network|NPI|TIN|Name|FirstName|MI|LastName|Degree|Specialty|Address|City|State|Zip|Phone|TermDate|ReportDate
WISE|1003309766|471497384|KARL HAMOUCHE|KARL||HAMOUCHE|MD|Diagnostic Radiology|1280 E STRINGHAM AVE|SALT LAKE CITY|UT|84106|8015812121|2024-06-30|2025-01-15
WISE|1003309766|471497384|KARL HAMOUCHE|KARL||HAMOUCHE|MD|Diagnostic Radiology|1950 CIR OF HOPE DR|SALT LAKE CITY|UT|84112|8015812121|2024-06-30|2025-01-15
WISE|1003309766|471497384|KARL HAMOUCHE|KARL||HAMOUCHE|MD|Diagnostic Radiology|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8015812121|2024-06-30|2025-01-15
WISE|1003309766|471497384|KARL HAMOUCHE|KARL||HAMOUCHE|MD|Diagnostic Radiology|9385 S SNOWBIRD CENTER DR|SANDY|UT|84092|8016464800|2024-06-30|2025-01-15
WISE|1023169620|870522400|JOHN P LILLY|JOHN|P|LILLY|LCSW|Social Worker|286 S 600 E STE C|PROVO|UT|84606|8013778222|2024-06-20|2025-01-15
WISE|1023512985|471497384|PAUL A DELGADO|PAUL|A|DELGADO|MD|Anesthesiology|1950 CIR OF HOPE DR|SALT LAKE CITY|UT|84112|8015812121|2024-09-16|2025-01-15
WISE|1023512985|471497384|PAUL A DELGADO|PAUL|A|DELGADO|MD|Anesthesiology|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8015812121|2024-09-16|2025-01-15
WISE|1023512985|471497384|PAUL A DELGADO|PAUL|A|DELGADO|MD|Anesthesiology|P.O. BOX 841450|LOS ANGELES|CA|90084|8012133900|2024-09-16|2025-01-15
WISE|1023857042|202367847|DEREK H LECHEMINANT|DEREK|H|LECHEMINANT|DPT|Physical Therapy|3300 N RUNNING CREEK WAY BLDG B|LEHI|UT|84043|8017664244|2024-12-31|2025-01-15
WISE|1023885027|202367847|MADALYN JOHNSON|MADALYN||JOHNSON|OT|Occupational Therapy|3300 N RUNNING CREEK WAY BLDG B STE 150|SAINT GEORGE|UT|84790|8017664244|2024-12-31|2025-01-15
WISE|1053963306|471497384|XIOMARA BRISENO|XIOMARA||BRISENO|PA-C|Family Practice|1950 CIR OF HOPE DR|SALT LAKE CITY|UT|84112|8015878808|2024-11-06|2025-01-15
WISE|1053963306|471497384|XIOMARA BRISENO|XIOMARA||BRISENO|PA-C|Family Practice|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8015851618|2024-11-06|2025-01-15
WISE|1053963306|811366784|XIOMARA BRISENO|XIOMARA||BRISENO|PA-C|Family Practice|100 N MARIO CAPECCHI DR|SALT LAKE CITY|UT|84113|8016622950|2024-11-06|2025-01-15
WISE|1053963306|811366784|XIOMARA BRISENO|XIOMARA||BRISENO|PA-C|Family Practice|81 N MARIO CAPECCHI DR|SALT LAKE CITY|UT|84113|8012133599|2024-11-06|2025-01-15
WISE|1063039824|471497384|DENNIS N JACKSON|DENNIS|N|JACKSON|MD|Emergency Medicine|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8015812121|2024-07-31|2025-01-15
WISE|1063039824|471497384|DENNIS N JACKSON|DENNIS|N|JACKSON|MD|Emergency Medicine|5126 W DAYBREAK PKWY|SOUTH JORDAN|UT|84009|8015812121|2024-07-31|2025-01-15
