Individual
ANTHONY RICHARD GROATHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2655 W 9000 S, WEST JORDAN, UT 84088-8542
(801) 256-6399
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 256-6399
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
921886051205
UT
Other
Enumeration date
07/25/2006
Last updated
10/18/2007
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