DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CHRISTOPHER GROBERG PA

MEDICARE: CHRISTOPHER GROBERG PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant13641879-1206UT

General Provider Information

NPI Number : 1104556125
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER GROBERG PA
Provider Business Mailing Address
First Line : PO BOX 27128
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84127-0128
Country : US
Telephone Number : 801-400-6240
Fax Number :
Provider Business Practice Location Address
First Line : 1300 N 500 E STE 320
Second Line :
City : LOGAN
State : UT
Zip : 84341-2462
Country : US
Telephone Number : 435-716-2200
Fax Number : 435-716-2220
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2022
Last Update Date : 02/27/2024

Similar Medicare Providers

1225023088 — ROBERT JACKSON GARR D.O.
Practice Location Address:
1300 N 500 E STE 320
LOGAN, UT
84341-2462
Practice Phone: 435-716-2200
Practice Fax: 435-716-2220
1366431918 — GREG E HALLIDAY PA-C
Practice Location Address:
1300 N 500 E STE 320
LOGAN, UT
84341-2462
Practice Phone: 801-373-4366
Practice Fax: 801-429-8191
1821005349 — DR. DAVID T CRAGUN MD
Practice Location Address:
1300 N 500 E STE 320
LOGAN, UT
84341-2462
Practice Phone: 435-716-2200
Practice Fax:
1689838542 — DR. JONATHAN KWAN RHEE M.D.
Practice Location Address:
1300 N 500 E STE 320
LOGAN, UT
84341-2462
Practice Phone: 435-716-2200
Practice Fax:
1518492420 — MR. MATTHEW MICHAEL BORKOVICH MD
Practice Location Address:
1300 N 500 E STE 320
LOGAN, UT
84341-2462
Practice Phone: 435-716-2200
Practice Fax:
1386594919 — KELSEY HODGE
Practice Location Address:
2245 N 400 E STE 105
NORTH LOGAN, UT
84341-1785
Practice Phone: 435-787-1212
Practice Fax: 435-787-1922

Directions to “ CHRISTOPHER GROBERG PA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.