NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1316330749 |   |   |   | CENTRAL UTAH CLINIC, P.C. | 1055 N 500 W | PROVO | UT | 846043305 |
1194783829 | ABOLNIK | IGOR | Z |   | 1055 N 500 W | PROVO | UT | 846043305 |
1700505062 | BARKER | AMBER | DAWN |   | 1055 N 500 W STE 202 | PROVO | UT | 846043305 |
1184099764 | CHAMBERLAIN | ANGELA |   |   | 1055 NORTH 500 WEST ATTN: CREDENTIALING | PROVO | UT | 846043305 |
1164703328 | COLLETT | JOAN | M |   | 2000 CIRCLE OF HOPE DR | SALT LAKE CITY | UT | 841125550 |
1063975613 | DEXTER | VANESSA | MAY |   | 1055 N 500 W | PROVO | UT | 846043305 |
1942302658 | ELLSWORTH | SHIRLEY | B |   | 1055 N 500 W | PROVO | UT | 846043305 |
1144434788 | FORD | LARRY | CREED |   | 1055 N 500 W | PROVO | UT | 846043305 |
1255760773 | HANDLEY | AMY | P |   | 1055 N 500 W | PROVO | UT | 846043305 |
1699877316 | LARSEN | STEVEN | F |   | 1055 N 500 W | PROVO | UT | 846043305 |
1851327886 | LOREE | SHANNON | DAY |   | 1055 N 500 W | PROVO | UT | 846043305 |
1144497322 | NUTTALL | MARC | TRAVIS |   | 1055 N 500 W | PROVO | UT | 846043305 |
1790736122 | WALLENTINE | STEVEN | L |   | 1055 N 500 W | PROVO | UT | 846043305 |