Organization
WASATCH SURGICAL LLC
Active
Other names
Mackenzie Goodwin MD
Organization subpart
No
Provider details
NPI number
Authorized official
MACKENZIE LEE GOODWIN MD (OWNER)
(228) 273-9021
Entity
Organization
Contact information
Practice address
520 MEDICAL DR STE 300, BOUNTIFUL, UT 84010-8925
(228) 273-9021
Mailing address
1893 E MILLBROOK RD, SALT LAKE CITY, UT 84106-3827
(228) 273-9021
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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