Individual
DR. BRENT H. GOODSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
162 S. 1100 E., AMERICAN FORK, UT 84003
(801) 756-9669
(801) 756-0202
Mailing address
162 S. 1100 E., AMERICAN FORK, UT 84003
(801) 756-9669
(801) 756-0202
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
343150-1204
UT
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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