Individual
DR. DARRELL ALLAN ROBERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
501 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 585-6257
Mailing address
501 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 585-6257
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
8781248-1204
UT
Other
Enumeration date
03/26/2012
Last updated
09/16/2021
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