Healthcare Provider Details

I. General information

NPI: 1780862425
Provider Name (Legal Business Name): ZACHARY ROBERT ZARBOCK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2008
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 W SOUTH JORDAN PKWY
SOUTH JORDAN UT
84095-8847
US

IV. Provider business mailing address

1320 W SOUTH JORDAN PKWY
SOUTH JORDAN UT
84095-8847
US

V. Phone/Fax

Practice location:
  • Phone: 801-254-9700
  • Fax:
Mailing address:
  • Phone: 801-254-9700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number6353546-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: