| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1548232549 | AVERETT | DARREN | H | 1055 N 500 W | PROVO | UT | 846043305 | |
| 1316992548 | MANGUM | BRAD | A | 1055 N 500 W ATTN: CREDENTIALING | PROVO | UT | 84604 | |
| 1528426988 | MOORE | ALEX | S | 1055 N 500 W | PROVO | UT | 84604 | |
| 1760464887 | STONEMAN | PAUL | DURANT | 1055 N 500 W | PROVO | UT | 846047324 |