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Individual
DEREK GARN RODEBACK
Active
Individual
DEREK GARN RODEBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
12005709-1204
UT
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
DR.0061855
CO
Other
Enumeration date
07/05/2013
Last updated
05/22/2025
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