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Organization

DESERAE J GOBLE MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DESERAE GOBLE MD (OWNER)
(435) 363-7853
Entity
Organization

Contact information

Practice address
1451 N 200 E STE 250, LOGAN, UT 84341-7570
(435) 363-7853
(435) 213-3785
Mailing address
PO BOX 5, MILLVILLE, UT 84326-0005
(435) 232-4279
(888) 668-5207

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5010200-1205
UT

Other

Enumeration date
08/06/2015
Last updated
08/31/2021
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