DEREK GARN RODEBACK

BOUNTIFUL, UT
NPI1053751032
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: UT  12005709-1204)
Additional Taxonomies2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: CO  DR.0061855)
Enumeration Date2013-07-05
Last Update Date2021-09-14
Business Address
DEREK GARN RODEBACK D.O.
1818 MUELLER PARK RD
BOUNTIFUL, UT 84010-1105
Phone number: 453-414-9858
Mailing Address
DEREK GARN RODEBACK D.O.
1818 MUELLER PARK RD
BOUNTIFUL, UT 84010-1105
Phone number: 453-414-9858