Provider / Pharmacy Directory Directorio De Proveedores Y Farmacias

Provider / Pharmacy Directory Directorio de proveedores y farmacias

UTAH Box Elder, Cache, Davis, Iron, Salt Lake, Tooele, Utah, Washington and Weber 2018 Molina Medicare Options Plus HMO SNP If you have additional questions, please call Member Services: (888) 665-1328, TTY 711 7 days a week, 8 a.m. – 8 p.m., local time

Si tiene otras preguntas comuníquese con el Departamento de Servicios para Miembros: (888) 665-1328, TTY al 711 Los 7 días de la semana, de 8:00 a.m. a 8:00 p.m., hora local

7386950MED0918 H5628_18_0001_NM_UTPD H5628_18_0001_NM_UTPD es

Table of Contents / Índice Section 1 / Sección 1 - Introduction / Introducción ...... ii / vii What is the service area for Molina Medicare Options Plus? / ¿Cuál es el área de servicio para Molina Medicare Options Plus?...... v / x How do you find Molina Medicare Options Plus providers in your area? / ¿Cómo encontrar proveedores de Molina Medicare Options Plus en su área? ...... v / xi Section 2 / Sección 2 - List of Network Providers / Lista de los proveedores de la red...... 1 Primary Care Providers / Proveedores de atención primaria...... 1 Specialists / Especialistas...... 110 Hospitals / Hospitales ...... 376 Skilled Nursing Facilities (SNF) / Centros de enfermería especializada (SNF)...... 378 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios ...... 379 Pharmacies / Farmacias...... 405

Molina Healthcare of Utah (Molina) complies with all Federal civil rights laws that relate to healthcare services. Molina offers healthcare services to all members without regard to race, color, national origin, age, disability, or sex. Molina does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. This includes gender identity, pregnancy and sex stereotyping.

To help you talk with us, Molina provides services free of charge:

• Aids and services to people with disabilities o Skilled sign language interpreters o Written material in other formats (large print, audio, accessible electronic formats, Braille) • Language services to people who speak another language or have limited English skills o Skilled interpreters o Written material translated in your language o Material that is simply written in plain language

If you need these services, contact Molina Member Services at (888) 665-1328; TTY 711, 7 days a week, 8 a.m. - 8 p.m., local time.

If you think that Molina failed to provide these services or treated you differently based on your race, color, national origin, age, disability, or sex, you can file a complaint. You can file a complaint in person, by mail, fax, or email. If you need help writing your complaint, we will help you. Call our Civil Rights Coordinator at (866) 606-3889, or TTY, 711. Mail youur complaint to:

Civil Rights Coordinator 200 Oceangate Long Beach, CA 90802

You can also email your complaint to [email protected]. Or, fax your complaint to (562) 499-0610.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights. Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. You can mail it to:

U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201

You can also send it to a website through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf.

If you need help, call 1-800-368-1019; TTY 800-537-7697.

English ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-800-665-3086 (TTY: 711).

Spanish ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-665-3086 (TTY: 711).

Chinese 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-800-665-3086（TTY：711).

Tagalog PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-800-665-3086 (TTY: 711).

French ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-800-665-3086 (ATS : 711).

Vietnamese CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-800-665-3086 (TTY: 711).

German ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-800-665-3086 (TTY: 711).

Korean 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-800-665- 3086 (TTY: 711) 번으로 전화해 주십시오.

Russian ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-800-665-3086 (телетайп: 711).

Arabic ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم 3086-665-800-1 )رقم هاتف الصم

والبكم: 711(.

Y0050_17_4036_203_LRMultiLang Accepted 9/5/2016 4722669MED0916 Hindi (उपलब्ध ℂ। 1-800-665-3086 (TTY: 711 ﴂदी बोलते ℂ तो आपके ललए मुफ्त मᴂ भाषा स ायता सेवाएﴂ 鵍यान दᴂ: यदद आप द पर कॉल करᴂ।

Italian ATTENZIONE: In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-800-665-3086 (TTY: 711).

Portugués ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1-800-665-3086 (TTY: 711).

French Creole ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-800-665-3086 (TTY: 711).

Polish UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer 1-800-665-3086 (TTY: 711).

Japanese 注意事項：日本語を話される場合、無料の言語支援をご利用いただけます。1-800-665-3086（TTY: 711 ）まで、お電話にてご連絡ください。

Hmong LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 1-800- 665-3086 (TTY: 711).

Farsi توجه: اگر به زبان فارسی گفتگو می کنید، تسهیالت زبانی بصورت رایگان برای شما فراهم می باشد. با :TTY) 1-800-665-3086 (711 تماس بگیرید. Armenian ՈՒՇԱԴՐՈՒԹՅՈՒՆ՝ Եթե խոսում եք հայերեն, ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակցության ծառայություններ: Զանգահարեք 1-800-665-3086 (TTY (հեռատիպ)՝ 711):

Cambodian

ប្រយ័㿒ន៖ បរើសិនᾶ诒នកនិ架យ 徶羶ខ្មែរ, បស玶ជំនួយខ្ននក徶羶 បោយមិនគិ㿒⏒ន ួល

គឺ讶ច掶នសំ殶រ់រំបរ ើ诒នក។ ចូរ ទូរស័寒ទ 1-800-665-3086 (TTY: 711)។

Albanian KUJDES: Nëse flitni shqip, për ju ka në dispozicion shërbime të asistencës gjuhësore, pa pagesë. Telefononi në 1-800-665-3086 (TTY: 711).

Y0050_17_4036_203_LRMultiLang Accepted 9/5/2016 4722669MED0916 Amharic ማስታወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር ይደውሉ 1- 800-665-3086 (መስማት ለተሳናቸው: 711).

Bengali লক্ষ্য ক쇁নঃ যদি আপদন বাাংলা, কথা বলতে পাতেন, োহতল দনঃখেচায় ভাষা সহায়ো পদেতষবা উপলব্ধ আতে। ফ ান ক쇁ন ১-800-665-3086 (TTY: 711)।

Cushite (Oromo language) XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 1-800-665-3086 (TTY: 711).

Dutch AANDACHT: Als u nederlands spreekt, kunt u gratis gebruikmaken van de taalkundige diensten. Bel 1-800- 665-3086 (TTY: 711).

Greek ΠΡΟΣΟΧΗ: Αν μιλάτε ελληνικά, στη διάθεσή σας βρίσκονται υπηρεσίες γλωσσικής υποστήριξης, οι οποίες παρέχονται δωρεάν. Καλέστε 1-800-665-3086 (TTY: 711).

Gujarati સચુ ના: જો તમે ગજુ રાતી બોલતા હો, તો નન:શ쫍ુ ક ભાષા સહાય સેવાઓ તમારા માટે ઉપલ닍ધ છે. ફોન કરો 1- 800-665-3086 (TTY: 711).

Kru(Bassa language) Dè ɖɛ nìà kɛ dyéɖé gbo: Ɔ jǔ ké m̀ [Ɓàsɔ́ɔ̀-wùɖù-po-nyɔ̀] jǔ ní, nìí, à wuɖu kà kò ɖò po-poɔ̀ ɓɛ́ìn m̀ gbo kpáa. Ɖá 1-800-665-3086 (TTY:711) Ibo Ige nti: O buru na asu Ibo asusu, enyemaka diri gi site na call 1-800-665-3086 (TTY: 711). Yoruba AKIYESI: Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o. E pe ero ibanisoro yi 1-800-665-3086 (TTY: 711).

Laotian ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ້າພາສາ ລາວ, ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-800-665-3086 (TTY: 711).

Navajo

Nepali शु쥍क 셂पमा उपल녍ध छ ।ﴃध्यान दिनुहोस:् तपार्इंले नेपाली बो쥍नुहुन्छ भने तपार्इंको ननम्तत भाषा सहायता सेवाह셂 नन फोन गनुहु ोस ्1-800-665-3086 (दिदिवार्इ: 711) ।

Y0050_17_4036_203_LRMultiLang Accepted 9/5/2016 4722669MED0916

Panjabi ਚ ਸਹਾਇਤਾ ਸੇਵਾ ਤੁਹਾਡੇ ਲਈ ਮੁਫਤ ਉਪਲਬਿ ਹੈ। 1-800-665-3086ﹱਧਿਆਨ ਧਿਓ: ਜੇ ਤੁਸੀਂ ਪੰਜਾਬੀ ਬੋਲਿੇ ਹੋ, ਤਾਂ ਭਾਸ਼ਾ ਧਵ (TTY: 711) 'ਤੇ ਕਾਲ ਕਰੋ।

Pennsylvania Dutch Wann du [Deitsch (Pennsylvania German / Dutch)] schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: Call 1-800-665-3086 (TTY: 711).

Romanian ATENȚIE: Dacă vorbiți limba română, vă stau la dispoziție servicii de asistență lingvistică, gratuit. Sunați la 1-800-665-3086 (TTY: 711).

