Individual
JENNIFER GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MRP
Contact information
Practice address
UNIVERSITY PEDIATRIC CLINIC, 50 N MEDICAL DRIVE, SALT LAKE CITY, UT 84132-0001
(801) 581-2321
Mailing address
295 CHIPETA WAY, DEPARTMENT OF PEDIATRICS, SALT LAKE CITY, UT 84108-1287
(801) 581-1017
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
7471332-1205
UT
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
7471332-1205
UT
Other
Enumeration date
11/04/2008
Last updated
10/18/2022
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