Individual
DESERAE JEANETTE GOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1451 N 200 E STE 250, LOGAN, UT 84341-7570
(435) 363-7853
(435) 213-3785
Mailing address
1950 S HIGHWAY 89, PERRY, UT 84302-4119
(435) 363-7853
(435) 213-3785
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5010200-1205
UT
207Q00000X
Family Medicine Physician
A93148
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366415770
—
UT
Enumeration date
02/08/2006
Last updated
08/31/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us