WISE|1063972412|471497384|HOLLY HUANG|HOLLY||HUANG|MD|Neurology|175 N MEDICAL DR|SALT LAKE CITY|UT|84112|8015857575|2024-07-01|2025-01-15
WISE|1063972412|471497384|HOLLY HUANG|HOLLY||HUANG|MD|Neurology|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8015856387|2024-07-01|2025-01-15
WISE|1063972412|471497384|HOLLY HUANG|HOLLY||HUANG|MD|Neurology|729 S ARAPEEN DR|SALT LAKE CITY|UT|84108|8015856387|2024-07-01|2025-01-15
WISE|1114208337|202367847|AMY S MULLINS|AMY|S|MULLINS|SLP|Speech Therapy|3000 N TRIUMPH BLVD|LEHI|UT|84043|8017662454|2024-12-31|2025-01-15
WISE|1124513023|471497384|SPENCER FULLER|SPENCER||FULLER|MD|Ophthalmology|243 E 6100 S|SALT LAKE CITY|UT|84107|8015853937|2024-07-15|2025-01-15
WISE|1124513023|471497384|SPENCER FULLER|SPENCER||FULLER|MD|Ophthalmology|65 S MARIO CAPECCHI DR|SALT LAKE CITY|UT|84132|8015812352|2024-07-15|2025-01-15
WISE|1164995478|202367847|KENNA MILLS|KENNA||MILLS|SLP|Speech Therapy|3000 N TRIUMPH BLVD STE 310|LEHI|UT|84043|8017662454|2024-12-31|2025-01-15
WISE|1164995478|202367847|KENNA MILLS|KENNA||MILLS|SLP|Speech Therapy|3300 N RUNNING CREEK WAY BLDG B|LEHI|UT|84043|8017664244|2024-12-31|2025-01-15
WISE|1164995478|202367847|KENNA MILLS|KENNA||MILLS|SLP|Speech Therapy|62 E THRIVE DR STE 210|SARATOGA SPRINGS|UT|84045|8017664244|2024-12-31|2025-01-15
WISE|1174967947|810231784|JACOB P BUHROW|JACOB|P|BUHROW|MD|Neurology|801 N 29TH ST|BILLINGS|MT|59101|4062382500|2024-11-02|2025-01-15
WISE|1194938316|264449176|NANCY E FOSTER|NANCY|E|FOSTER|APRN|Psychiatry|1151 E 3900 S STE B175|SALT LAKE CITY|UT|84124|8019238528|2024-06-27|2025-01-15
WISE|1295511491|202367847|CAMRIN M TERRY|CAMRIN|M|TERRY|SLP|Speech Therapy|3000 N TRIUMPH BLVD STE 310|LEHI|UT|84043|8017664244|2024-12-31|2025-01-15
WISE|1295511491|202367847|CAMRIN M TERRY|CAMRIN|M|TERRY|SLP|Speech Therapy|3300 N RUNNING CREEK WAY BLDG B, STE 150|LEHI|UT|84043|8017664244|2024-12-31|2025-01-15
WISE|1295879799|876000525|CYNTHIA J LUNDY|CYNTHIA|J|LUNDY|PT|Physical Therapy|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8015812121|2024-11-18|2025-01-15
WISE|1306884549|810231784|MICHAEL A SCHWARTZ|MICHAEL|A|SCHWARTZ|MD|Neurology|801 N 29TH ST|BILLINGS|MT|59101|4062382500|2024-11-01|2025-01-15
WISE|1326057696|471484631|KOLAWOLE S OKUYEMI|KOLAWOLE|S|OKUYEMI|MD|Family Practice|P.O. BOX 841450|LOS ANGELES|CA|90084|8012133900|2024-12-06|2025-01-15
WISE|1326195215|810231784|DAVID A ROBERTSON|DAVID|A|ROBERTSON|MD|Neurology|801 N 29TH ST|BILLINGS|MT|59101|4062382500|2024-10-25|2025-01-15
WISE|1336618560|202367847|COOLLEEN E KESKE|COOLLEEN|E|KESKE|SLP|Speech Therapy|3000 N TRIUMPH BLVD STE 310|LEHI|UT|84043|8017662454|2024-12-31|2025-01-15
