IndividualActive
Jacob Robson, MD
NPI 1063672038 · Pediatric Gastroenterology Physician · Salt Lake City, UT
Provider details
- NPI number
- 1063672038
- Entity type
- Individual
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 9386804-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
81 N Mario Capecchi Dr
Salt Lake City, UT 84113-1125
Phone: (801) 213-3599
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 30180
Salt Lake City, UT 84130-0180
Registry dates
- Enumerated
- 2008-06-13
- Last updated
- 2025-09-19
- Certified
- 2025-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.