Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK GOODRICH, PAC
ActiveMARK GOODRICH, PAC is a Physician Assistant healthcare provider located in CLINTON, Utah. NPI 1356447882 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CLINTON, UT
Registration Details
- NPI Number
- 1356447882
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 15, 2006 (19.723149413195 yrs)
- Last Updated
- Oct 13, 2009
- License
-
2729721206 (UT)
Practice Information
- Address
-
1477 NORTH 2000 WESTWESTSIDE MEDICALCLINTON, UT, 84015Browse UT providers · Browse ZIP 84015
- Phone
- 8017748888
- Fax
- 8018258519
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in CLINTON, UT
| Name | Credential | NPI |
|---|---|---|
| ELMO LEE TAYLOR | PAC | 1114023124 |
| RONALD GARY DRESCHER | PAC | 1942306956 |
| CHRISTOPHER BROWN | — | 1710424619 |
| KILEE DANIELLE ROBINSON | PA-C | 1407368087 |
| JOY TOLMAN | PA-S | 1619657616 |
| DIANA BATTRICK | PA-C | 1336997774 |
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.