Serbo-Croatian OBAVJEŠTENJE: Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno. Nazovite 1-800-665-3086 (TTY- Telefon za osobe sa oštećenim govorom ili sluhom: 711).

Syriac (Assyrian language) ܲ ܲ ܵ ܵ ܲ ܵ ܵ ܵ ܲ ܲ ܲ ܲ ܲ ܵ ܵ ܲ ܵ ܵ ܵ ܲ ܲ ܲ ܲ ܵ ܵ ܙ ܼܘܗܪܐ: ܸܐܢ ܼܐܚܬܘܢ ܹܟܐ ܼܗܡ ܸܙܡ ܼܝܬܘܢ ܸܠܫܢܐ ܐܬܘܪ ܵܝܐ، ܡܨ ܼܝܬܘܢ ܕ ܼܩܒܠ ܼܝܬܘܢ ܸܚܠ ܼܡ ܹܬܐ ܕ ܼܗ ܼܲܝܪܬܐ ܒ ܸܠܫܢܐ ܼܡܓܢܐ ܼܝܬ. ܩܪܘܢ ܼܥܠ ܵ 1-800-665-3086 (TTY: 711) ܐܢܝܵ ܢܡܸ Thai เรียน: ถา้ คุณพดู ภาษาไทยคุณสามารถใชบ้ ริการช่วยเหลือทางภาษาไดฟ้ รี โทร 1-800-665-3086 (TTY: 711).

Tongan FAKATOKANGA’I: Kapau ‘oku ke Lea-Fakatonga, ko e kau tokoni fakatonu lea ‘oku nau fai atu ha tokoni ta’etotongi, pea teke lava ‘o ma’u ia. Telefoni mai 1-800-665-3086 (TTY: 711).

Ukrainian УВАГА! Якщо ви розмовляєте українською мовою, ви можете звернутися до безкоштовної служби мовної підтримки. Телефонуйте за номером 1-800-665-3086 (телетайп: 711).

Urdu خبردار: اگر آپ اردو بولتے ہیں، تو آپ کو زبان کی مدد کی خدمات مفت میں دستیاب ہیں ۔ کال کريں (TTY: 711) 3086-665-800-1

Y0050_17_4036_203_LRMultiLang Accepted 9/5/2016 4722669MED0916 Molina Medicare Options Plus HMO SNP Plan Provider Directory

This directory is current as of September 4, 2018. This directory provides a list of Molina Medicare Options Plus' current network providers. This directory is for the State of Utah in the counties of Box Elder, Cache, Davis, Iron, Salt Lake, Tooele, Utah, Washington and Weber.

To access Molina Medicare Options Plus' online provider directory, you can visit www.MolinaHealthcare.com/Medicare. For any questions about the information contained in this directory (hardcopy or online), please call our Member Service Department at (888) 665- 1328, 7 days a week, 8 a.m. to 8 p.m., local time. TTY users should call 711. Molina Medicare Options Plus HMO SNP is a Health Plan with a Medicare Contract and a contract with the state Medicaid program. Enrollment in Molina Medicare Options Plus depends on contract renewal.

This information is available in other formats, such as Braille, large print, and audio.

The provider network may change at any time. You will receive notice when necessary.

Y0050_18_1080_67_NM_LRProvPharmDir

i Section 1 – Introduction

This directory provides a list of Molina Medicare Options Plus' network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage.

Network providers such as healthcare professionals, medical groups, hospitals and other types of providers have been contracted with Molina Medicare Options Plus to provide you with covered services. You may utilize this directory to help you select a Primary Care Provider, Specialist, Hospital, Skilled Nursing Facility, Outpatient Mental Health Provider and/or Pharmacy.

Choosing your Primary Care Provider (PCP)

Your provider can be a physician, nurse practitioner, or other health care professional who meets state requirements and is trained to give you basic medical care. Health professionals are eligible to provide services as PCPs in our Plan when they practice in the areas of family medicine, general practice, geriatrics, internal medicine, nurse assistant, nurse practitioner or obstetrics/gynecology.

You will have to choose one of our network providers listed in this directory to be your Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. A PCP has a contract with Molina Medicare Options Plus to deliver primary care services to members.

Your PCP is responsible for all your routine health care services; therefore it is important for you to call your PCP first with any health concerns. Selecting a PCP is up to you. Your relationship with your PCP is an important one. We strongly recommend that you choose a PCP close to home. Having your PCP nearby makes receiving medical care easier through developing a trusting and open relationship with your PCP.

If there is a particular specialist or hospital that you want to use, check first to be sure that your PCP can make referrals to that specialist or uses that hospital. A specialist is a provider who renders health care services for a specific disease or part of the body. There are many kinds of specialists such as oncologists who treat patients for cancer; cardiologists who care for patients with heart conditions; and orthopedists who care for patients with certain bone, joint, or muscle conditions.

If you discover any errors in this directory, please call Member Services so that we can correct the issue and assist you with selecting a new PCP.

How to change your PCP?

You may change your PCP for any reason, at any time. To change your PCP, simply call Member Services at (888) 665-1328, 7 days a week, 8 a.m. to 8 p.m., local time. TTY users should call 711.

When you call, be sure to tell Member Services if you are seeing specialists or getting other covered services that needed your PCP’s approval (such as home health services and durable

ii medical equipment). Member Services will help make sure that you can continue with the specialty care and other services you have been getting when you change to a new PCP. They will also check to be sure that the PCP you want to switch to is accepting new patients. Sometimes a doctor, specialist, clinic, or other network provider that you are using might leave the Plan. If this happens, you will have to switch to another provider who is part of the Molina Medicare Options Plus plan. If your PCP leaves Molina Medicare Options Plus, we will let you know and help you switch to another PCP so that you can continue to receive covered services. Member Services will change your membership record to show the name of your new PCP, and will tell you when the change will take effect. They will also send you a new membership card that shows the name and phone number of your new PCP.

Getting care from your PCP

Your PCP will provide, arrange, and/or coordinate all your routine medical care. You are encouraged to develop a close relationship with your PCP. Your PCP will get to know you as an individual, become acquainted with your medical history, and assist in developing a health care program to fit your lifestyle and medical needs. Your PCP will provide most of your care and will help you arrange or coordinate laboratory tests, x-rays, therapies, specialty care, hospital admissions, and follow-up care. Except for emergency services or as stated elsewhere in the Evidence of Coverage, services and supplies obtained without an advance referral from your PCP will not be covered under your Plan.

Getting care from specialists and other network providers

Routine medical care will be provided by your PCP. During the course of treatment, your PCP may decide that you need specialized treatment and give you a “referral” (approval in advance) to see a network specialist.

Molina Medicare Options Plus maintains a network of specialty providers to care for its Members. A referral from your PCP is required (unless otherwise allowed – i.e. women’s health services, etc.) to receive specialty services; however, no prior authorization is required when your PCP refers you to a network provider.

The network providers listed in this directory have agreed to provide you with your health care services. You may go to any of our network providers listed in this directory. However, some services may require a referral.

Each PCP has certain network specialists they use for referrals. The Molina Medicare Options Plus specialists you can use may depend on which PCP you choose. If there are specific specialists you want to use, find out whether your PCP refers patients to these specialists.

You can change your PCP at any time if you want to see a network specialist that your current PCP does not refer to. If you want to change your PCP, simply call Member Services.

iii If there are specific hospitals you wish to use, find out whether your PCP uses these hospitals.

It is very important to get a referral from your PCP before you see a network specialist or certain other providers (there are a few exceptions, but not limited to the following: physical exams and women’s preventive healthcare). If you don’t have a referral before you get services from a specialist, you may have to pay for these services yourself.

If you have been going to one network provider, you are not required to continue to go to that same provider. In some cases, you may get covered services from non-network providers.

If you have any questions about whether we will pay for any medical service or care that you are considering, you have the right to ask us whether we will cover it before you get the service or care.

At times, your PCP may request a service that is unavailable or not provided within your network. Your PCP may need to get approval ahead of time from Molina Medicare Options Plus to authorize this type of specialty referral. This process is called “prior authorization.” If you have questions or concerns about a prior authorization, you may call Member Services.

Out-Of-Network Provider Bills

If you receive a bill from an out-of-network provider do not pay this bill, please submit the bill to Molina Medicare Options Plus for processing and determination of your liability, if any.

Getting care if you have a medical emergency or an urgent need for care

A “medical emergency” is when you believe that your health is in serious danger. A medical emergency includes severe pain, a bad injury, a sudden illness, or a medical condition that is quickly getting much worse. You may get covered emergency medical care whenever you need, anywhere in the United States. Call 911 for help or go to the nearest emergency room, hospital, or urgent care center. You don’t need to get approval or a referral first from your doctor or other network provider.

