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Individual

JOHN ALAN GROTEGUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
1300 E CENTER ST, PROVO, UT 84606-3554
(801) 344-4400
Mailing address
1383 S 2600 E, SPANISH FORK, UT 84660-9392
(801) 361-8062

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5258354-4405
UT

Other

Enumeration date
04/13/2021
Last updated
04/13/2021
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