Dr. Greg R. Goodman
Vascular Surgeon
5323 S. Woodrow Street #102
Murray
, Utah 84107
Dr. Greg R. Goodman
Vascular Surgeon
5323 S. Woodrow Street #102
Murray
, Utah 84107
(801) 262-3897
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Greg R. Goodman
- 5444 Green St
- Salt Lake City, UT
- Zip : 84123-5632
- Fax : (801) 262-3897
- Phone : (801) 284-1702
Second Address
- Dr. Greg R. Goodman
- 5323 S. Woodrow Street #102
- Murray, UT
- Zip : 84107
- Fax : (801) 713-0665
- Phone : (801) 713-1010
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 179027-1205 | UT |
National Provider Identifier
| NPI | 1023019346 |
|---|---|
| Provider Name | Dr. Greg R. Goodman |
| First Address | Salt Lake City, UT 84123-5632 |
| Second Address | Murray, UT 84107 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/08/2005 |
| Last Update Date | 31/05/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D0968 | (05) | UT |
| F76567 | (02) | UT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.