“Urgent Care” is when you need medical help for an unforeseen illness, injury, or condition, but your health is not in serious danger. If you have a pressing, non-emergency medical need while in the service area call your PCP first. If they are not available, look in this Provider Directory for an urgent care center. You generally must use network providers (refer to the Evidence of Coverage). If, while temporarily outside the Plan’s service area, you require urgently needed care, then you may get this care from any provider. In addition, when out of the service area you can obtain dialysis treatment from any qualified dialysis provider.

Getting care when traveling outside the Plan’s service area

If you need care when you are outside the service area, your health care coverage is limited. The only services covered when you are outside the service area is care for a medical emergency, including urgently needed care, renal dialysis (kidney), and care that Molina Medicare Options

iv Plus or a network provider has approved in advance. For Molina Medicare Options Plus there is no coverage when traveling outside the country except in limited areas.

If you have questions whether a service is covered when you travel, please call Member Services.

You must use network providers except in emergency or urgent care situations or for out-of-area renal dialysis or other services. If you obtain routine care from out-of-network providers, neither Medicare nor Molina Medicare Options Plus will be responsible for the costs.

What is the service area for Molina Medicare Options Plus? The counties in our service area are listed below. Our service area includes these counties: Box Elder, Cache, Davis, Iron, Salt Lake, Tooele, Utah, Washington and Weber.

How do you find Molina Medicare Options Plus providers in your area?

When you enroll in Molina Medicare Options Plus plan, you must choose a PCP to provide your basic medical care and to coordinate your care. You may find a PCP close to where you live by locating your county, city, zip code, provider type, and providers in alphabetical format.

If you have questions about Molina Medicare Options Plus or require assistance in selecting a PCP, please call our Member Service Department at (888) 665-1328, 7 days a week, 8 a.m. to 8 p.m., local time. TTY users should call 711. You can also visit www.MolinaHealthcare.com/Medicare.

v Molina Medicare Options Plus HMO SNP Plan Directorio de proveedores

Este directorio se actualizó el 4.o de septiembre del 2018. Este directorio proporciona una lista actualizada de los proveedores dentro de la red de Molina Medicare Options Plus. Este directorio es para el estado de Utah en los condados de Box Elder, Cache, Davis, Iron, Salt Lake, Tooele, Utah, Washington y Weber.

Para acceso al directorio de proveedores en línea de Molina Medicare Options Plus visite www.MolinaHealthcare.com/Medicare. Si tiene alguna pregunta acerca de la información contenida en este directorio (impreso o en línea), por favor llame a nuestro Departamento de Servicios para Miembros al (888) 665-1328, los 7 días de la semana, de 8:00 a. m. a 8:00 p. m., hora local. Los usuarios de TTY deben llamar al 711. Molina Medicare Options Plus HMO SNP es un plan de salud con un contrato con Medicare y un contrato con el programa estatal de Medicaid. La inscripción en Molina Medicare Options Plus depende de la renovación del contrato.

Esta información está disponible en otros formatos, que incluyen braille, letra grande y audio. La red de proveedores puede cambiar en cualquier momento. Usted recibirá notificación cuando sea necesario.

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vi Sección 1 – Introducción

Este directorio proporciona una lista de los proveedores dentro de la red de Molina Medicare Options Plus. Para obtener información detallada acerca de su cobertura médica, por favor consulte su "Evidencia de cobertura".

Los proveedores de la red tal como profesionales de salud, grupos médicos, hospitales y otros tipos de proveedores de salud que están contratados con Molina Medicare Options Plus para proveerle los servicios que están cubiertos. Usted puede usar este directorio para ayudarle a seleccionar un proveedor de atención primaria, especialista, hospital, centro de enfermería especializada, proveedores de salud mental ambulatorio o farmacia.

Cómo seleccionar su proveedor de atención médica primaria (PCP)

Su proveedor puede ser un médico, enfermero especializado u otro profesional médico que cumple con requisitos estatales y está capacitado para brindarle atención médica básica. Los profesionales médicos son elegibles para proveer servicios como un PCP en nuestro plan de salud cuando practican las especialidades de medicina de familia, medicina general, geriatría, medicina interna, auxiliar de enfermería, enfermera especializada o tocoginecología.

Usted tendrá que elegir uno de nuestros proveedores de la red que aparece en este directorio para ser su Proveedor de Atención Primaria (PCP, por sus siglas en inglés). En general, usted debe recibir servicios médicos de su PCP. Un PCP tiene un contrato con Molina Medicare Options Plus para brindar los servicios de atención médica primaria a los miembros. Todos los proveedores tienen acceso a intérpretes por teléfono.

Su PCP será responsable de todos sus servicios médicos rutinarios. Por lo tanto, si tiene alguna inquietud relacionada con la salud, consulte primero a su proveedor. Usted tiene la opción de seleccionar un PCP. Su relación con su PCP es importante. Le recomendamos encarecidamente que elija un PCP cerca de su casa. Tener a su PCP de atención primaria cerca facilita la atención médica por medio del desarrollo de una relación más confiable y abierta.

Si hay un especialista u hospital en particular que usted desea utilizar, primero verifique si su PCP puede ordenar una remisión a ese especialista u hospital. Un especialista es un proveedor que presta servicios de atención médica para una enfermedad particular o parte del cuerpo. Existen varios tipos de especialistas, como oncólogos que tratan a pacientes con cáncer; cardiólogos que atienden a pacientes con condiciones del corazón; y ortopedistas que tratan a pacientes con ciertos tipos de condiciones de los huesos, articulaciones y músculos.

Llame al Departamento de Servicios para Miembros si usted encuentra algún error en este directorio, y así darnos la oportunidad de corregir el problema y ayudarle a seleccionar un nuevo PCP.

vii ¿Cómo puede cambiar su PCP?

Puede cambiar de PCP por cualquier razón y en cualquier momento. Para cambiar su PCP, simplemente llame al Departamento de Servicios para Miembros al (888) 665-1328 los 7 días de la semana, de 8:00 a. m. a 8:00 p. m., hora local. Los usuarios de TTY deben llamar al 711.

Cuando llame, asegúrese de informar al Departamento de Servicios para Miembros si usted está consultando especialistas o si está recibiendo otros servicios cubiertos que necesitan la aprobación de su PCP (como los servicios de atención médica domiciliaria y equipo médico duradero). El Departamento de Servicios para Miembros le puede ayudar a asegurar que usted continúe recibiendo atención especializada y otros servicios que usted ha estado recibiendo cuando cambie a un nuevo PCP. También verificarán que el PCP al que quiere cambiarse está aceptando nuevos pacientes. En ocasiones un médico, especialista, clínica u otro proveedor de la red que usted está utilizando podría dejar de participar en el plan de salud. Si esto ocurre, usted tendrá que cambiarse a otro proveedor que participe en el plan de Molina Medicare Options Plus. Si su PCP abandona Molina Medicare Options Plus, nosotros se lo informaremos y le ayudaremos a cambiar a otro PCP para que usted pueda continuar recibiendo los servicios cubiertos. El Departamento de Servicios para Miembros cambiará su registro de membresía para indicar el nombre de su nuevo PCP y le informará cuándo el cambio entrará en vigor. También le enviarán una nueva tarjeta de membresía que indica el nombre y número de teléfono de su nuevo PCP.

Cómo recibir atención médica de su PCP

Su PCP proporcionará, ordenará y coordinará toda su atención médica de rutina. Se le recomienda que desarrolle una relación de confianza con su PCP. Su PCP llegará a conocerlo personalmente, se familiarizará con su historia médica y le ayudará a desarrollar un programa de salud que se adapte a su estilo de vida y sus necesidades médicas. Su PCP le brindará la mayor parte de su atención médica y le ayudará a organizar y coordinar: análisis de laboratorio, radiografías, terapias, atención especializada, ingresos al hospital y atención de seguimiento. Exceptuando los servicios de emergencia o como se indique en otra parte de la Evidencia de Cobertura, los servicios y suministros obtenidos sin una remisión por adelantado de su PCP no estarán cubiertos bajo su plan.

Cómo obtener atención médica de especialistas y otros proveedores dentro de la red

Su PCP le brindará atención médica de rutina. Durante el tratamiento, es posible que su PCP decida que usted necesita un tratamiento especializado y le dé una "remisión" (autorización previa) para consultar con un especialista de la red.

Molina Medicare Options Plus mantiene una red de proveedores especializados para atender a sus miembros. Se necesita una remisión de parte de su PCP (a menos que esté permitido - por ejemplo, servicios de salud femenina, etc.) para recibir servicios especializados; sin embargo, no necesita autorización previa cuando su PCP lo remite a un proveedor dentro la red.

viii Los proveedores de la red que aparecen en este directorio han acordado brindarle servicios de atención médica. Puede acudir a cualquiera de nuestros proveedores de la red enumerados en este directorio. Sin embargo, algunos servicios pueden requerir una remisión.

Cada PCP tiene ciertos especialistas de la red que utiliza para hacer remisiones. Los especialistas de Molina Medicare Options Plus que usted puede utilizar dependerán del PCP que usted elija. Si hay especialistas específicos que usted quiera utilizar, averigüe si su PCP remite a sus pacientes a dichos especialistas.

