Goble Medical Group
Organization Active NPI Emergency Medicine Physician · Perry, UT
NPI 1154712768 · NPPES record last updated Mar 9, 2015
Key facts
- NPI
- 1154712768
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- GOBLE MEDICAL GROUP
- Practice address
- 1950 S Highway 89
Perry, UT 84302-4119 - Phone
- (208) 542-9111
- Fax
- (208) 542-9114
- NPI assigned
- Feb 18, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Edwin Marlowe Goble, M.D.
- Title
- Owner
- Phone
- (208) 542-9111
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes | ||
| Family Medicine Physician |
207Q00000X | |||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
1950 S Highway 89
Perry, UT 84302-4119
Mailing address
740 S Woodruff Ave
Idaho Falls, ID 83401-5285
Phone (208) 542-9111
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All providers in Perry, UT · Emergency Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.