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Individual

MR. PHILLIP JAMES GOETZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-S

Contact information

Practice address
13142 S EAGLE PEAK DR, HERRIMAN, UT 84096-6969
(801) 636-9608
Mailing address
13142 S EAGLE PEAK DR, HERRIMAN, UT 84096-6969
(801) 636-9608

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
142376661206
UT

Other

Enumeration date
04/10/2022
Last updated
10/23/2025
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