Individual
ROBERT W GROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5475 ADAMS AVE PKWY, OGDEN, UT 84405-6905
(801) 479-2376
Mailing address
144 S 500 E, SALT LAKE CITY, UT 84102-1907
(801) 463-7415
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
6884270-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
886605000
—
MN
Enumeration date
08/05/2006
Last updated
03/01/2011
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