David Edmand Rodeback PHD

NPI 1679746846 - Social Worker - 104100000X

NPI Details
NPI 1679746846
Gender Male
Enumeration Date 04/09/2008
Last Updated 03/22/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
1818 MUELLER PARK ROAD
BOUNTIFUL UT, 84010, US
Phone (801) 499-9042
Fax
Business Location
1818 MUELLER PARK ROAD
BOUNTIFUL UT, 84010, US
Phone (801) 499-9042
Fax
Toxanomy
Taxonomy Code 104100000X
License State Utah
License Number 138978 3501
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According to our database, Dr. David Edmand Rodeback PHD NPI is 1679746846, taxonomy code is 104100000X and license number is 138978 3501, license state is located at Utah. David Edmand Rodeback PHD physically located at 1818 Mueller Park Road, Bountiful UT, 84010. NPI Number David Edmand Rodeback PHD has the Individual type.

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1679746846 NPI number is provided on an as is basis without warranty of any kind. 1679746846 is maintained by the National Plan & Provider Enumeration System. The contents of David Edmand Rodeback PHD are for informational purposes only.