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Individual

DR. NICHOLAS S. GRAVBROT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1950 CIRCLE OF HOPE DR RM 1570, SALT LAKE CITY, UT 84112-5500
(801) 581-5498
Mailing address
1950 CIRCLE OF HOPE DR RM 1570, SALT LAKE CITY, UT 84112-5500
(801) 581-5498

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
12974694-1205
UT

Other

Enumeration date
03/29/2021
Last updated
08/15/2022
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