Individual
DR. DARREN FADEL GROBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
430 N 400 W, SALT LAKE CITY, UT 84103-1229
(801) 532-1822
Mailing address
430 N 400 W, SALT LAKE CITY, UT 84103-1229
(018) 532-1822
(801) 532-7544
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
01
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396972469
—
UT
Enumeration date
06/16/2009
Last updated
04/24/2018
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