WISE|1346983673|876000525|ROSA WATERS|ROSA||WATERS|LCSW|Social Worker|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8015812121|2024-10-31|2025-01-15
WISE|1376762104|810231784|SHANE L GRAHAM|SHANE|L|GRAHAM|PA|Family Practice|236 YELLOWSTONE AVE|WEST YELLOWSTONE|MT|59758|4066469441|2024-11-30|2025-01-15
WISE|1396598975|471484631|MANDI VLAM|MANDI||VLAM|APRN|Nurse Practitioner|168 N 1950 W|SALT LAKE CITY|UT|84116|8012132537|2024-11-15|2025-01-15
WISE|1396598975|471484631|MANDI VLAM|MANDI||VLAM|APRN|Nurse Practitioner|P.O. BOX 841450|LOS ANGELES|CA|90084|8012133900|2024-11-15|2025-01-15
WISE|1457343725|870656811|SCOTT R LABRUM|SCOTT|R|LABRUM|MPT|Physical Therapy|150 E MAIN ST|CASTLE DALE|UT|84513|4353815100|2024-11-30|2025-01-15
WISE|1457462616|843477973|CHARLES CASEY|CHARLES||CASEY|DPT|Physical Therapy|1421 N 7275 E|HUNTSVILLE|UT|84317|8019209944|2024-12-31|2025-01-15
WISE|1457462616|843477973|CHARLES CASEY|CHARLES||CASEY|DPT|Physical Therapy|2131 N 5500 E|EDEN|UT|84310|8017453200|2024-12-31|2025-01-15
WISE|1457462616|843477973|CHARLES CASEY|CHARLES||CASEY|DPT|Physical Therapy|5460 E 2200 N STE 3|EDEN|UT|84310|8017453200|2024-12-31|2025-01-15
WISE|1457735425|275073382|JOHN T GARLOCK|JOHN|T|GARLOCK|BCBA|ABA Therapy|145 S MAIN ST|BOUNTIFUL|UT|84010|8019354171|2025-01-06|2025-01-15
WISE|1457735425|275073382|JOHN T GARLOCK|JOHN|T|GARLOCK|BCBA|ABA Therapy|2376 RED CLIFFS DR|SAINT GEORGE|UT|84790|8019354171|2025-01-06|2025-01-15
WISE|1457735425|275073382|JOHN T GARLOCK|JOHN|T|GARLOCK|BCBA|ABA Therapy|2496 W 4700 S|SALT LAKE CITY|UT|84129|8019354171|2025-01-06|2025-01-15
WISE|1457735425|275073382|JOHN T GARLOCK|JOHN|T|GARLOCK|BCBA|ABA Therapy|25 N 100 E STE 102|SAINT GEORGE|UT|84770|8019354171|2025-01-06|2025-01-15
WISE|1457735425|275073382|JOHN T GARLOCK|JOHN|T|GARLOCK|BCBA|ABA Therapy|512 S SHEEP LN|TOOELE|UT|84074|8019354171|2025-01-06|2025-01-15
WISE|1457735425|275073382|JOHN T GARLOCK|JOHN|T|GARLOCK|BCBA|ABA Therapy|585 E LAKEVIEW PKWY BLDG 6|PROVO|UT|84606|8019354171|2025-01-06|2025-01-15
WISE|1487288098|876000525|DIANE B PACKER|DIANE|B|PACKER|PT|Physical Therapy|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8015812121|2024-11-18|2025-01-15
WISE|1528515798|876000525|CHRISTINA J CACKLER|CHRISTINA|J|CACKLER|LCSW|Social Worker|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8015812121|2024-12-06|2025-01-15
WISE|1528747789|876000525|MCKAIL BOYNTON|MCKAIL||BOYNTON|PT|Physical Therapy|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8015812121|2024-07-27|2025-01-15
WISE|1538478193|202367847|RACHEL M SNELL|RACHEL|M|SNELL|DPT|Physical Therapy|3300 N RUNNING CREEK WAY STE 150|LEHI|UT|84043|8017664244|2024-12-31|2025-01-15
