Individual
DR. TIMOTHY GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
392 E 12300 S STE C, DRAPER, UT 84020-8043
(801) 523-8700
(801) 523-8191
Mailing address
392 E 12300 S STE C, DRAPER, UT 84020-8043
(801) 523-8700
(801) 523-8191
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
3583261202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3583261202
STATE LICENSE
UT
Enumeration date
11/13/2006
Last updated
07/09/2007
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