Individual
DR. DAVID R GOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4403 HARRISON BLVD STE 3450, OGDEN, UT 84403-3282
(801) 387-3475
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-3475
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2626761205
UT
2086S0129X
Vascular Surgery Physician
2626761205
UT
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
262676-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
942854057003
—
UT
Enumeration date
08/28/2006
Last updated
05/03/2011
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