WISE|1538478193|202367847|RACHEL M SNELL|RACHEL|M|SNELL|DPT|Physical Therapy|3300 N RUNNING CREEK WAY STE 150 BLDG B|LEHI|UT|84043|8017664244|2024-12-31|2025-01-15
WISE|1538615943|202367847|JACOB K LARSON|JACOB|K|LARSON|OT|Occupational Therapy|3000 N TRIUMPH BLVD STE 310|LEHI|UT|84043|8017664244|2024-12-31|2025-01-15
WISE|1548702343|202367847|FARRAH L HUDSON|FARRAH|L|HUDSON|PT|Physical Therapy|3000 N TRIUMPH BLVD STE 310|LEHI|UT|84043|8017664244|2024-12-31|2025-01-15
WISE|1558029199|876000525|MARISOL SULLIVAN|MARISOL||SULLIVAN|PT|Physical Therapy|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8015812121|2024-09-24|2025-01-15
WISE|1609982818|202367847|BENJAMIN J JENSEN|BENJAMIN|J|JENSEN|DPT|Physical Therapy|1261 S 820 E|AMERICAN FORK|UT|84003|8017664244|2024-12-31|2025-01-15
WISE|1609982818|202367847|BENJAMIN J JENSEN|BENJAMIN|J|JENSEN|DPT|Physical Therapy|3000 N TRIUMPH BLVD STE 310|LEHI|UT|84043|8017664244|2024-12-31|2025-01-15
WISE|1609982818|202367847|BENJAMIN J JENSEN|BENJAMIN|J|JENSEN|DPT|Physical Therapy|3300 N RUNNING CREEK WAY BLDG B|LEHI|UT|84043|8017664244|2024-12-31|2025-01-15
WISE|1629332143|810231784|SABRINA J AHMED|SABRINA|J|AHMED|MD|Neurology|801 N 29TH ST|BILLINGS|MT|59101|4062382500|2024-10-18|2025-01-15
WISE|1639225956|870271413|BRENT W INNES|BRENT|W|INNES|LCSW|Social Worker|3518 WASHINGTON BLVD|OGDEN|UT|84403|8013991600|2024-07-14|2025-01-15
WISE|1659908648|471497384|EMMA ROUSAKIS|EMMA||ROUSAKIS|MD|Anesthesiology|P.O. BOX 841450|LOS ANGELES|CA|90084|8012133900|2024-09-01|2025-01-15
WISE|1679210314|202367847|EVAN T MOEAI|EVAN|T|MOEAI|DPT|Physical Therapy|564 W 700 S BLDG B|PLEASANT GROVE|UT|84062|8017662088|2024-12-31|2025-01-15
WISE|1689119117|202367847|LISA M LEAVITT|LISA|M|LEAVITT|PT|Physical Therapy|3300 N RUNNING CREEK WAY STE 150|LEHI|UT|84043|8017664244|2024-12-31|2025-01-15
WISE|1689119117|202367847|LISA M LEAVITT|LISA|M|LEAVITT|PT|Physical Therapy|3300 N RUNNING CREEK WAY STE 150 BLDG B|LEHI|UT|84043|8017664244|2024-12-31|2025-01-15
WISE|1689353997|870281028|MICHELLA C BYL|MICHELLA|C|BYL|APRN|Nurse Practitioner|1055 N 500 W STE 207|PROVO|UT|84604|8013754263|2024-12-09|2025-01-15
WISE|1689916181|202367847|MALLORY L MCFARLANE|MALLORY|L|MCFARLANE|DPT|Physical Therapy|564 W 700 S BLDG B|PLEASANT GROVE|UT|84062|8017662088|2024-12-31|2025-01-15
WISE|1700992963|471484443|PATRICIA L GALBRAITH|PATRICIA|L|GALBRAITH|LCSW|Social Worker|240 MORRIS AVE STE 400|SALT LAKE CITY|UT|84115|8015851212|2024-06-30|2025-01-15
WISE|1700992963|471484443|PATRICIA L GALBRAITH|PATRICIA|L|GALBRAITH|LCSW|Social Worker|240 MORRIS AVE STE 400|SALT LAKE CITY|UT|84115|8015853828|2024-06-30|2025-01-15
