Deserae J Goble MD PC
Deserae J Goble MD PC is a healthcare organization registered as Family Medicine Physician in Logan, UT, holding Type 2 (organization) NPI 1407232903 since 2015. The authorized official on file is Deserae Goble, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1407232903 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Deserae J Goble MD PC |
| Practice address | 1451 N 200 E STE 250, Logan, UT, 84341 |
| Phone | 4353637853 |
| Fax | 4352133785 |
| Enumeration date | 2015-08-06 |
| Last updated in NPPES | 2021-08-31 |
Authorized official
| Name | Deserae Goble |
|---|---|
| Title | Owner |
| Phone | 4353637853 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | 5010200-1205 | UT |
Copy-ready billing details
Provider: Deserae J Goble MD PC NPI: 1407232903 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 1451 N 200 E STE 250, Logan, UT, 84341
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1366415770 | Deserae Goble | Individual | Family Medicine Physician | Logan, UT |
Verify this record
Cross-check NPI 1407232903 against the authoritative CMS record: view Deserae J Goble MD PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Deserae J Goble MD PC?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-08-31.