Usted puede cambiar su PCP en cualquier momento si quiere consultar a un especialista de la red al cual su PCP actual no pueda remitirlo. Si usted quiere cambiar de PCP, solo tiene que llamar al Departamento de Servicios para Miembros.

Si usted desea utilizar hospitales específicos, verifique si su PCP trabaja con dichos hospitales.

Es muy importante que obtenga una remisión de su PCP antes de visitar a un especialista de la red o ciertos otros proveedores (existen algunas excepciones, pero sin limitarse a las siguientes: exámenes físicos y atención médica preventiva para la mujer). Si no obtiene una remisión antes de recibir servicios de un especialista, es posible que usted mismo tenga que pagar por estos servicios.

Si usted ha estado consultando a un proveedor de la red, no se requiere que continúe con el mismo proveedor. En algunos casos, es posible que reciba servicios cubiertos con proveedores fuera de la red.

Si usted tiene alguna duda sobre si pagaremos algún servicio o atención médica que está considerando, tiene derecho a preguntar si lo cubriremos antes de recibir tal servicio o atención médica.

En ocasiones, su PCP puede solicitar un servicio que no está disponible o que no se proporciona dentro de su red. Es posible que su PCP necesite obtener una aprobación por adelantado de Molina Medicare Options Plus para autorizar este tipo de remisión a una especialidad. Este proceso se denomina "autorización previa". Si usted tiene preguntas o preocupaciones acerca de una autorización previa, puede comunicarse al Departamento de Servicios para Miembros.

Facturas si usted usa proveedores fuera de la red

Si usted recibe una factura de un proveedor fuera de la red, no pague esta factura. Envíe la factura a Molina Medicare Options Plus para procesamiento y determinación de su responsabilidad, si existe alguna.

ix Cómo obtener atención médica si tiene una emergencia médica o una necesidad de atención urgente

Una "emergencia médica" existe cuando usted cree que su salud está en serio peligro. Una emergencia médica incluye un dolor intenso, lesión grave, una enfermedad repentina o una condición médica que empeora rápidamente. Usted puede recibir cobertura para atención médica de emergencia cuando la necesite y en cualquier parte de los Estados Unidos. Llame al 911 para obtener ayuda o acuda a la sala de emergencias, hospital o centro de atención urgente más cercano. No es necesario que primero obtenga una autorización o remisión de su médico u otro proveedor de la red.

La "atención médica urgente" es necesaria cuando necesita ayuda médica con una enfermedad, lesión o condición inesperada, pero su salud no está en serio peligro. Si tiene una necesidad médica apremiante pero no de emergencia, mientras que está en el área de servicio, primero llame a su PCP. Si este no está disponible, consulte este Directorio de proveedores para localizar un centro de cuidado urgente. Generalmente debe recurrir a los proveedores de la red (consulte su "Evidencia de cobertura"). Si se encuentra temporalmente fuera del área de servicio del plan y necesita atención médica urgente, puede recibir esta atención de cualquier proveedor. Además, cuando se encuentre fuera del área de servicio, puede obtener tratamiento de diálisis con cualquier proveedor de diálisis calificado.

Cómo recibir atención médica cuando viaja fuera del área de servicio del plan

Si necesita atención médica cuando está fuera del área de servicio, su cobertura médica está limitada. Los únicos servicios cubiertos cuando se encuentra fuera del área de servicio es la atención para una emergencia médica, incluyendo la atención médica urgente, diálisis renal (riñones) y la atención que Molina Medicare Options Plus o un proveedor de la red haya aprobado por adelantado. Molina Medicare Options Plus no ofrece cobertura al viajar fuera del país, salvo en áreas limitadas.

Si tiene preguntas si un servicio está cubierto mientras está de viaje, por favor llame al Departamento de Servicios para Miembros.

Usted debe utilizar proveedores de la red, salvo en una emergencia o situación de cuidado urgente o para diálisis renal u otros servicios fuera del área. Si usted recibe atención médica de rutina de proveedores fuera de la red, ni Medicare ni Molina Medicare Options Plus será responsable de los costos.

¿Cuál es el área de servicio de Molina Medicare Options Plus?

Los condados en nuestra área de servicio están indicados a continuación. Nuestra área de servicio incluye estos condados: Box Elder, Cache, Davis, Iron, Salt Lake, Tooele, Utah, Washington y Weber.

x ¿Cómo puede encontrar proveedores de Molina Medicare Options Plus en su área?

Cuando se inscribe en el plan de Molina Medicare Options Plus, debe elegir un PCP para proporcionar y coordinar su atención médica básica. Usted puede encontrar un PCP cerca de donde vive conforme a su condado, ciudad, código postal, tipo de proveedor y proveedores de salud en orden alfabética.

Si tiene preguntas acerca de Molina Medicare Options Plus o si necesita ayuda para elegir un PCP, comuníquese al Departamento de Servicios para Miembros al (888) 665-1328, los 7 días de la semana, de 8:00 a. m. a 8:00 p. m., hora local. Los usuarios de TTY deben llamar al 711. También puede visitar www.MolinaHealthcare.com/Medicare.

xi Section 2 - List of Network Providers / Sección 2 – Lista de los proveedores de la red Primary Care Providers/Médicos de Cuidados Proveedores Total count / Cuenta total: 2171

Box Elder Ballingham, David PA ~* Boyer, Ben NP ~* Gardner, Ricky MD ~* Physician Assistant Family Nurse Practitioner Family Medicine Brigham City NPI: 1821216722 NPI: 1477703338 NPI: 1588892954 84302 Box Elder Community Box Elder Community Ihc Box Elder Clinic - Health Center Health Center - Brigham Brigham City Adams, Michael MD ~* 5 West 200 North City 1050 South 500 West Family Medicine Brigham City, UT 84302 5 West 200 North Brigham City, UT 84302 NPI: 1922005347 (435) 723-7999 Brigham City, UT 84302 (435) 695-2700 Box Elder Community Spanish (435) 723-7999 Russian Health Center Spanish 5 West 200 North Ballingham, David PA ~* Gibson, Natalie NP ~* Brigham City, UT 84302 Physician Assistant Carr, Ryan PA ~* Family Nurse Practitioner (435) 723-7999 NPI: 1821216722 Physician Assistant NPI: 1528419330 Italian Box Elder Community NPI: 1134418049 Box Elder Community Health Center - Brigham Box Elder Community Health Center Adams, Michael MD ~* City Health Center 5 West 200 North Family Medicine 5 West 200 North 5 West 200 North Brigham City, UT 84302 NPI: 1922005347 Brigham City, UT 84302 Brigham City, UT 84302 (435) 723-7999 Box Elder Community (435) 723-7999 (435) 723-7999 Health Center - Brigham Spanish Vietnamese Gibson, Natalie NP ~* City Family Nurse Practitioner 5 West 200 North Barker, Lance MD ~* Carr, Ryan PA ~* NPI: 1528419330 Brigham City, UT 84302 Family Medicine Physician Assistant Box Elder Community (435) 723-7999 NPI: 1801089214 NPI: 1134418049 Health Center - Brigham Italian Medical Arts Center Clinic Box Elder Community City - Brigham City Health Center - Brigham 5 West 200 North Allen, Lindee NP ~* 984 Medical Dr Ste 1 City Brigham City, UT 84302 Family Nurse Practitioner Brigham City, UT 84302 5 West 200 North (435) 723-7999 NPI: 1194038489 (435) 723-5248 Brigham City, UT 84302 Brigham Medical Clinic - Mandarin (435) 723-7999 Gibson Morales, Brigham City Vietnamese Christina NP ~* 600 West Hospital Rd Beard, Lynn MD ~* Family Nurse Practitioner Brigham City, UT 84302 Internal Medicine Dalton, Tara PA ~* NPI: 1750781753 (435) 734-2041 NPI: 1679502801 Physician Assistant, Family Perry Family Medicine Llc Medical Arts Center Clinic Medicine - Brigham City Bailey, Stanton MD ~* - Brigham City NPI: 1770579146 1030 South Medical Dr Ste Obstetrics & Gynecology 984 Medical Dr Ste 1 Box Elder Community A NPI: 1407873011 Brigham City, UT 84302 Health Center Brigham City, UT 84302 Brigham Center For (435) 723-5248 5 West 200 North (435) 723-4500 Womens Health - Brigham French Brigham City, UT 84302 Spanish City (435) 723-7999 984 South Medical Dr Ste Boyer, Ben NP ~* Hyldahl, Douglas MD ~* 4 Family Nurse Practitioner Fonnesbeck, Brant DO ~* Family Medicine Brigham City, UT 84302 NPI: 1477703338 Family Medicine NPI: 1083624555 (435) 723-0329 Box Elder Community NPI: 1033156849 Box Elder Community Dutch, Turkish Health Center Box Elder Community Health Center 5 West 200 North Health Center 5 West 200 North Brigham City, UT 84302 5 West 200 North Brigham City, UT 84302 (435) 723-7999 Brigham City, UT 84302 (435) 723-7999 Spanish (435) 723-7999

