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

Deserae Jeanette Goble, MD

Individual provider Family Medicine Physician · NPI 1366415770

Deserae Jeanette Goble, MD is a Family Practice in Logan, Utah. Graduated from George Washington University School of Medicine in 1997, 29 years ago. Practices with Deserae J Goble MD PC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Utah.

Years since qualifying
29
Trained at
George Washington University School of Medicine
Licensed in
CA, UT
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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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
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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)
Family Medicine Physician Taxonomy 207Q00000X · Licence A93148 (CA)

Record details

NPI number1366415770
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 8, 2006
Last updated in NPPESAugust 31, 2021
Certification dateAugust 31, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Deserae J Goble Md Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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