Provider Information for 1598096521
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Dr. PAUL EUGENE GODDARD Ph.D.
Sex: Male
NPI: 1598096521
Last Updated: 2010-01-14
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1598096521 | ||||||||
| Enumeration Date | 2010-01-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2711 SANTA CLARA DR SUITE 200 SANTA CLARA, UT 84765-5466 United States Phone: 435-674-9310 | Fax:435-674-9309 | ||||||||
| Primary Practice Address | 2711 SANTA CLARA DR SUITE 200 SANTA CLARA, UT 84765-5466 United States Phone: 435-674-9310 | Fax:435-674-9309 | ||||||||
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