~ Accepting new patients/Aceptando a nuevos pacientes * Accepts Medicaid/Acepta Medicaid ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

1 Primary Care Providers / Médicos de Cuidados Proveedores Box Elder County continued / Condado seguido

Lee, Suzanne MD ~* Nielsen Jr, Florin MD ~* Ward, Cori NP ~ Dalton, Tara PA ~* Family Medicine Obstetrics & Gynecology Family Nurse Practitioner Physician Assistant, Family NPI: 1962660969 NPI: 1508811639 NPI: 1518132216 Medicine Utah Farm Workers Box Elder Community Utah Behavior Services - NPI: 1770579146 Health (Migrant) - Health Center Brigham City Bear River Medical Arts Pc Brigham City 5 West 200 North 35 Skyline Dr Ste 103 - Garland 980 South 500 West Ste 1 Brigham City, UT 84302 Brigham City, UT 84302 300 West 1400 South Brigham City, UT 84302 (435) 723-7999 (801) 255-5131 Garland, UT 84312 (435) 723-8276 (435) 257-2469 Spanish Shaw, Michael MD ~* Weeks-Juber, Jessica Family Medicine PA ~* Schow, Jan MD ~* Lish, Jeffrey MD ~* NPI: 1235161936 Physician Assistant Family Medicine Family Medicine Medical Arts Center Clinic NPI: 1184981938 NPI: 1215922919 NPI: 1003848797 - Brigham City Box Elder Community Bear River Medical Arts Pc Medical Arts Center Clinic 984 Medical Dr Ste 1 Health Center - Garland - Brigham City Brigham City, UT 84302 5 West 200 North 300 West 1400 South 984 Medical Dr Ste 1 (435) 723-5248 Brigham City, UT 84302 Garland, UT 84312 Brigham City, UT 84302 Spanish (435) 723-7999 (435) 257-2469 (435) 723-5248 German Skates, Andrea NP ~* Wilding, David MD ~* Walker, Douglas DO ~* Family Nurse Practitioner Internal Medicine Family Medicine Markeson, John MD ~* NPI: 1972990828 NPI: 1740391226 NPI: 1821095142 Internal Medicine Box Elder Community Brigham Medical Clinic - Douglas C Walker Do Pc - NPI: 1861503419 Health Center - Brigham Brigham City Garland Brigham Internal Medicine City 600 West Hospital Rd 300 West 1400 South - Brigham City 5 West 200 North Brigham City, UT 84302 Garland, UT 84312 950 South Medical Dr Ste Brigham City, UT 84302 (435) 734-2041 (435) 257-3684 106 (435) 723-7999 Spanish Brigham City, UT 84302 Tremonton (435) 279-0488 Starr, Jeremy DO ~* Wilding, Gregg MD ~* Family Medicine Family Medicine 84337 Martin, Colby PA ~* NPI: 1699876987 NPI: 1881705424 Evans, Mary NP ~* Physician Assistant, Family Box Elder Community Brigham Medical Clinic - Family Nurse Practitioner Medicine Health Center Brigham City NPI: 1538592142 NPI: 1982033098 5 West 200 North 600 West Hospital Rd Ihc Bear River Family Box Elder Community Brigham City, UT 84302 Brigham City, UT 84302 Medicine - Tremonton Health Center (435) 723-7999 (435) 734-2041 935 North 1000 West 5 West 200 North Tremonton, UT 84337 Brigham City, UT 84302 Taylor, James MD ~* Garland (435) 207-4800 (435) 723-7999 Family Medicine Spanish NPI: 1215048335 84312 Gardner, Jonathan Brigham Medical Clinic - Bywater, Kelsey NP ~* MD ~* Miller, Todd MD ~* Brigham City Family Nurse Practitioner Family Medicine Family Medicine 600 West Hospital Rd NPI: 1629508403 NPI: 1154600922 NPI: 1780877191 Brigham City, UT 84302 Douglas C Walker Do Pc - Ihc Bear River Family Ihc Box Elder Clinic - (435) 734-2041 Garland Medicine - Tremonton Brigham City 300 West 1400 South 935 North 1000 West 1050 South 500 West Garland, UT 84312 Tremonton, UT 84337 Brigham City, UT 84302 (435) 257-3684 (435) 207-4800 (435) 695-2700 Japanese

2 Primary Care Providers / Médicos de Cuidados Proveedores Box Elder County continued / Condado seguido

Gardner, Ricky MD ~* Lofgran, Brian MD ~* Thomas, Stephanie Love, Kreg MD ~* Family Medicine Family Medicine MD ~* Family Medicine NPI: 1588892954 NPI: 1558518845 Family Medicine NPI: 1710123575 Ihc Bear River Family Bear River Hospital - NPI: 1043520489 Ihc North Cache Valley Medicine - Tremonton Service Ihc Bear River Family Instacare - Hyde Park 935 North 1000 West 905 North 1000 West Medicine - Tremonton 4088 North Hwy 91 Tremonton, UT 84337 Tremonton, UT 84337 935 North 1000 West Hyde Park, UT 84318 (435) 207-4800 (435) 257-7441 Tremonton, UT 84337 (435) 563-4888 Russian Portugese (435) 207-4800 Spanish Hyrum Harris, Marcus DO ~* Merrell, Chad MD ~* Family Medicine Family Medicine Cache 84319 NPI: 1336377472 NPI: 1730176512 Adams, Michael MD ~* Ihc Bear River Family Ihc Bear River Family Hyde Park Family Medicine Medicine - Tremonton Medicine - Tremonton 84318 NPI: 1922005347 935 North 1000 West 935 North 1000 West Cache Valley Community Tremonton, UT 84337 Tremonton, UT 84337 Avery, D MD ~* Health Center - South (435) 207-4800 (435) 207-4800 Family Medicine 26 West Main St Ste 3A NPI: 1780698316 Hyrum, UT 84319 Hughes, Melanie NP ~ Merrell, Rodney MD ~* Ihc North Cache Valley (435) 245-6988 Family Nurse Practitioner Family Medicine Clinic - Hyde Park Italian NPI: 1417945023 NPI: 1932196771 4088 North Hwy 91 Ihc Bear River Family Ihc Bear River Family Hyde Park, UT 84318 Adams, Michael MD ~* Medicine - Tremonton Medicine - Tremonton (435) 563-4900 Family Medicine 935 North 1000 West 935 North 1000 West German NPI: 1922005347 Tremonton, UT 84337 Tremonton, UT 84337 Cache Valley Community (435) 207-4800 (435) 207-4800 Harris, Gary MD ~* Health Center South - Japanese Family Medicine Hyrum Hunt, Wilson PA ~* NPI: 1154330462 26 West Main St Ste 3A Physician Assistant Redd, Edward MD ~* Ihc North Cache Valley Hyrum, UT 84319 NPI: 1871503201 Internal Medicine Clinic - Hyde Park (435) 245-6988 Ihc Bear River Family NPI: 1578597647 4088 North Hwy 91 Italian Medicine - Tremonton Bear River Clinic - Hyde Park, UT 84318 935 North 1000 West Tremonton (435) 563-4900 Ballingham, David PA ~* Tremonton, UT 84337 440 West 600 North Physician Assistant (435) 207-4800 Tremonton, UT 84337 Howard, Dnell NP ~* NPI: 1821216722 (844) 248-4110 Family Nurse Practitioner Cache Valley Community Kottsick, Summer NP ~* Portugese, Spanish NPI: 1326077934 Health Center - South Family Nurse Practitioner Ihc North Cache Valley 26 West Main St Ste 3A NPI: 1720473390 Seale, Benjamin PA ~* Clinic - Hyde Park Hyrum, UT 84319 Ihc Bear River Family Physician Assistant, Family 4088 North Hwy 91 (435) 245-6988 Medicine - Tremonton Medicine Hyde Park, UT 84318 Spanish 935 North 1000 West NPI: 1073994810 (435) 563-4900 Tremonton, UT 84337 Ihc Bear River Family Spanish Ballingham, David PA ~* (435) 207-4800 Medicine - Tremonton Physician Assistant 935 North 1000 West Love, Kreg MD ~* NPI: 1821216722 Tremonton, UT 84337 Family Medicine Cache Valley Community (435) 207-4800 NPI: 1710123575 Health Center South - Ihc North Cache Valley Hyrum Clinic - Hyde Park 26 West Main St Ste 3A 4088 North Hwy 91 Hyrum, UT 84319 Hyde Park, UT 84318 (435) 245-6988 (435) 563-4900 Spanish

