NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1356677819 |   |   |   | BAPTIST PRIMARY CARE INC | PO BOX 45443 | SALT LAKE CITY | UT | 841450443 |
1699942433 |   |   |   | BAPTIST PRIMARY CARE INC | PO BOX 45443 | SALT LAKE CITY | UT | 841450443 |
1629159223 | BLACK | VIRGINIA | GIBSON |   | PO BOX 45443 | SALT LAKE CITY | UT | 841450443 |
1740361336 | BRIDGHAM | JERRY | ALAN |   | PO BOX 44004 | JACKSONVILLE | FL | 322314004 |
1720321946 | BUFFINGTON | RUSTIN |   |   | PO BOX 45443 | SALT LAKE CITY | UT | 841450443 |
1306972161 | JOHNSON | ROBIN | PAYLOR |   | 10337 SAN JOSE BLVD | JACKSONVILLE | FL | 322576287 |
1629079405 | KASYCH | KEVIN | ALLEN |   | PO BOX 45443 | SALT LAKE CITY | UT | 841450443 |
1851319941 | KEEN | JENNIFER |   |   | PO BOX 45443 | SALT LAKE CITY | UT | 841450443 |
1487987491 | SHAH | ANDREA | ELLEN CLARK |   | PO BOX 45443 | SALT LAKE CITY | UT | 841450443 |
1992746283 | SOUD | GARY | GLEN |   | PO BOX 40767 | JACKSONVILLE | FL | 322030767 |
1174581052 | TRAN | DAN-TAM | THI |   | 14810 OLD SAINT AUGUSTINE RD | JACKSONVILLE | FL | 322582451 |