Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK GARN RODEBACK, D.O.
ActiveDEREK GARN RODEBACK, D.O. is a Sports Medicine (PM&R) healthcare provider located in BOUNTIFUL, Utah. NPI 1053751032 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · BOUNTIFUL, UT
Registration Details
- NPI Number
- 1053751032
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 5, 2013 (13.148605428538 yrs)
- Last Updated
- May 22, 2025
- Licenses
-
DR.0061855 (CO)12005709-1204 (UT)
Practice Information
- Address
-
1818 MUELLER PARK RDBOUNTIFUL, UT, 840101105Browse UT providers · Browse ZIP 84010
- Phone
- 4534149858
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
- Additional Specialty
- Sports Medicine (PM&R)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.