3 Primary Care Providers / Médicos de Cuidados Proveedores Cache County continued / Condado seguido

Boyer, Ben NP ~* Fonnesbeck, Brant DO ~* Martin, Colby PA ~* Skates, Andrea NP ~* Family Nurse Practitioner Family Medicine Physician Assistant, Family Family Nurse Practitioner NPI: 1477703338 NPI: 1033156849 Medicine NPI: 1972990828 Cache Valley Community Cache Valley Community NPI: 1982033098 Cache Valley Community Health Center - South Health Center - South Cache Valley Community Health Center - South 26 West Main St Ste 3A 26 West Main St Ste 3A Health Center - South 26 West Main St Ste 3A Hyrum, UT 84319 Hyrum, UT 84319 26 West Main St Ste 3A Hyrum, UT 84319 (435) 245-6988 (435) 245-6988 Hyrum, UT 84319 (435) 245-6988 Spanish (435) 245-6988 Gibson, Natalie NP ~* Spanish Skates, Andrea NP ~* Boyer, Ben NP ~* Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner NPI: 1528419330 Martin, Colby PA ~* NPI: 1972990828 NPI: 1477703338 Cache Valley Community Physician Assistant, Family Cache Valley Community Cache Valley Community Health Center - South Medicine Health Center South - Health Center South - 26 West Main St Ste 3A NPI: 1982033098 Hyrum Hyrum Hyrum, UT 84319 Cache Valley Community 26 West Main St Ste 3A 26 West Main St Ste 3A (435) 245-6988 Health Center South - Hyrum, UT 84319 Hyrum, UT 84319 Hyrum (435) 245-6988 (435) 245-6988 Gibson, Natalie NP ~* 26 West Main St Ste 3A Spanish Family Nurse Practitioner Hyrum, UT 84319 Starr, Jeremy DO ~* NPI: 1528419330 (435) 245-6988 Family Medicine Carr, Ryan PA ~* Cache Valley Community Spanish NPI: 1699876987 Physician Assistant Health Center South - Cache Valley Community NPI: 1134418049 Hyrum Nielsen Jr, Florin MD ~* Health Center - South Cache Valley Community 26 West Main St Ste 3A Obstetrics & Gynecology 26 West Main St Ste 3A Health Center - South Hyrum, UT 84319 NPI: 1508811639 Hyrum, UT 84319 26 West Main St Ste 3A (435) 245-6988 Cache Valley Community (435) 245-6988 Hyrum, UT 84319 Health Center - South (435) 245-6988 Goble, Deserae MD ~* 26 West Main St Ste 3A Weeks-Juber, Jessica Vietnamese Family Medicine Hyrum, UT 84319 PA ~* NPI: 1366415770 (435) 245-6988 Physician Assistant Carr, Ryan PA ~* South Point Medical - NPI: 1184981938 Physician Assistant Hyrum Nielsen Jr, Florin MD ~* Cache Valley Community NPI: 1134418049 26 West Center Ste 3A Obstetrics & Gynecology Health Center - South Cache Valley Community Hyrum, UT 84319 NPI: 1508811639 26 West Main St Ste 3A Health Center South - (435) 245-3232 Cache Valley Community Hyrum, UT 84319 Hyrum Health Center South - (435) 245-6988 26 West Main St Ste 3A Hyldahl, Douglas MD ~* Hyrum Hyrum, UT 84319 Family Medicine 26 West Main St Ste 3A Logan (435) 245-6988 NPI: 1083624555 Hyrum, UT 84319 Vietnamese Cache Valley Community (435) 245-6988 84321 Health Center - South Adams, Michael MD ~* Dalton, Tara PA ~* 26 West Main St Ste 3A Robertson, Glenn MD ~* Family Medicine Physician Assistant, Family Hyrum, UT 84319 Family Medicine NPI: 1922005347 Medicine (435) 245-6988 NPI: 1144281122 Cache Valley Community NPI: 1770579146 Cache Valley Community Health Center - 944 South Cache Valley Community Health Center South - 944 South State Hwy 89 Health Center - South Hyrum Logan, UT 84321 26 West Main St Ste 3A 26 West Main St Ste 3A (435) 755-6075 Hyrum, UT 84319 Hyrum, UT 84319 Italian (435) 245-6988 (435) 245-6988 Spanish

4 Primary Care Providers / Médicos de Cuidados Proveedores Cache County continued / Condado seguido

Adams, Michael MD ~* Boyer, Ben NP ~* Clark, Thomas MD ~* Hyldahl, Douglas MD ~* Family Medicine Family Nurse Practitioner Family Medicine Family Medicine NPI: 1922005347 NPI: 1477703338 NPI: 1295741114 NPI: 1083624555 Cache Valley Community Cache Valley Community Ihc Logan Clinic - Logan Cache Valley Community Health Center - Logan Health Center - Logan 412 North 200 East Health Center - 944 South 944 South State Hwy 89 944 South State Hwy 89 Logan, UT 84321 944 South State Hwy 89 Logan, UT 84321 Logan, UT 84321 (435) 713-2800 Logan, UT 84321 (435) 755-6075 (435) 755-6075 Portugese, Spanish (435) 755-6075 Italian Spanish Dalton, Tara PA ~* Hyldahl, Douglas MD ~* Anderson, Jacob NP ~* Carlson, Brian MD ~* Physician Assistant, Family Family Medicine Family Nurse Practitioner Family Medicine Medicine NPI: 1083624555 NPI: 1316329220 NPI: 1760498687 NPI: 1770579146 Ihc Logan Clinic - Logan Sterling Urgent Care Ihc Logan Clinic - Logan Cache Valley Community 412 North 200 East 1201 South Main St Ste 412 North 200 East Health Center - 944 South Logan, UT 84321 110 Logan, UT 84321 944 South State Hwy 89 (435) 713-2800 Logan, UT 84321 (435) 713-2800 Logan, UT 84321 (435) 787-8504 (435) 755-6075 Johnson, Nicole NP ~* Carr, Ryan PA ~* Women's Health Nurse Ballingham, David PA ~* Physician Assistant Fonnesbeck, Brant DO ~* Practitioner Physician Assistant NPI: 1134418049 Family Medicine NPI: 1336484286 NPI: 1821216722 Cache Valley Community NPI: 1033156849 Planned Parenthood Cache Valley Community Health Center - 944 South Cache Valley Community Association - Logan Health Center - 944 South 944 South State Hwy 89 Health Center - 944 South 550 North Main Street Ste 944 South State Hwy 89 Logan, UT 84321 944 South State Hwy 89 117 Logan, UT 84321 (435) 755-6075 Logan, UT 84321 Logan, UT 84321 (435) 755-6075 Vietnamese (435) 755-6075 (435) 753-0724 Spanish Carr, Ryan PA ~* Gibson, Natalie NP ~* Love, Kreg MD ~* Ballingham, David PA ~* Physician Assistant Family Nurse Practitioner Family Medicine Physician Assistant NPI: 1134418049 NPI: 1528419330 NPI: 1710123575 NPI: 1821216722 Cache Valley Community Cache Valley Community Ihc Logan Instacare - Cache Valley Community Health Center - Logan Health Center - 944 South Logan Health Center - Logan 944 South State Hwy 89 944 South State Hwy 89 412 North 200 East 944 South State Hwy 89 Logan, UT 84321 Logan, UT 84321 Logan, UT 84321 Logan, UT 84321 (435) 755-6075 (435) 755-6075 (435) 713-2710 (435) 755-6075 Vietnamese Spanish Gibson, Natalie NP ~* Martin, Colby PA ~* Child, Curtis NP ~ Family Nurse Practitioner Physician Assistant, Family Boyer, Ben NP ~* Family Nurse Practitioner NPI: 1528419330 Medicine Family Nurse Practitioner NPI: 1144327099 Cache Valley Community NPI: 1982033098 NPI: 1477703338 Bear River Mental Health - Health Center - Logan Cache Valley Community Cache Valley Community Logan 944 South State Hwy 89 Health Center - 944 South Health Center - 944 South 90 East 200 North Logan, UT 84321 944 South State Hwy 89 944 South State Hwy 89 Logan, UT 84321 (435) 755-6075 Logan, UT 84321 Logan, UT 84321 (435) 752-0750 (435) 755-6075 (435) 755-6075 Goates, Brad MD ~* Spanish Spanish Family Medicine NPI: 1396942785 Ihc Logan Clinic - Logan 412 North 200 East Logan, UT 84321 (435) 713-2800

