NPI 1396972469 · live from the CMS NPI Registry
Darren Fadel Groberg, DPM
Podiatrist, Foot & Ankle Surgery in Salt Lake City, UT. National Provider Identifier 1396972469, active.
NPI record
| NPI | 1396972469 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 430 N 400 W, Salt Lake City, UT 84103 |
| Practice phone | 801-532-1822 |
| Enumerated | June 16, 2009 |
| Last updated | April 24, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 01 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.