Individual
PHILIP D GROESBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1034 NORTH 500 WEST, UTAH VALLEY REGIONAL MEDICAL CENTER, PROVO, UT 84604
(801) 507-5248
(801) 733-5618
Mailing address
3340 NORTH CENTER ST #800, LEHI, UT 84043-7406
(801) 990-1911
(801) 990-1912
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
92-187271-1205
UT
207L00000X
Anesthesiology Physician
MD223040
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100501287
—
NV
01
—
107007348101
IHC
UT
05
—
116130000
—
WY
01
—
1502954
UMWA
UT
01
—
18727112000001
BCBS
UT
01
—
2090168
UNITED HEALTHCARE
UT
01
—
231849
DESERET MUTUAL
UT
01
—
42847
HEALTHY U
UT
01
—
59049
PEHP
UT
05
—
805948300
—
ID
05
—
821985
—
AZ
01
—
870545614GRO
EDUCATORS MUTUAL
UT
01
—
PRA01324
MOLINA
UT
01
—
QM0000075886
ALTIUS
UT
Enumeration date
10/03/2006
Last updated
03/05/2025
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