Individual
JAMIS BARTON SCOT GOUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5121 S COTTONWOOD ST, SALT LAKE CITY, UT 84107-5701
(801) 507-7000
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
13896067-1205
UT
207RP1001X
Pulmonary Disease Physician
13896067-1205
UT
Other
Enumeration date
04/09/2015
Last updated
11/19/2025
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