NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1063940344 |   |   |   | BEAR LAKE COMMUNITY HEALTH CENTER, INC. | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 |
1336705755 |   |   |   | BEAR LAKE COMMUNITY HEALTH CENTER, INC. | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 |
1689241762 |   |   |   | BEAR LAKE COMMUNITY HEALTH CENTER, INC. | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 |
1700550852 | BENALLIE | TROY |   |   | 23 W 1325 S | LOGAN | UT | 843218240 |
1194078501 | BUYS | KRISTIN | K |   | 1515 N 400 E STE 104 | NORTH LOGAN | UT | 843417595 |
1356578926 | COLE | DAREN | CHARLES |   | 550 E 1400 N | LOGAN | UT | 843412406 |
1770724841 | CRANE | F. MICHAEL |   |   | 1515 N 400 E | LOGAN | UT | 843417561 |
1669716924 | EDRINGTON | MATTHEW | JOSEPH |   | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 |
1912648882 | FAST | DANIEL | GRIFFIN |   | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 |
1033156849 | FONNESBECK | BRANT | WAHLEN |   | 325 W LOGAN HWY | GARDEN CITY | UT | 84028 |
1487328480 | GROLL | JEANNINE | ANNE |   | 106 N BEAR RIVER BLFS | PRESTON | ID | 832635184 |
1366013229 | HELLSTERN | RYLAN |   |   | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 |
1215457684 | HUNSAKER | JACOB | CHRISTIAN |   | 1515 N 400 E STE 104 | NORTH LOGAN | UT | 843417595 |
1770513962 | JOHNSON | SUE ZAN | L |   | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 |
1568829109 | LEW | MANDI | E |   | 3000 COLLEGE DR | ROCK SPRINGS | WY | 829014202 |
1972768539 | LYNCH | KEISA | M |   | 550 E 1400 N STE K | LOGAN | UT | 843412450 |
1982033098 | MARTIN | COLBY |   |   | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 |
1356017776 | O'DELL | EMILY |   |   | 517 W 100 N STE 110 | PROVIDENCE | UT | 843329826 |
1720496714 | PEERY | SVEN | LEE |   | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 |
1144281122 | ROBERTSON | GLENN | L. |   | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 |
1932380839 | SANONE | SELANIE | ANN |   | 517 W. 100 N. | PROVIDENCE | UT | 843329826 |
1588297360 | SMITH | CARLA | KNIGHTON |   | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 |
1699876987 | STARR | JEREMY | C |   | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 |
1871234765 | STRINGER | BRIANNE | EMORY |   | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 |
1841859501 | TROESOYER | IAN | MICHAEL |   | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 |
1831457258 | WALKER | STEPHEN | M |   | 517 W 100 N | PROVIDENCE | UT | 843329826 |
1386829687 | WAYMAN | MINA | L |   | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 |
1275280265 | WHITTEN | JENNIFER | DANA |   | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 |
1306567672 | WILDMAN | DENNIS |   |   | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 |
1982069076 | WILK | KID |   |   | 1515 N 400 E STE 104 | NORTH LOGAN | UT | 843417595 |