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NPI 1124040704

IndividualActive

Douglas Grossman, M.D.

NPI 1124040704 · Dermatology Physician · Salt Lake City, UT

Provider details

NPI number: 1124040704
Entity type: Individual
Primary specialty: Dermatology PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: No
License: 48332401205 (UT)

Practice location

50 N Medical Dr

Salt Lake City, UT 84132-1100

Phone: (801) 581-2955

More UT providers

Mailing address

Po Box 3208

Salt Lake City, UT 84110-3208

Registry dates

Enumerated: 2006-07-24
Last updated: 2021-11-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Douglas Grossman, M.D. — NPI 1124040704, Salt Lake City, UT | NPI Central