Individual provider · Type 1 NPI

Mark Kimball Goddard, MD

Critical Care Medicine (Internal Medicine) Physician · Murray, UT

NPI number 1124101621 Active

Practice location

5121 S. Cottonwood Street, Imc, Division Of Pulmonary/ccm
Murray, UT 84107

Call (801) 507-4000 Map

Mailing address

5121 S. Cottonwood Street, Imc, Division Of Pulmonary/ccm
Murray, UT 84123

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine (Internal Medicine) Physician 207RC0200XMD26606 (OR)
Critical Care Medicine (Internal Medicine) Physician 207RC0200XMD00046412 (WA)
Critical Care Medicine (Internal Medicine) Physician Primary 207RC0200X293990-1205 (UT)
Pulmonary Disease Physician 207RP1001XMD26606 (OR)
Pulmonary Disease Physician 207RP1001XMD00046412 (WA)
Pulmonary Disease Physician 207RP1001X293990-1205 (UT)

Critical Care Medicine (Internal Medicine) Physician: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

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About NPI 1124101621

Mark Kimball Goddard, MD's National Provider Identifier is 1124101621, issued on Oct 20, 2006. The primary taxonomy on file is Critical Care Medicine (Internal Medicine) Physician (207RC0200X), and the practice location is in Murray, UT. The record was last updated on Jan 21, 2009.