NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1700820941 |   |   |   | PHYSICAL MEDICINE LLC | 1424 E FOREMASTER DR # 120 | ST GEORGE | UT | 84790 |
1558377309 | BLATTER | GRANT | LOGAN |   | 1055 N 500 W | PROVO | UT | 846043305 |
1467404202 | GROOM | GARY | LEE |   | PO BOX 727 | BRIGHAM | UT | 84302 |
1154312197 | ROOT | BRADLEY | DRYDEN |   | 1055 N 500 W | PROVO | UT | 846043305 |
1295725380 | ROOT | MAX | ROBERT |   | 1055 N 500 W | PROVO | UT | 846043305 |
1245296383 | STUCKI | SEAN | J |   | 1055 N 500 W | PROVO | UT | 846043305 |
1043325715 | TOMLINSON | STEPHEN | JASON |   | 1055 N 500 W | PROVO | UT | 846043305 |