NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1396731469 | BENNION | JEFFREY | GREEN |   | 2245 N 400 E | NORTH LOGAN | UT | 843411892 |
1962499673 | BLOTTER | JAMES | WALLENTINE |   | 2245 N 400 E | NORTH LOGAN | UT | 843411892 |
1578746525 | HUMES | LINDSAY | DAWN |   | 2245 N 400 E | NORTH LOGAN | UT | 843411892 |
1316351380 | ROBINETT | ZACHARY |   |   | 2245 N 400 E | NORTH LOGAN | UT | 843411892 |
1043484223 | SEAMONS | CARLA |   |   | 2380 N 400 E STE D | NORTH LOGAN | UT | 843411756 |