WISE|1700992963|811366910|PATRICIA L GALBRAITH|PATRICIA|L|GALBRAITH|LCSW|Social Worker|240 MORRIS AVE STE 400|SALT LAKE CITY|UT|84115|8015851212|2024-06-30|2025-01-15
WISE|1710945233|202367847|SCOTT B MAW|SCOTT|B|MAW|PT|Physical Therapy|62 E THRIVE DR STE 210|SARATOGA SPRINGS|UT|84045|8017664244|2024-12-31|2025-01-15
WISE|1720585854|471497384|JAMES M KOHLER|JAMES|M|KOHLER|MD|Ophthalmology|243 E 6100 S|SALT LAKE CITY|UT|84107|8015853937|2024-07-15|2025-01-15
WISE|1720585854|471497384|JAMES M KOHLER|JAMES|M|KOHLER|MD|Ophthalmology|65 S MARIO CAPECCHI DR|SALT LAKE CITY|UT|84132|8015812352|2024-07-15|2025-01-15
WISE|1770507048|810231784|FANEE L FREEMAN|FANEE|L|FREEMAN|MD|Obstetrics and Gynecology|3905 WELLNESS WAY|BOZEMAN|MT|59718|4068981200|2024-10-24|2025-01-15
WISE|1770507048|810231784|FANEE L FREEMAN|FANEE|L|FREEMAN|MD|Obstetrics and Gynecology|925 HIGHLAND BLVD STE 1210|BOZEMAN|MT|59715|4065879202|2024-10-24|2025-01-15
WISE|1770733123|811366910|TIFFANY NIELSEN|TIFFANY||NIELSEN|LCSW|Social Worker|51 W 3900 S|SALT LAKE CITY|UT|84107|8015851575|2024-08-13|2025-01-15
WISE|1770733123|876000525|TIFFANY NIELSEN|TIFFANY||NIELSEN|LCSW|Social Worker|51 W 3900 S|SALT LAKE CITY|UT|84107|8015851212|2024-08-13|2025-01-15
WISE|1801937263|870580379|VERNON D POTTER|VERNON|D|POTTER|MD|Family Practice|9829 S 1300 E STE 101|SANDY|UT|84094|8015768988|2024-12-30|2025-01-15
WISE|1811106156|455125865|LESLYE A LESLIE|LESLYE|A|LESLIE|OT|Occupational Therapy|1741 N 2000 W STE 6|OGDEN|UT|84404|8018270203|2024-11-24|2025-01-15
WISE|1811106156|455125865|LESLYE A LESLIE|LESLYE|A|LESLIE|OT|Occupational Therapy|3476 W 4600 S|OGDEN|UT|84401|8016890200|2024-11-24|2025-01-15
WISE|1811106156|455125865|LESLYE A LESLIE|LESLYE|A|LESLIE|OT|Occupational Therapy|35 W 50 S STE 100|CENTERVILLE|UT|84014|8018270202|2024-11-24|2025-01-15
WISE|1811106156|455125865|LESLYE A LESLIE|LESLYE|A|LESLIE|OT|Occupational Therapy|5957 FASHION POINT DR STE 102|OGDEN|UT|84403|8018270200|2024-11-24|2025-01-15
WISE|1811106156|455125865|LESLYE A LESLIE|LESLYE|A|LESLIE|OT|Occupational Therapy|P.O. BOX 66|HOOPER|UT|84315|8664968541|2024-11-24|2025-01-15
WISE|1831490507|471497384|E J LUND|E|J|LUND|AUD|Audiology|P.O. BOX 841450|LOS ANGELES|CA|90084|8012133900|2024-11-18|2025-01-15
WISE|1841248804|810231784|ELIZABETH F CONNELLY|ELIZABETH|F|CONNELLY|DO|Hematology and Oncology|34 SUMMIT AVE|LINCOLNVILLE|ME|04849|2074591666|2024-08-15|2025-01-15
WISE|1851038129|202367847|MILES K JENSEN|MILES|K|JENSEN|DPT|Physical Therapy|3000 N TRIUMPH BLVD STE 310|LEHI|UT|84043|8017664244|2024-12-31|2025-01-15
