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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK KIMBALL GODDARD, M.D.

Active

MARK KIMBALL GODDARD, M.D. is a Critical Care Medicine healthcare provider located in MURRAY, Utah. NPI 1124101621 is currently active in the NPPES registry. Verify at CMS.

Critical Care Medicine · MURRAY, UT

Registration Details

NPI Number
1124101621
Provider Type
Individual
Gender
Male
NPI Issued
Oct 20, 2006 (19.630011999225 yrs)
Last Updated
Jan 21, 2009
Licenses
MD26606 (OR)
MD00046412 (WA)
293990-1205 (UT)
MD26606 (OR)
MD00046412 (WA)

Practice Information

Address
5121 S. COTTONWOOD STREET
IMC, DIVISION OF PULMONARY/CCM
MURRAY, UT, 84107
Browse UT providers · Browse ZIP 84107
Phone
8015074000
Primary Specialty
Critical Care Medicine
207RC0200X
Additional Specialty
Critical Care Medicine
Additional Specialty
Critical Care Medicine
Additional Specialty
Pulmonary Disease
Additional Specialty
Pulmonary Disease

Other Critical Care Medicine Providers in MURRAY, UT

Name Credential NPI
PATRICIA L NELSON M.D. 1629051206
COLIN K GRISSOM MD 1124044532
SCOTT ABEREGG MD 1164434486
DR. DAVID MATTHEW FEDOR D.O. 1568571461
PETER FREDRICK CROSSNO MD 1083761936
MICHAEL JOHN LANSPA M.D. 1275740078
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.