5 Primary Care Providers / Médicos de Cuidados Proveedores Cache County continued / Condado seguido

Martin, Colby PA ~* Robertson, Glenn MD ~* Weeks-Juber, Jessica Boyer, Ben NP ~* Physician Assistant, Family Family Medicine PA ~* Family Nurse Practitioner Medicine NPI: 1144281122 Physician Assistant NPI: 1477703338 NPI: 1982033098 Cache Valley Community NPI: 1184981938 Cache Valley Community Cache Valley Community Health Center - Logan Cache Valley Community Health Center - North Health Center - Logan 944 South State Hwy 89 Health Center - 944 South 1515 North 400 East Ste 944 South State Hwy 89 Logan, UT 84321 944 South State Hwy 89 104 Logan, UT 84321 (435) 755-6075 Logan, UT 84321 Logan, UT 84341 (435) 755-6075 Spanish (435) 755-6075 (435) 755-6061 Spanish Spanish Skates, Andrea NP ~* 84341 Morgan, Christopher Family Nurse Practitioner Adams, Michael MD ~* Call, Nathan MD ~* NP ~* NPI: 1972990828 Family Medicine Family Medicine Family Nurse Practitioner Cache Valley Community NPI: 1922005347 NPI: 1104830884 NPI: 1245550268 Health Center - 944 South Cache Valley Community Ihc Budge Clinic Family Mountain View Urgent 944 South State Hwy 89 Health Center - North Medicine - Logan Care & Family Medicine - Logan, UT 84321 1515 North 400 East Ste 1350 North 500 East Logan (435) 755-6075 104 Logan, UT 84341 1201 South Main St Ste 1 Logan, UT 84341 (435) 716-1150 Logan, UT 84321 Skates, Andrea NP ~* (435) 755-6061 (435) 787-8504 Family Nurse Practitioner Italian Carr, Ryan PA ~* Spanish NPI: 1972990828 Physician Assistant Cache Valley Community Ahlstrom, Jon MD ~* NPI: 1134418049 Nielsen Jr, Florin MD ~* Health Center - Logan Obstetrics & Gynecology Cache Valley Community Obstetrics & Gynecology 944 South State Hwy 89 NPI: 1437146065 Health Center - North NPI: 1508811639 Logan, UT 84321 Jon W Ahlstrom Md - 1515 North 400 East Ste Cache Valley Community (435) 755-6075 Logan 104 Health Center - 944 South 550 East 1400 North Ste I Logan, UT 84341 944 South State Hwy 89 Starr, Jeremy DO ~* Logan, UT 84341 (435) 755-6061 Logan, UT 84321 Family Medicine (435) 753-1545 Vietnamese (435) 755-6075 NPI: 1699876987 Spanish Cache Valley Community Chambers, Bradley Nielsen Jr, Florin MD ~* Health Center - 944 South Anderson, Jacob NP ~* DO ~* Obstetrics & Gynecology 944 South State Hwy 89 Family Nurse Practitioner Internal Medicine NPI: 1508811639 Logan, UT 84321 NPI: 1316329220 NPI: 1376838326 Cache Valley Community (435) 755-6075 Sterling Physician Group Ihc Budge Clinic Internal Health Center - Logan Pllc - Logan Medicine - Logan 944 South State Hwy 89 Turok, David MD ~* 630 East 1400 North Ste 1350 North 500 East Logan, UT 84321 Obstetrics & Gynecology 150 Logan, UT 84341 (435) 755-6075 NPI: 1568449379 Logan, UT 84341 (435) 792-1980 Planned Parenthood (435) 915-4465 Rifleman, Kurt MD ~* Association - Logan Costa, Timothy MD ~* Family Medicine 550 North Main Street Ste Ballingham, David PA ~* Internal Medicine NPI: 1780682567 117 Physician Assistant NPI: 1265586093 Midtown Community Logan, UT 84321 NPI: 1821216722 Mountainstar Medical Health Center - Logan (435) 753-0724 Cache Valley Community Group Cache Valley Llc - 272 1/2 North Main St Spanish Health Center - North Logan Logan, UT 84321 1515 North 400 East Ste 2380 North 400 East Ste A (435) 752-7060 104 Logan, UT 84341 Spanish Logan, UT 84341 (435) 713-1300 (435) 755-6061 Spanish

6 Primary Care Providers / Médicos de Cuidados Proveedores Cache County continued / Condado seguido

Dalton, Tara PA ~* Goble, Deserae MD ~* Hyldahl, Douglas MD ~* Nielsen Jr, Florin MD ~* Physician Assistant, Family Family Medicine Family Medicine Obstetrics & Gynecology Medicine NPI: 1366415770 NPI: 1083624555 NPI: 1508811639 NPI: 1770579146 Gateway Medical - Logan Cache Valley Community Cache Valley Community Cache Valley Community 2380 North 400 East Ste A Health Center - North Health Center - North Health Center - North Logan, UT 84341 1515 North 400 East Ste 1515 North 400 East Ste 1515 North 400 East Ste (435) 713-1300 104 104 104 Logan, UT 84341 Logan, UT 84341 Logan, UT 84341 Goble, Deserae MD ~* (435) 755-6061 (435) 755-6061 (435) 755-6061 Family Medicine NPI: 1366415770 Isaacson, Bruce MD ~* Salisbury, Steven MD ~* Faux, David MD ~* Mountainstar Medical Family Medicine, Internal Medicine Internal Medicine Group Cache Valley Llc - Obstetrics NPI: 1235191495 NPI: 1427268366 Logan NPI: 1881762649 Steven S Salisbury Md - Ihc Budge Clinic Internal 2380 North 400 East Ste A Bruce A Isaacson Md Pc - Logan Medicine - Logan Logan, UT 84341 Logan 1300 North 500 East Ste 1350 North 500 East (435) 713-1300 550 East 1400 North Ste Z 370 Logan, UT 84341 Logan, UT 84341 Logan, UT 84341 (435) 792-1980 Harris, Marcus DO ~* (435) 755-5799 (435) 755-2100 Family Medicine Japanese Fonnesbeck, Brant DO ~* NPI: 1336377472 Martin, Colby PA ~* Family Medicine Ihc Budge Clinic Family Physician Assistant, Family Schmidt, Paul DO ~* NPI: 1033156849 Medicine - Logan Medicine Internal Medicine Cache Valley Community 1350 North 500 East NPI: 1982033098 NPI: 1598992570 Health Center - North Logan, UT 84341 Cache Valley Community Ihc Budge Clinic Internal 1515 North 400 East Ste (435) 716-1150 Health Center North - Medicine - Logan 104 North Logan 1350 North 500 East Logan, UT 84341 Horsley, Ernest DO ~* 1515 North 400 East Ste Logan, UT 84341 (435) 755-6061 Obstetrics & Gynecology 104 (435) 792-1980 NPI: 1003826439 Logan, UT 84341 Francis, Michael DO ~* Ernest Brett Horsley Do - (435) 755-6061 Skates, Andrea NP ~* Internal Medicine Logan Spanish Family Nurse Practitioner NPI: 1104093996 1350 North 500 East NPI: 1972990828 Ihc Budge Clinic Internal Logan, UT 84341 Martin, Colby PA ~* Cache Valley Community Medicine - Logan (435) 792-1967 Physician Assistant, Family Health Center - North 1350 North 500 East Portugese, Spanish Medicine 1515 North 400 East Ste Logan, UT 84341 NPI: 1982033098 104 (435) 792-1980 Huffman, Jeffrey MD ~* Cache Valley Community Logan, UT 84341 French Internal Medicine Health Center - North (435) 755-6061 NPI: 1760492219 1515 North 400 East Ste Gibson, Natalie NP ~* Ihc Budge Clinic Internal 104 Smith, Kaye NP ~* Family Nurse Practitioner Medicine - Logan Logan, UT 84341 Family Nurse Practitioner NPI: 1528419330 1350 North 500 East (435) 755-6061 NPI: 1922491430 Cache Valley Community Logan, UT 84341 Spanish Ihc Budge Clinic Internal Health Center - North (435) 792-1980 Medicine - Logan 1515 North 400 East Ste Nash, Robert MD ~* 1350 North 500 East 104 Internal Medicine Logan, UT 84341 Logan, UT 84341 NPI: 1033129523 (435) 792-1980 (435) 755-6061 Ihc Budge Clinic Internal Medicine - Logan 1350 North 500 East Logan, UT 84341 (435) 792-1980

