NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1679156608 | FERGUSON | MCKENNA | COLLIER |   | 375 S CHIPETA WAY STE A | SALT LAKE CITY | UT | 841081261 |
1497320782 | SAID | SAMIR |   |   | 375 S CHIPETA WAY STE A | SALT LAKE CITY | UT | 841081261 |
1518540798 | WOTCHA | BAREDU | BONSO |   | 375 S CHIPETA WAY | SALT LAKE CITY | UT | 841081260 |