Individual
DANIEL FRED GOOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N MAIN ST, RICHFIELD, UT 84701-2061
(435) 893-4100
(801) 442-0643
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
(435) 592-3579
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
9710595-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R71971
TRAINING PERMIT
AZ
Enumeration date
06/29/2010
Last updated
08/04/2016
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