# HAROLD N GOOCH MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508073743
- **Authorized official:** BEN GUNN (OFFICE MANAGER)
- **Authorized official phone:** (801) 572-3750

## Contact information

- **Practice address:** 12176 S 1000 E, DRAPER, UT 84020-9716
- **Practice address phone:** (801) 572-3750
- **Practice address fax:** (801) 572-1097
- **Mailing address:** PO BOX 150610, OGDEN, UT 84415-0610
- **Mailing address phone:** (801) 476-9200
- **Mailing address fax:** (801) 476-9208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 181191-1205 | UT | Yes |

## Other

- **Enumeration date:** 05/17/2007
- **Last updated:** 12/10/2007