Individual
PAUL CURTIS GOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3115 E LION LN STE 160, SALT LAKE CITY, UT 84121-3514
(855) 255-1750
(855) 255-0905
Mailing address
2913 5TH AVE NE STE 101, PUYALLUP, WA 98372-6748
(855) 255-1750
(855) 255-0905
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
372185-4405
UT
363LA2200X
Adult Health Nurse Practitioner
372185-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477676930
—
UT
Enumeration date
04/30/2015
Last updated
04/11/2024
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