NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1881797876 |   |   |   | GRANGER MEDICAL CLINIC INC | 12391 S 4000 W | RIVERTON | UT | 840967012 |
1003014374 | CONNOLLY | MICHAEL | SCOTT |   | 12391 S 4000 W | RIVERTON | UT | 840967012 |
1093730467 | DEVENPORT | STEPHEN | B |   | 12391 S 4000 W | RIVERTON | UT | 84065 |
1538321237 | GERRITSEN | JEREMY | PAUL |   | 12391 S 4000 W | RIVERTON | UT | 840967012 |
1003029935 | WONNACOTT | MONICA | CHILD |   | 12391 S 4000 W | RIVERTON | UT | 840967012 |