NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1780017954 |   |   |   | CENTRAL UTAH CLINIC, P.C. | 1055 N 500 W | PROVO | UT | 846043305 |
1841618444 | INNES | ERIC | WESTON |   | 30 N 1900 E RM 3C444 | SALT LAKE CITY | UT | 841322501 |
1841748258 | KOHLER | LEVI | RICHARD |   | 1055 N 500 W ATTN: CREDENTIALING | PROVO | UT | 84604 |
1881635761 | POULSEN | MATTHEW |   |   | 1055 N 500 W | PROVO | UT | 846043305 |
1437418217 | TAYLOR | JOHN | RYAN |   | 1055 N 500 W | PROVO | UT | 846043305 |