Organization
BRENT H. GOODSELL, DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE T. STEWART (BILLING MANAGER)
(801) 756-9669
Entity
Organization
Contact information
Practice address
162 S 1100 E, AMERICAN FORK, UT 84003-2817
(801) 756-9669
Mailing address
162 SOUTH 1100 EAST, AMERICAN FORK, UT 84003
(801) 756-9669
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
343150-1204
UT
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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