Individual
EDGAR CLINTON GOLDSTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
175 NORTH MEDICAL DRIVE EAST, SALT LAKE CITY, UT 84132-2303
(801) 581-6908
(801) 581-4135
Mailing address
175 NORTH MEDICAL DRIVE EAST, SALT LAKE CITY, UT 84132-2303
(801) 581-6908
(801) 581-4135
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
90-182672-1205
UT
Other
Enumeration date
08/13/2007
Last updated
08/14/2007
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