Individual
JOHN GROUNDLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 N 1900 E, SALT LAKE CITY, UT 84132-2095
(801) 581-2121
Mailing address
30 N 1900 E, SALT LAKE CITY, UT 84132-0002
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
10274441-1205
UT
207X00000X
Orthopaedic Surgery Physician
TRN18020
FL
2251X0800X
Orthopedic Physical Therapist
PT 22672
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00465915
RR MEDICARE
FL
01
—
TRN 18020
RESIDENT TRAINING LICENSE
FL
Enumeration date
05/23/2006
Last updated
11/02/2021
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