121 S. Cottonwood Street, Imc, Division Of Pulmonary/ccm, Murray, UT 84107 | |
(801) 507-4000 | |
Not Available |
Full Name | Mark Kimball Goddard |
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Gender | Male |
Speciality | Internal Medicine - Critical Care Medicine |
Location | 5121 S. Cottonwood 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 |
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1124101621 | NPI | - | NPPES |
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
Mailing Address | Practice Location Address |
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Mark Kimball Goddard, MD 5121 S. Cottonwood Street, Imc, Division Of Pulmonary/ccm, Murray, UT 84123 Ph: (801) 507-4000 | Mark Kimball Goddard, MD 5121 S. Cottonwood Street, Imc, Division Of Pulmonary/ccm, Murray, UT 84107 Ph: (801) 507-4000 |
Bogdan Ciprian Anea, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: Intermountain Kidney Services Clinic, 5169 South Cottonwood Street, Suite 320, Murray, UT 84107 Phone: 801-507-2531 Fax: 801-507-2597 | |
E Dennis Genebach, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 5801 Fashion Blvd, Murray, UT 84107 Phone: 801-314-4544 | |
Dr. Samuel Morris Brown, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-6415 | |
Dr. Jamie Lynn Rebman, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 5121 Cottonwood Rd, Suite 610, Murray, UT 84107 Phone: 801-507-3630 Fax: 801-507-3630 | |
Dr. Kia Afshar, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 5169 S Cottonwood St Ste 520, Murray, UT 84107 Phone: 801-507-4701 | |
Rachel Elizabeth Hu, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 5171 S Cottonwood St Ste 610, Murray, UT 84107 Phone: 801-507-3900 Fax: 801-507-3640 | |
Caroline Nebhan, Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 5171 S Cottonwood St Ste 610, Murray, UT 84107 Phone: 801-507-3630 |