Whalio Doctors

NPI 1023019346

Greg R. Goodman, MD

Practitioner Vascular Surgery Physician Murray, UT

Practice location

Address
5323 S. Woodrow Street #102, Murray, UT 84107
Phone
(801) 713-1010
Fax
(801) 713-0665
Mailing address
5444 Green St, Salt Lake City, UT 84123-5632

Registered specialties

Vascular Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence 179027-1205 (UT)

Registry record

NPI
1023019346
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Aug 2005
Record last updated
31 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.