Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deserae J Goble MD PC

Organization Family Medicine Physician · NPI 1407232903

Deserae J Goble MD PC is a Family Medicine Physician in Logan, Utah. Licensed in Utah. Registered with an NPI since 2015.

Licensed in
UT
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1451 N 200 E Ste 250
Logan, UT 84341-7570
Phone: (435) 363-7853
Fax: (435) 213-3785
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5010200-1205 (UT)

Record details

NPI number1407232903
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deserae Goble — Owner · (435) 363-7853
NPI enumeratedAugust 6, 2015
Last updated in NPPESAugust 31, 2021
Certification dateAugust 31, 2021
Mailing addressPo Box 5, Millville, UT 84326-0005

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