| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1255421863 | MUNTZ | HARLAN | RAY | PO BOX 581094 | SALT LAKE CITY | UT | 841581094 | |
| 1972693596 | PARK | ALBERT | H. | PO BOX 581094 | SALT LAKE CITY | UT | 841581094 | |
| 1891885414 | SHELTON | CLOUGH | PO BOX 581094 | SALT LAKE CITY | UT | 841581094 |