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1104556125
CHRISTOPHER GROBERG
LOGAN, UT
NPI
1104556125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 13641879-1206)
Enumeration Date
2022-06-13
Last Update Date
2024-02-27
Business Address
CHRISTOPHER GROBERG PA
1300 N 500 E STE 320
LOGAN, UT 84341-2462
Phone number: 435-716-2200
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Mailing Address
CHRISTOPHER GROBERG PA
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-400-6240
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