Mark Goodrich, PAC

NPI 1356447882 · on the registry since 2006

Practice

Address: 1477 North 2000 West
Westside Medical
Clinton, UT 84015
Phone: (801) 774-8888
Fax: (801) 825-8519
Organisation at this address: Adam Schwebach Inc
Westside Medical Pc
Tanner Memorial Clinic
Chiles Psychological Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 31

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-10-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah