network|NPI|TIN|Name|FirstName|MI|LastName|Degree|Specialty|Address|City|State|Zip|Phone|TermDate|ReportDate
WISE|1013999721|870550275||KATHLEEN|M|LIOU|MD|Pediatrics|620 MEDICAL DR STE 100|BOUNTIFUL|UT|84010|8012952888|2022-12-31|2023-07-15
WISE|1083607469|320340482||RONALD|B|SIMMONS|DO|Family Practice|3263 S HWY 89 STE 400|BOUNTIFUL|UT|84010|8015050821|2022-12-31|2023-07-15
WISE|1083607469|320340482||RONALD|B|SIMMONS|DO|Family Practice|P.O. BOX 540610|NORTH SALT LAKE|UT|84054|8014516060|2022-12-31|2023-07-15
WISE|1104810761|830249708||MARK|C|DAVIS|MD|Diagnostic Radiology|400 S 15TH ST|WORLAND|WY|82401|3073473221|2022-12-31|2023-07-15
WISE|1124210703|272399757||DAMON|B|FOX|CCC-A|Audiology|1100 S MEDICAL DR|MOUNT PLEASANT|UT|84647|8002449001|2022-12-31|2023-07-15
WISE|1124210703|272399757||DAMON|B|FOX|CCC-A|Audiology|130 W MAIN ST STE E|LEHI|UT|84043|8002449001|2022-12-31|2023-07-15
WISE|1124210703|272399757||DAMON|B|FOX|CCC-A|Audiology|1377 E 3900 S STE 201|SALT LAKE CITY|UT|84124|8012721232|2022-12-31|2023-07-15
WISE|1124210703|272399757||DAMON|B|FOX|CCC-A|Audiology|38 E 100 N|VERNAL|UT|84078|8002449001|2022-12-31|2023-07-15
WISE|1124210703|272399757||DAMON|B|FOX|CCC-A|Audiology|57 N 100 E STE 2|ROOSEVELT|UT|84066|8002449001|2022-12-31|2023-07-15
WISE|1134112998|870607715||CYNTHIA|L|CAMPBELL|FNP|Family Practice|728 W 100 S STE 1|HEBER CITY|UT|84032|4356544192|2022-12-31|2023-07-15
WISE|1134147226|870550021||JOHN||STANCHFIELD|MD|Endocrinology|1160 E 3900 S STE 1200|SALT LAKE CITY|UT|84124|8012619651|2022-12-31|2023-07-15
WISE|1134147226|870550021||JOHN||STANCHFIELD|MD|Endocrinology|5630 S WATERBURY WAY STE B102|SALT LAKE CITY|UT|84121|8012619651|2022-12-31|2023-07-15
WISE|1134187263|826003449||DIRK|R|DAVIS|MD|Gastroenterology|44 N 1ST E|PRESTON|ID|83263|2088520737|2022-12-31|2023-07-15
WISE|1134187263|826003449||DIRK|R|DAVIS|MD|Gastroenterology|47 N 1ST E|PRESTON|ID|83263|2088522900|2022-12-31|2023-07-15
WISE|1134187263|826003449||DIRK|R|DAVIS|MD|Gastroenterology|PO BOX 22869|BELFAST|ME|04915|2088520137|2022-12-31|2023-07-15
WISE|1134187263|870642241||DIRK|R|DAVIS|MD|Gastroenterology|630 E 1400 N STE 100A|LOGAN|UT|84341|4357870270|2022-12-31|2023-07-15
WISE|1134217649|870555165||DONALD|F|WATTS|MD|Pediatrics|1740 COMBE RD STE 5|OGDEN|UT|84403|8016211701|2022-12-31|2023-07-15
WISE|1134608664|471497384||RACHEL||STRAIGHT|APRN|Nurse Practitioner|1950 CIR OF HOPE DR|SALT LAKE CITY|UT|84112|8015853229|2023-06-21|2023-07-15
WISE|1184800047|870638151||JANICE|H|ROBINSON|FNP|Family Practice|811 N 900 W|OREM|UT|84057|8014347600|2022-12-31|2023-07-15
WISE|1194756718|870344078||FRED|E|CLAYSON|MD|Ophthalmology|4403 HARRISON BLVD STE 3600|OGDEN|UT|84403|8013873550|2022-12-31|2023-07-15
WISE|1194895094|270003566||KARLA|J|DEMBY|MD|Internal Medicine|111 N PARK ST|CORTEZ|CO|81321|9705648730|2022-12-31|2023-07-15
WISE|1205897196|870474130||GARY|B|WHITE|MD|Family Practice|210 W 300 N STE 75-3|ROOSEVELT|UT|84066|4357226143|2022-12-31|2023-07-15
WISE|1215048335|870281942||JAMES|R|TAYLOR|MD|Family Practice|600 W HOSPITAL RD|BRIGHAM CITY|UT|84302|4357342041|2022-12-31|2023-07-15
WISE|1215048335|870281942||JAMES|R|TAYLOR|MD|Family Practice|P.O. BOX 719|BRIGHAM CITY|UT|84302|4357342041|2022-12-31|2023-07-15
WISE|1225379688|942938348||JOSH|M|ADAMS|SSW|Social Worker|1020 S MAIN ST STE 218|SALT LAKE CITY|UT|84101|8889494864|2023-06-01|2023-07-15
WISE|1225515794|811366910||LISA||BERREMAN|PSYD|Psychology|501 S CHIPETA WAY|SALT LAKE CITY|UT|84108|8015851575|2023-06-02|2023-07-15
WISE|1235140989|836000097||JAMES||MORGAN|MD|Family Practice|525 E BIRCH ST|GLENROCK|WY|82637|3074368838|2022-12-31|2023-07-15
WISE|1275580961|471497384||DENNIS|C|SHRIEVE|MD|Radiation Oncology|1280 E STRINGHAM AVE|SALT LAKE CITY|UT|84106|8015812396|2023-05-31|2023-07-15
WISE|1275580961|471497384||DENNIS|C|SHRIEVE|MD|Radiation Oncology|1950 CIR OF HOPE DR|SALT LAKE CITY|UT|84112|8015818793|2023-05-31|2023-07-15
WISE|1376510800|461822693||SHERMAN|B|JOHNSON|MD|Wound Care|1053 E 2100 S|SALT LAKE CITY|UT|84106|8013593995|2022-12-31|2023-07-15
WISE|1376510800|810718567||SHERMAN|B|JOHNSON|MD|Wound Care|747 SHERINGHAM CT|FARMINGTON|UT|84025|8019642008|2022-12-31|2023-07-15
WISE|1396762118|870385919||HARVEY|L|RISHE|PHD|Psychology|555 E 4500 S STE C150|SALT LAKE CITY|UT|84107|8019663700|2022-12-31|2023-07-15
WISE|1417952391|830327475||GARY||NOE|MD|Family Practice|190 ARROWHEAD DR|EVANSTON|WY|82930|3077893636|2022-12-31|2023-07-15
WISE|1417952391|830330554||GARY||NOE|MD|Family Practice|107 N MAIN ST|LYMAN|WY|82937|3077873313|2022-12-31|2023-07-15
WISE|1427055110|432646789||DONALD|A|PRICE|LMFT|Counseling|2118 E 3900 S STE 100|SALT LAKE CITY|UT|84124|8012773620|2022-12-31|2023-07-15
WISE|1457333064|870575989||BRADLEY|W|RICHARDS|MD|Ophthalmology|875 COUNTRY HILLS DR|OGDEN|UT|84403|8013991149|2022-12-31|2023-07-15
WISE|1457353773|876000616||TANYA||RICHEY|FNP|Family Practice|380 W 100 N|MONTICELLO|UT|84535|4355875054|2022-12-31|2023-07-15
WISE|1457353773|876000616||TANYA||RICHEY|FNP|Family Practice|804 N 400 W|BLANDING|UT|84511|4356782254|2022-12-31|2023-07-15
WISE|1457353773|876000616||TANYA||RICHEY|FNP|Family Practice|P.O. BOX 1054|MONTICELLO|UT|84535|4355875054|2022-12-31|2023-07-15
WISE|1477555712|465301052||DAVID|S|GOURLEY|MD|Allergy and Immunology|6065 S FASHION BLVD STE 255|SALT LAKE CITY|UT|84107|8012664115|2022-12-31|2023-07-15
WISE|1477555712|465301052||DAVID|S|GOURLEY|MD|Allergy and Immunology|P.O. BOX 30015 DEPT 401|SALT LAKE CITY|UT|84130|8017759800|2022-12-31|2023-07-15
WISE|1477676112|465655215||PAUL|H|SWENSEN|MD|Pediatrics|24 S 1100 E STE 301|SALT LAKE CITY|UT|84102|8015212640|2022-12-31|2023-07-15
WISE|1487646337|876000616||BLEN||FREESTONE|PA|Family Practice|380 W 100 N|MONTICELLO|UT|84535|4355875054|2022-12-31|2023-07-15
WISE|1487646337|876000616||BLEN||FREESTONE|PA|Family Practice|P.O. BOX 1054|MONTICELLO|UT|84535|4355875054|2022-12-31|2023-07-15
WISE|1487720181|753107416||NANCY|B|WEBB|LMFT|Counseling|P.O. BOX 6712|LOGAN|UT|84341|4357538863|2022-12-31|2023-07-15
WISE|1487721841|870625250||DEX||WHITEHEAD|LCSW|Social Worker|845 E 4800 S STE 200|SALT LAKE CITY|UT|84107|8012649522|2022-12-31|2023-07-15
WISE|1508828930|452947108||MICHAEL|T|BOMAN|MSW|Social Worker|2363 N HILL FIELD RD STE 5|LAYTON|UT|84041|8015254645|2023-02-16|2023-07-15
WISE|1518934744|342004379||KARL|E|SEASHORE|LPC|Counseling|4190 S HIGHLAND DR STE 211|SALT LAKE CITY|UT|84124|8012720613|2022-12-31|2023-07-15
WISE|1518934744|342004379||KARL|E|SEASHORE|LPC|Counseling|50 N MAIN ST|TOOELE|UT|84074|8012720613|2022-12-31|2023-07-15
WISE|1548252885|870355879||MICHAEL|D|WASHBURN|MD|Ophthalmology|2255 N ROBINS DR STE 100|LAYTON|UT|84041|8017730690|2022-12-31|2023-07-15
WISE|1558327361|474001060||MARGARET|A|KLUTHE|MD|Pediatrics|4590 HARRISON BLVD STE 200A|OGDEN|UT|84403|8016901970|2022-12-31|2023-07-15
WISE|1558370361|621801973||KEITH|J|LANE|MD|Internal Medicine|2645 E PARLEYS WAY STE 200|SALT LAKE CITY|UT|84109|8013844700|2022-12-31|2023-07-15
WISE|1578552444|830234097||LAINE||RUSSELL|DO|Family Practice|500 LATIGO DR|WRIGHT|WY|82732|3074640413|2022-12-31|2023-07-15
WISE|1578552444|830234097||LAINE||RUSSELL|DO|Family Practice|P.O. BOX 3046|GILLETTE|WY|82717|3076821441|2022-12-31|2023-07-15
WISE|1578597647|742412898||EDWARD|H|REDD|MD|Internal Medicine|440 W 600 N|TREMONTON|UT|84337|8442484110|2022-12-31|2023-07-15
WISE|1578597647|942854057||EDWARD|H|REDD|MD|Internal Medicine|1400 N 500 E|LOGAN|UT|84341|4357161000|2022-12-31|2023-07-15
WISE|1578597647|942854057||EDWARD|H|REDD|MD|Internal Medicine|500 E 1400 N|LOGAN|UT|84341|4357165366|2022-12-31|2023-07-15
WISE|1578597647|942854057||EDWARD|H|REDD|MD|Internal Medicine|P.O. BOX 30180|SALT LAKE CITY|UT|84130|4357165366|2022-12-31|2023-07-15
WISE|1609223791|836000025||DANIEL|L|FISH|MD|Psychiatry|2221 ELM ST|RAWLINS|WY|82301|3073242221|2023-06-22|2023-07-15
WISE|1609883453|830324512||THOMAS|J|SIMON|MD|Internal Medicine|150 ARROWHEAD DR STE 1|EVANSTON|WY|82930|3077890524|2022-12-31|2023-07-15
WISE|1629064027|870617733||ROBERT|W|WING|MD|Ophthalmology|214 W 1500 S STE 300|BOUNTIFUL|UT|84010|8014760494|2022-12-31|2023-07-15
WISE|1629064027|870617733||ROBERT|W|WING|MD|Ophthalmology|P.O. BOX 1529|LAYTON|UT|84041|8015933223|2022-12-31|2023-07-15
WISE|1649205154|510529950||GUY|T|COX|CNM|Certified Nurse Midwife|5285 S 400 E STE B|OGDEN|UT|84405|8014767300|2022-12-31|2023-07-15
WISE|1649205154|510529950||GUY|T|COX|CNM|Certified Nurse Midwife|P.O. BOX 1512|LAYTON|UT|84041|8015939223|2022-12-31|2023-07-15
WISE|1649375502|830236761||JOHN||WHIPP|MD|Orthopedic Surgery|815 E MAIN ST|LANDER|WY|82520|8004437173|2022-12-31|2023-07-15
WISE|1669435160|263420389||JOHN|A|CARVER|MD|Ophthalmology|1055 N 300 W STE 210|PROVO|UT|84604|8013577704|2022-12-31|2023-07-15
WISE|1669435160|263420389||JOHN|A|CARVER|MD|Ophthalmology|11820 S STATE ST STE 320|DRAPER|UT|84020|8013577704|2022-12-31|2023-07-15
WISE|1669435160|263420389||JOHN|A|CARVER|MD|Ophthalmology|5171 S COTTONWOOD ST STE 700|SALT LAKE CITY|UT|84107|8018928200|2022-12-31|2023-07-15
WISE|1699703702|870549057||GORDON|B|GLADE|MD|Pediatrics|1159 E 200 N STE 200|AMERICAN FORK|UT|84003|8017565209|2022-12-31|2023-07-15
WISE|1699826149|870643195||KENNETH|A|WADE|PA|Obstetrics and Gynecology|1325 N 600 E STE 102|LOGAN|UT|84341|4357539999|2022-12-31|2023-07-15
WISE|1720080062|461214867||JOSEPH|R|ANDERSON|MD|Allergy and Immunology|1490 E FOREMASTER DR STE 300|SAINT GEORGE|UT|84790|8666765536|2022-12-31|2023-07-15
WISE|1720080062|461214867||JOSEPH|R|ANDERSON|MD|Allergy and Immunology|5929 FASHION POINT DR STE 101|OGDEN|UT|84403|8014760052|2022-12-31|2023-07-15
WISE|1720141435|711001492||LAWRENCE|A|CARCELLI|PHD|Psychology|4699 HARRISON BLVD STE 300|OGDEN|UT|84403|8014798286|2022-12-31|2023-07-15
WISE|1720141435|711001492||LAWRENCE|A|CARCELLI|PHD|Psychology|P.O. BOX 150307|OGDEN|UT|84403|8014798286|2022-12-31|2023-07-15
WISE|1720159155|263291555||SAM|T|SCALING|MD|Obstetrics and Gynecology|1125 E 2ND ST|CASPER|WY|82601|3075774225|2022-12-31|2023-07-15
WISE|1740259795|454027358||FREDERICK|W|REIMHERR|MD|Psychiatry|1522 S 1100 E|SALT LAKE CITY|UT|84105|8014671200|2022-12-31|2023-07-15
WISE|1760490767|567621335||SHARON|C|RISHE|LCSW|Social Worker|555 E 4500 S STE C150|SALT LAKE CITY|UT|84107|8019663700|2022-12-31|2023-07-15
WISE|1780038638|870281028||KRISTEN||LILE|DO|Nephrology|1000 N MAIN ST FL 2 STE C|RICHFIELD|UT|84701|8013774623|2023-05-19|2023-07-15
WISE|1780038638|870281028||KRISTEN||LILE|DO|Nephrology|1055 N 500 W STE 222|PROVO|UT|84604|8018125033|2023-05-19|2023-07-15
WISE|1780038638|870281028||KRISTEN||LILE|DO|Nephrology|555 W STATE RD 164|SALEM|UT|84653|8018125400|2023-05-19|2023-07-15
WISE|1780126300|942938348||ADAM||WATANABE|CSW|Social Worker|2948 S REDWOOD RD|WEST VALLEY CITY|UT|84119|8889494864|2023-05-12|2023-07-15
WISE|1780126300|942938348||ADAM||WATANABE|CSW|Social Worker|3809 W 6200 S|SALT LAKE CITY|UT|84129|8889494864|2023-05-12|2023-07-15
WISE|1780693929|870549057||RICHARD|Y|FARNSWORTH|MD|Pediatrics|1355 N UNIV AVE STE 210|PROVO|UT|84604|8013738930|2022-12-31|2023-07-15
WISE|1801870670|870525682||MANO||SWARTZ|MD|Ophthalmology|1055 N 300 W STE 420|PROVO|UT|84604|8013577999|2022-12-31|2023-07-15
WISE|1801870670|870525682||MANO||SWARTZ|MD|Ophthalmology|1660 W ANTELOPE DR STE 325|LAYTON|UT|84041|8017758222|2022-12-31|2023-07-15
WISE|1801870670|870525682||MANO||SWARTZ|MD|Ophthalmology|2132 N ROBINS DR STE 130|LAYTON|UT|84041|8017758222|2022-12-31|2023-07-15
WISE|1801870670|870525682||MANO||SWARTZ|MD|Ophthalmology|272 1/2 N MAIN ST|LOGAN|UT|84321|8013122020|2022-12-31|2023-07-15
WISE|1801870670|870525682||MANO||SWARTZ|MD|Ophthalmology|5169 S COTTONWOOD ST STE 630|SALT LAKE CITY|UT|84107|8013122020|2022-12-31|2023-07-15
WISE|1811938939|272399757||C|B|FOX|CCC-A|Audiology|1100 S MEDICAL DR|MOUNT PLEASANT|UT|84647|8002449001|2022-12-31|2023-07-15
WISE|1811938939|272399757||C|B|FOX|CCC-A|Audiology|130 W MAIN ST STE E|LEHI|UT|84043|8002449001|2022-12-31|2023-07-15
WISE|1811938939|272399757||C|B|FOX|CCC-A|Audiology|1377 E 3900 S STE 201|SALT LAKE CITY|UT|84124|8012721232|2022-12-31|2023-07-15
WISE|1811938939|272399757||C|B|FOX|CCC-A|Audiology|38 E 100 N|VERNAL|UT|84078|8002449001|2022-12-31|2023-07-15
WISE|1811938939|272399757||C|B|FOX|CCC-A|Audiology|57 N 100 E STE 2|ROOSEVELT|UT|84066|8002449001|2022-12-31|2023-07-15
WISE|1811938939|942854057||C|B|FOX|CCC-A|Audiology|1000 N MAIN ST|RICHFIELD|UT|84701|4358930332|2022-12-31|2023-07-15
WISE|1811938939|942854057||C|B|FOX|CCC-A|Audiology|P.O. BOX 30180|SALT LAKE CITY|UT|84130|4358930332|2022-12-31|2023-07-15
WISE|1831693027|870281028||REED||PARKINSON|MD|Internal Medicine|1055 N 500 W STE 212|PROVO|UT|84604|8013742362|2023-06-30|2023-07-15
WISE|1841282787|371625746||SALLY|D|SHARP|MD|Cardiology|1160 E 3900 S STE 2000|SALT LAKE CITY|UT|84124|8012663418|2022-12-31|2023-07-15
WISE|1841282787|371625746||SALLY|D|SHARP|MD|Cardiology|3540 S 4000 W STE 340|WEST VALLEY CITY|UT|84120|8016763776|2022-12-31|2023-07-15
WISE|1841282787|371625746||SALLY|D|SHARP|MD|Cardiology|3584 W 9000 S STE 209|WEST JORDAN|UT|84088|8016763776|2022-12-31|2023-07-15
WISE|1841282787|371625746||SALLY|D|SHARP|MD|Cardiology|3725 W 4100 S|WEST VALLEY CITY|UT|84120|8016763776|2022-12-31|2023-07-15
WISE|1841282787|371625746||SALLY|D|SHARP|MD|Cardiology|74 E KIMBALLS LN STE 260|DRAPER|UT|84020|8015716100|2022-12-31|2023-07-15
WISE|1841342144|471497384||PHUONG-ANH|T|DUONG|MD|Radiology|1950 CIR OF HOPE DR|SALT LAKE CITY|UT|84112|8015850100|2022-12-19|2023-07-15
WISE|1841342144|471497384||PHUONG-ANH|T|DUONG|MD|Radiology|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8015877109|2022-12-19|2023-07-15
WISE|1841342144|471497384||PHUONG-ANH|T|DUONG|MD|Radiology|9385 S SNOWBIRD CTR DR|SANDY|UT|84092|8016464800|2022-12-19|2023-07-15
WISE|1881631802|811112375||IAN||SWIFT|MD|Ear Nose and Throat|407 S MEDICAL ARTS CT STE F|GILLETTE|WY|82716|3076884368|2022-12-31|2023-07-15
WISE|1902181860|830231437||CHERYL||NICKERSON|OT|Occupational Therapy|3035 CY AVE|CASPER|WY|82604|3073373204|2022-12-31|2023-07-15
WISE|1902181860|830231437||CHERYL||NICKERSON|OT|Occupational Therapy|4140 CENTENNIAL HILLS BLVD STE A|CASPER|WY|82609|3072657205|2022-12-31|2023-07-15
WISE|1912980368|870550275||SARAH|A|ORMSBY|MD|Pediatrics|1140 E 3900 S STE 360|SALT LAKE CITY|UT|84124|8012648686|2022-12-31|2023-07-15
WISE|1922123694|273858690||CHRISTINA|G|RICHARDS|MD|General Surgery|1046 E 100 S|SALT LAKE CITY|UT|84102|8017462885|2022-12-31|2023-07-15
WISE|1922326974|870710584||DENISE||MADSEN|CMHC|Counseling|9263 S REDWOOD RD BLDG 8|WEST JORDAN|UT|84088|8015660749|2022-12-31|2023-07-15
WISE|1932292281|870462018||TODD|E|KIMBALL|OD|Optometry|2178 S 900 E STE 4|SALT LAKE CITY|UT|84106|8014842020|2022-12-31|2023-07-15
WISE|1942223466|541397702||DAVID|G|TEASLEY|MD|Plastic Surgery|1441 UTE BLVD STE 220|PARK CITY|UT|84098|4356475911|2022-12-31|2023-07-15
WISE|1962449306|870280459||DIANE|D|HEUBUSCH|CNM|Certified Nurse Midwife|12600 S 3723 W STE 350|RIVERTON|UT|84065|8012854900|2022-12-31|2023-07-15
WISE|1992758767|203422024||NANCY|C|HANSON|LCSW|Social Worker|8160 S HIGHLAND DR STE 204|SANDY|UT|84093|8019424444|2022-12-31|2023-07-15
WISE|1992764187|870283576||W|S|LOHNER|MD|Ophthalmology|1100 S MEDICAL DR|MOUNT PLEASANT|UT|84647|4354622441|2022-12-31|2023-07-15
WISE|1992764187|870283576||W|S|LOHNER|MD|Ophthalmology|140 WHITE SAGE AVE|DELTA|UT|84624|4358643333|2022-12-31|2023-07-15
WISE|1992764187|870283576||W|S|LOHNER|MD|Ophthalmology|1735 N STATE ST|PROVO|UT|84604|8013792900|2022-12-31|2023-07-15
WISE|1992764187|870283576||W|S|LOHNER|MD|Ophthalmology|700 S HWY 99|FILLMORE|UT|84631|4357435555|2022-12-31|2023-07-15
WISE|1992845366|870280459||JEFFREY|D|QUINN|MD|Obstetrics and Gynecology|12600 S 3723 W STE 350|RIVERTON|UT|84065|8012854900|2022-12-31|2023-07-15
WISE|1992874358|200685493||DAVID|S|MOTOKI|MD|Plastic Surgery|11762 S STATE ST STE 220|DRAPER|UT|84020|8015712020|2022-12-31|2023-07-15