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 |
1396267944 |   |   |   | BEAR LAKE COMMUNITY HEALTH CENTER, INC. | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 |
1558806125 |   |   |   | BEAR LAKE COMMUNITY HEALTH CENTER, INC. | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 |
1629309786 |   |   |   | BEAR LAKE COMMUNITY HEALTH CENTER, INC. | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 |
1649546938 |   |   |   | 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 |
1689754475 |   |   |   | BEAR LAKE COMMUNITY HEALTH CENTER, INC. | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 |
1740383884 |   |   |   | BEAR LAKE COMMUNITY HEALTH CENTER, INC. | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 |
1861949679 |   |   |   | BEAR LAKE COMMUNITY HEALTH CENTER, INC. | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 |
1922514017 |   |   |   | BEAR LAKE COMMUNITY HEALTH CENTER, INC. | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 |
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 |
1285003970 | HARRILD | TERRICK |   |   | 1515 N 400 E | NORTH LOGAN | UT | 843417561 |
1770513962 | JOHNSON | SUE ZAN | L |   | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 |
1245438944 | MCOMBER | PAUL | D. |   | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 |
1720496714 | PEERY | SVEN | LEE |   | 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 |
1871234765 | STRINGER | BRIANNE | EMORY |   | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 |
1265809024 | SUTTON | JAMES | D |   | 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 |
1114016250 | WESTON | MARK | C. |   | 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 |