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Derek Garn Rodeback

Sports Medicine

1818 Mueller Park Rd
Bountiful , Utah 84010-1105

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Derek Garn Rodeback

Sports Medicine

1818 Mueller Park Rd
Bountiful , Utah 84010-1105

(453) 414-9858

Write a Review Save Call

Derek Garn Rodeback

Sports Medicine

1818 Mueller Park Rd
Bountiful , Utah 84010-1105

(453) 414-9858 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Sports Medicine

Languages spoken

  • English

Location

1818 Mueller Park Rd Bountiful , Utah 84010-1105

First Address

  • Derek Garn Rodeback
  • 1818 Mueller Park Rd
  • Bountiful, UT
  • Zip : 84010-1105
  • Phone : (453) 414-9858

Second Address

  • Derek Garn Rodeback
  • 1818 Mueller Park Rd
  • Bountiful, UT
  • Zip : 84010-1105
  • Phone : (453) 414-9858

Reviews

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FAQs


Where did Derek Garn Rodeback attend graduate school?

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Where did Derek Garn Rodeback do his residency?

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Where did Derek Garn Rodeback do his fellowship?

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Is Derek Garn Rodeback board certified?

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What type of doctor is Derek Garn Rodeback

Sports Medicine

In what state does Derek Garn Rodeback practice in?

Utah

Where is Derek Garn Rodeback ’s practice located?

1818 Mueller Park Rd , Bountiful, Utah, 84010-1105

What is Derek Garn Rodeback ’s gender?

Male

Is Derek Garn Rodeback a sole practitioner?

No

Is Derek Garn Rodeback accepting new patients?

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What languages does Derek Garn Rodeback speak?

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Does Derek Garn Rodeback accept insurance?

Yes, Derek Garn Rodeback accepts insurance

Does Derek Garn Rodeback offers telemedicine?

Derek Garn Rodeback has not indicated if he offers telemedicine

What is Derek Garn Rodeback ’s professional license number?

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What is Derek Garn Rodeback ’s NPI number?

1053751032

Does Derek Garn Rodeback have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2081S0010X Sports Medicine 12005709-1204 UT
Y 213ES0000X Sports Medicine 12005709-1204 UT
N 2081S0010X Sports Medicine DR.0061855 CO
N 213ES0000X Sports Medicine DR.0061855 CO

National Provider Identifier

NPI 1053751032
Provider Name Derek Garn Rodeback
First Address Bountiful, UT 84010-1105
Second Address Bountiful, UT 84010-1105
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 05/07/2013
Last Update Date 14/09/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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