Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DESERAE JEANETTE GOBLE, MD
ActiveDESERAE JEANETTE GOBLE, MD is a Family Medicine healthcare provider located in LOGAN, Utah. NPI 1366415770 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LOGAN, UT
Registration Details
- NPI Number
- 1366415770
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 8, 2006 (20.470064639605 yrs)
- Last Updated
- Aug 31, 2021
- Licenses
-
A93148 (CA)5010200-1205 (UT)
Practice Information
- Address
-
1451 N 200 E STE 250LOGAN, UT, 843417570Browse UT providers · Browse ZIP 84341
- Phone
- 4353637853
- Fax
- 4352133785
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in LOGAN, UT
| Name | Credential | NPI |
|---|---|---|
| JAMES WALTER DAVIS | M.D. | 1801878095 |
| DR. MATTHEW JOHN WELTER | M.D. | 1164486064 |
| BRANT WAHLEN FONNESBECK | DO | 1033156849 |
| JOHN BARRETT | MD | 1487688552 |
| NATHAN H CALL | — | 1104830884 |
| BRIAN W CARLSON | MD | 1760498687 |
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.