Rodeback, Derek Garn

Rodeback, Derek Garn is an individual health care provider with primary practice located at 1818 Mueller Park Rd , Bountiful UT 84010-1105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Rodeback, Derek Garn can be contacted via phone (453) 414-9858.

Contact Information

Primary practice address
1818 Mueller Park Rd Bountiful UT 84010-1105
Phone: (453) 414-9858
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 12005709-1204 Utah
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X DR.0061855 Colorado

Profile Details

NPI number 1053751032
LBN Legal business name Rodeback, Derek Garn
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2013
Last updated Sep 14th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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