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Mr. Phillip James Goetz, PA-S
Student in an Organized Health Care Education/Training Program in Herriman, Utah
NPI 1336881408

Phillip James Goetz is a Student in an Organized Health Care Education/Training Program based in Herriman, UT. Phillip James Goetz practices in Herriman, UT and has the professional credentials of PA-S. The NPI Number for Phillip James Goetz is 1336881408 and holds a License No. (Utah).

The current practice location address for Phillip James Goetz is 13142 S Eagle Peak Dr, Herriman, UT and can be reached out via phone at 801-636-9608.

Location: 13142 S Eagle Peak Dr, Herriman, UT, 84096-6969
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336881408
Provider Name
Phillip James Goetz
Credential
PA-S
Provider Entity Type
Individual
Gender
Male
Address
13142 S Eagle Peak Dr, Herriman, UT, 84096-6969
Phone Number
801-636-9608
Fax Number
Provider Enumeration Date
04/10/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13142 S Eagle Peak Dr
City
Herriman
State
Utah
Zip
84096-6969
Phone Number
801-636-9608
Fax Number
person
Provider Business Mailing Address Details
Address
13142 S Eagle Peak Dr
City
Herriman
State
Utah
Zip
84096-6969
Phone Number
801-636-9608
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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