Juergen Korbanka, PHD

NPI 1386600450 · on the registry since 2006

Practice

Address: 750 North 200 West
Provo, UT 84601
Phone: (801) 373-4760
Fax: (801) 373-0639
Organisation at this address: Mountainlands Family Pharmacy - Wasatch
Mountainlands Community Health Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 275

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah