Individual
DR. CASEY JONATHAN GOBBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1315 N STATE ST, PROVO, UT 84604-2416
(801) 616-5223
(801) 616-5252
Mailing address
265 S EAGLE RD, EAGLE, ID 83616-5907
(208) 319-0543
(208) 319-0543
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
771658-1701
UT
Other
Enumeration date
08/26/2013
Last updated
05/13/2021
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