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Contact Information

JUSTIN R DEGOOYER, APRN
4401 HARRISON BLVD
OGDEN, UT84403-3195
 Phone: 385-259-2714
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Critical Care Medicine

163WC0200X
Indicates primary specialty

NPI Profile & details for JUSTIN R DEGOOYER · (Male)

NPI Number 1578172904
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 07/31/2020
Last updated 08/28/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 9421639-3102
  • UT License # 9421639-4405
Hospital affiliation(s)
  • INTERMOUNTAIN MEDICAL CENTER - (Acute Care)
    5121 SOUTH COTTONWOOD STREET
    MURRAY, UT 84107
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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