Individual
MICHELE SARA GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
409 W 400 S, SALT LAKE CITY, UT 84101-1135
(801) 364-0058
(801) 359-4568
Mailing address
409 W 400 S, SALT LAKE CITY, UT 84101-1135
(801) 364-0058
(801) 359-4568
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
9881082-1205
UT
207Q00000X
Family Medicine Physician
Primary
D5611281
CA
Other
Enumeration date
08/16/2010
Last updated
01/25/2017
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