IndividualActive
Mark Goddard, M.D.
NPI 1124101621 · Critical Care Medicine (Internal Medicine) Physician · Murray, UT
Provider details
- NPI number
- 1124101621
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD26606 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
5121 S. Cottonwood Street
Imc, Division of Pulmonary/Ccm
Murray, UT 84107
Phone: (801) 507-4000
Approximate (ZIP-level) locationGet directions
Mailing address
5121 S. Cottonwood Street
Murray, UT 84123
Registry dates
- Enumerated
- 2006-10-20
- Last updated
- 2009-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.