Whalio Doctors

NPI 1528172863

Brent H. Goodsell, DO

Practitioner Dermatology Physician American Fork, UT

Practice location

Address
162 S. 1100 E., American Fork, UT 84003
Phone
(801) 756-9669
Fax
(801) 756-0202

Registered specialties

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 343150-1204 (UT)

Registry record

NPI
1528172863
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Aug 2006
Record last updated
8 Jul 2007

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.