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

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1124101621

Mark Kimball Goddard, MD is a Critical Care Medicine (Internal Medicine) Physician in Murray, Utah. Licensed in Oregon, Utah and Washington. Registered with an NPI since 2006.

Licensed in
OR, UT, WA
In the registry since
2006
Specialties on file
6
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

5121 S Cottonwood Street Imc Division Of Pulmonary/ccm
Murray, UT 84107
Phone: (801) 507-4000
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Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 293990-1205 (UT)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence MD26606 (OR)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence MD00046412 (WA)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence MD26606 (OR)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence MD00046412 (WA)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 293990-1205 (UT)

Record details

NPI number1124101621
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 20, 2006
Last updated in NPPESJanuary 21, 2009
Mailing address5121 S. Cottonwood Street, Imc, Division Of Pulmonary/Ccm, Murray, UT 84123

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