WISE|1851053953|202367847|ELISE A MORI|ELISE|A|MORI|SLP|Sleep Medicine|3000 N TRIUMPH BLVD STE 310|LEHI|UT|84043|8017664244|2024-12-31|2025-01-15
WISE|1851053953|202367847|ELISE A MORI|ELISE|A|MORI|SLP|Speech Therapy|3300 N RUNNING CREEK WAY BLDG B|LEHI|UT|84043|8017664244|2024-12-31|2025-01-15
WISE|1851053953|202367847|ELISE A MORI|ELISE|A|MORI|SLP|Speech Therapy|62 E THRIVE DR STE 210|SARATOGA SPRINGS|UT|84045|8017664244|2024-12-31|2025-01-15
WISE|1861757544|471497384|KEVIN S SHAH|KEVIN|S|SHAH|MD|Cardiology|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8015857676|2024-11-01|2025-01-15
WISE|1861757544|471497384|KEVIN S SHAH|KEVIN|S|SHAH|MD|Cardiology|P.O. BOX 841450|LOS ANGELES|CA|90084|8012133900|2024-11-01|2025-01-15
WISE|1881631042|900735043|JEFFREY V FOWLER|JEFFREY|V|FOWLER|DO|Obstetrics and Gynecology|1233 E 2ND ST|CASPER|WY|82601|8008227201|2025-01-06|2025-01-15
WISE|1881833044|876000525|CHRISTINE T PRATT|CHRISTINE|T|PRATT|OT|Occupational Therapy|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8015812121|2024-06-18|2025-01-15
WISE|1881920403|833365479|CAMILLE PORTER|CAMILLE||PORTER|DPT|Physical Therapy|169 N GATEWAY DR STE 160|PROVIDENCE|UT|84332|4357993111|2024-12-31|2025-01-15
WISE|1912565078|202367847|MATTHEW T JARRETT|MATTHEW|T|JARRETT|DPT|Physical Therapy|62 E THRIVE DR STE 210|SARATOGA SPRINGS|UT|84045|8017664244|2024-12-31|2025-01-15
WISE|1932121167|202367847|CHRISTOPHER J LEE|CHRISTOPHER|J|LEE|PT|Physical Therapy|3000 N TRIUMPH BLVD STE 310|LEHI|UT|84043|8017664244|2024-12-31|2025-01-15
WISE|1932949534|202367847|RACHEL L SEEMAN|RACHEL|L|SEEMAN|DPT|Physical Therapy|3000 N TRIUMPH BLVD STE 310|LEHI|UT|84043|8017664244|2024-12-31|2025-01-15
WISE|1932949534|202367847|RACHEL L SEEMAN|RACHEL|L|SEEMAN|DPT|Physical Therapy|3300 N RUNNING CREEK WAY BLDG B, STE 150|LEHI|UT|84043|8017664244|2024-12-31|2025-01-15
WISE|1942428941|202367847|STEPHEN J BUCHANAN|STEPHEN|J|BUCHANAN|DPT|Physical Therapy|3300 N RUNNING CREEK WAY STE 150|LEHI|UT|84043|8017664244|2024-12-31|2025-01-15
WISE|1942428941|202367847|STEPHEN J BUCHANAN|STEPHEN|J|BUCHANAN|DPT|Physical Therapy|3300 N RUNNING CREEK WAY STE 150 BLDG B|LEHI|UT|84043|8017664244|2024-12-31|2025-01-15
WISE|1952964124|471497384|ALEXANDRA A PIETRASZKIEWICZ|ALEXANDRA|A|PIETRASZKIEWICZ|MD|Neurology|65 S MARIO CAPECCHI DR|SALT LAKE CITY|UT|84132|8015812352|2024-07-15|2025-01-15
WISE|1952964124|471497384|ALEXANDRA A PIETRASZKIEWICZ|ALEXANDRA|A|PIETRASZKIEWICZ|MD|Ophthalmology|243 E 6100 S|SALT LAKE CITY|UT|84107|8015853937|2024-07-15|2025-01-15
WISE|1952964124|471497384|ALEXANDRA A PIETRASZKIEWICZ|ALEXANDRA|A|PIETRASZKIEWICZ|MD|Ophthalmology|65 S MARIO CAPECCHI DR|SALT LAKE CITY|UT|84132|8015812352|2024-07-15|2025-01-15
WISE|1962061804|471497384|CORI POLONSKI|CORI||POLONSKI|MD|Neurology|175 N MEDICAL DR E|SALT LAKE CITY|UT|84132|8015857575|2024-12-01|2025-01-15
WISE|1962061804|471497384|CORI POLONSKI|CORI||POLONSKI|MD|Neurology|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8015856387|2024-12-01|2025-01-15
WISE|1962061804|471497384|CORI POLONSKI|CORI||POLONSKI|MD|Neurology|729 S ARAPEEN DR|SALT LAKE CITY|UT|84108|8015856387|2024-12-01|2025-01-15
WISE|1962061804|471497384|CORI POLONSKI|CORI||POLONSKI|MD|Neurology|P.O. BOX 841450|LOS ANGELES|CA|90084|8012133900|2024-12-01|2025-01-15
WISE|1962133686|852975223|ALEX P HASLAM|ALEX|P|HASLAM|APRN|Family Practice|12391 S 4000 W|HERRIMAN|UT|84096|8013021700|2024-12-01|2025-01-15
WISE|1962133686|852975223|ALEX P HASLAM|ALEX|P|HASLAM|APRN|Family Practice|2965 W 3500 S|WEST VALLEY CITY|UT|84119|8019653600|2024-12-01|2025-01-15
WISE|1962133686|852975223|ALEX P HASLAM|ALEX|P|HASLAM|APRN|Family Practice|3181 W 9000 S|WEST JORDAN|UT|84088|8015695600|2024-12-01|2025-01-15
WISE|1962133686|870284475|ALEX P HASLAM|ALEX|P|HASLAM|APRN|Family Practice|12391 S 4000 W|HERRIMAN|UT|84096|8013021700|2024-12-01|2025-01-15
WISE|1962133686|870284475|ALEX P HASLAM|ALEX|P|HASLAM|APRN|Family Practice|2965 W 3500 S|WEST VALLEY CITY|UT|84119|8019653600|2024-12-01|2025-01-15
WISE|1962133686|870284475|ALEX P HASLAM|ALEX|P|HASLAM|APRN|Family Practice|3181 W 9000 S|WEST JORDAN|UT|84088|8015695600|2024-12-01|2025-01-15
WISE|1972155224|471497384|ABBEY M WHITING|ABBEY|M|WHITING|PA-C|Physician Assistant|165 N UNIV AVE|FARMINGTON|UT|84025|8015812352|2024-09-20|2025-01-15
WISE|1972155224|471497384|ABBEY M WHITING|ABBEY|M|WHITING|PA-C|Physician Assistant|243 E 6100 S|SALT LAKE CITY|UT|84107|8015853937|2024-09-20|2025-01-15
WISE|1972155224|471497384|ABBEY M WHITING|ABBEY|M|WHITING|PA-C|Physician Assistant|65 S MARIO CAPECCHI DR|SALT LAKE CITY|UT|84132|8015812352|2024-09-20|2025-01-15
WISE|1972360840|202367847|DALLIN S CARROLL|DALLIN|S|CARROLL|DPT|Physical Therapy|3000 N TRIUMPH BLVD STE 310|LEHI|UT|84043|8017664244|2024-12-31|2025-01-15
WISE|1972360840|202367847|DALLIN S CARROLL|DALLIN|S|CARROLL|DPT|Physical Therapy|3300 N RUNNING CREEK WAY BLDG B|LEHI|UT|84043|8017664244|2024-12-31|2025-01-15
WISE|1972613099|870659452|SUSAN A DOUCETTE|SUSAN|A|DOUCETTE|DPT|Physical Therapy|2310 N 400 E STE C|LOGAN|UT|84341|4357525200|2024-12-31|2025-01-15
WISE|1992861520|270123697|TAMARA K REYNOLDS CALL|TAMARA|K|REYNOLDS CALL|MPT|Physical Therapy|1689 E 1400 S STE 120|CLEARFIELD|UT|84015|8015250007|2024-12-01|2025-01-15