7 Primary Care Providers / Médicos de Cuidados Proveedores Cache County continued / Condado seguido

Smith, Kaye NP ~* Wallace, Seth MD ~* Broadhurst, Jeremy Jenkins, Jonathan MD ~ Family Nurse Practitioner Family Medicine DO ~* Family Medicine NPI: 1922491430 NPI: 1245441971 Family Medicine NPI: 1760745475 Ihc Budge Clinic Ob/Gyn - Ihc Budge Clinic Medical NPI: 1114115664 Ihc South Cache Valley Logan Specialists - Logan Ihc South Cache Valley Clinic - Providence 1400 North 500 East 1350 North 500 East Clinic - Providence 190 South Hwy 165 Logan, UT 84341 Logan, UT 84341 190 South Hwy 165 Providence, UT 84332 (435) 716-1920 (435) 716-1980 Providence, UT 84332 (435) 755-3300 (435) 755-3300 Smith, Kaye NP ~* Weeks-Juber, Jessica Spanish Mathews, James DO ~* Family Nurse Practitioner PA ~* Family Medicine NPI: 1922491430 Physician Assistant Carlson, Vera MD ~* NPI: 1518113216 Ihc Budge Clinic Pediatrics NPI: 1184981938 Family Medicine James Dennis Mathews Do - Logan Cache Valley Community NPI: 1023095585 - Providence 1350 North 500 East Health Center - North Peachtree Family Medicine 382 West 280 North Logan, UT 84341 1515 North 400 East Ste Pc - Providence Providence, UT 84332 (435) 792-1940 104 169 North Gateway Dr Ste (435) 752-0330 Logan, UT 84341 170 German Starr, Jeremy DO ~* (435) 755-6061 Providence, UT 84332 Family Medicine (435) 752-5553 Mathews, James DO ~* NPI: 1699876987 Welter, Matthew MD ~* Japanese, Russian Family Medicine Cache Valley Community Family Medicine NPI: 1518113216 Health Center - North NPI: 1164486064 Duke, Kevin DO ~* Mountainstar Medical 1515 North 400 East Ste Mountainstar Medical Family Medicine Group - Cache Valley 104 Group Cache Valley Llc - NPI: 1003882713 382 West 280 North Logan, UT 84341 Logan Mountainstar Medical Providence, UT 84332 (435) 755-6061 2380 North 400 East Ste A Group - Cache Valley (435) 752-0330 Logan, UT 84341 382 West 280 North German Stones, Michael MD ~* (435) 713-1300 Providence, UT 84332 Internal Medicine (435) 752-0330 Patterson, Robert MD ~* NPI: 1689684094 Providence Spanish Family Medicine Ihc Budge Clinic Internal NPI: 1578545109 Medicine - Logan 84332 Duke, Kevin DO ~* Ihc South Cache Valley 1350 North 500 East Avery, D MD ~* Family Medicine Clinic - Providence Logan, UT 84341 Family Medicine NPI: 1003882713 190 South Hwy 165 (435) 792-1980 NPI: 1780698316 Providence Family Providence, UT 84332 Ihc South Cache Valley Medicine - Providence 3 (435) 755-3300 Szpunar, Agnieszka Clinic - Providence 382 West 280 North MD ~* 190 South Hwy 165 Providence, UT 84332 Smith, Brent MD ~ Internal Medicine Providence, UT 84332 (435) 752-0330 Family Medicine NPI: 1033216858 (435) 755-3300 Spanish NPI: 1174546691 Ihc Budge Clinic Internal German Ihc South Cache Valley Medicine - Logan Goble, Deserae MD ~* Clinic - Providence 1350 North 500 East Bergeson, Lars MD ~* Family Medicine 190 South Hwy 165 Logan, UT 84341 Family Medicine NPI: 1366415770 Providence, UT 84332 (435) 792-1980 NPI: 1497721195 Deserae J. Goble Md Pc - (435) 755-3300 Polish Mountainstar Medical Providence Group - Cache Valley 286 North Gateway Dr Ste 382 West 280 North 201 Providence, UT 84332 Providence, UT 84332 (435) 752-0330 (435) 363-7853

8 Primary Care Providers / Médicos de Cuidados Proveedores Cache County continued / Condado seguido

Stevens, Richard MD ~* Orians, Mary NP ~* Christian, Grant MD ~* Foster, Carla MD ~* Family Medicine Family Nurse Practitioner Internal Medicine Family Medicine NPI: 1790739449 NPI: 1093741449 NPI: 1073671442 NPI: 1841237005 Mountainstar Medical Mary E Orians Fnp Llc - Grant L Christian Md Facp Rocky Mountain Family Group - Cache Valley Smithfield - Bountiful Practice Llc - Bountiful 382 West 280 North 1177 South Main St 425 Medical Dr Ste 118 1512 South Renaissance Providence, UT 84332 Smithfield, UT 84335 Bountiful, UT 84010 Towne Dr (435) 752-0330 (435) 563-6367 (801) 292-1422 Bountiful, UT 84010 Spanish (801) 295-6483 Davis Christian, Mark MD ~* Stevens, Richard MD ~* Family Medicine Freestone, Allen MD ~* Family Medicine Bountiful NPI: 1184688533 Family Medicine NPI: 1790739449 84010 Ogden Clinic - Cope NPI: 1801850755 Providence Family Family Medicine Wade Family Medicine - Medicine - Providence Beckstead, Scott DO ~ 185 South 400 East Ste 100 Bountiful 382 West 280 North Family Medicine Bountiful, UT 84010 557 West 2600 South Providence, UT 84332 NPI: 1508810854 (801) 397-6200 Bountiful, UT 84010 (435) 752-0330 Ihc Bountiful Clinic - Spanish (801) 298-9155 Spanish Bountiful Spanish 390 North Main St Cope, David MD ~* Thomas, Stephanie Bountiful, UT 84010 Family Medicine Hanna, Allison DO ~* MD ~* (801) 294-1000 NPI: 1285698241 Family Medicine Family Medicine Portugese Ogden Clinic - Cope NPI: 1003080409 NPI: 1043520489 Family Medicine Wade Family Medicine - Ihc South Cache Valley Bickel, Tyler MD ~ 185 South 400 East Ste 100 Bountiful Clinic - Providence Internal Medicine Bountiful, UT 84010 557 West 2600 South 190 South Hwy 165 NPI: 1861717837 (801) 397-6200 Bountiful, UT 84010 Providence, UT 84332 Ihc Bountiful Clinic - (801) 298-9155 (435) 755-3300 Bountiful Dantis-Tan, Minerva Spanish 390 North Main St NP ~ Hazzard, Sandra NP ~* Bountiful, UT 84010 Family Nurse Practitioner Women's Health Nurse Washburn, Jesse DO ~* (801) 294-1000 NPI: 1164715124 Practitioner Family Medicine Nephrology Associates - NPI: 1689001216 NPI: 1861789356 Blackburn, Celia MD ~ Wood Cross Ogden Clinic - Bountiful 2 Ihc South Cache Valley Family Medicine 572 West 750 South 620 East Medical Dr Ste Clinic - Providence NPI: 1205873478 Bountiful, UT 84010 150 190 South Hwy 165 Ihc Bountiful Clinic - (801) 288-2634 Bountiful, UT 84010 Providence, UT 84332 Bountiful Tagalog (801) 298-4112 (435) 755-3300 390 North Main St Bountiful, UT 84010 Erickson, Scott MD ~* Hodo, Laura MD ~* Smithfield (801) 294-1000 Family Medicine Family Medicine NPI: 1780681775 NPI: 1922013325 84335 Christian, Grant MD ~* Scott A Erickson Md Pc - General Pediatrics - Sdch Brown, Todd MD ~ Internal Medicine Bountiful 401 South 400 East Family Medicine NPI: 1073671442 440 South Medical Dr Ste Bountiful, UT 84010 NPI: 1992765531 Bountiful Internal 4 (801) 295-2361 Todd A Brown Md Pc - Medicine - Bountiful Bountiful, UT 84010 Spanish Smithfield 520 Medical Dr Ste 300 (801) 294-8288 291 South Main St Ste C Bountiful, UT 84010 Spanish Smithfield, UT 84335 (801) 292-1422 (435) 563-6211

9 Primary Care Providers / Médicos de Cuidados Proveedores Davis County continued / Condado seguido

Horsley, David MD ~ Merrell, Stephen MD ~ Rodgers, Brian DO ~* Steely, June MD ~ Internal Medicine Family Medicine Family Medicine Internal Medicine NPI: 1750320552 NPI: 1003174129 NPI: 1629008065 NPI: 1891733374 Ihc Bountiful Clinic - Ihc Bountiful Clinic - Bountiful Family Ihc Bountiful Clinic - Bountiful Bountiful Healthcare - Bountiful Bountiful 390 North Main St 390 North Main St 425 Medical Dr Ste 205 390 North Main St Bountiful, UT 84010 Bountiful, UT 84010 Bountiful, UT 84010 Bountiful, UT 84010 (801) 294-1000 (801) 294-1000 (801) 298-3812 (801) 294-1000 Spanish French, Other, Jensen, Joseph MD * Non-English Van Staden, Gavin MD ~* Internal Medicine Muscolino, Gina MD ~* Family Medicine NPI: 1710996707 Obstetrics & Gynecology Sandberg, Rebecca NP ~* NPI: 1841380433 Joseph D Jensen Md Pc - NPI: 1194825117 Family Nurse Practitioner Woodmead Medical Clinic Bountiful Lakeview Obgyn - NPI: 1982668414 - Bountiful 425 Medical Dr Ste 116 Bountiful Ogden Clinic - Cope 3263 South Hwy 89 Ste Bountiful, UT 84010 620 East Medical Dr Ste Family Medicine 300 (801) 292-7250 340 185 South 400 East Ste 100 Bountiful, UT 84010 Bountiful, UT 84010 Bountiful, UT 84010 (801) 213-3200 Kasteler, Douglas MD ~ (801) 299-2229 (801) 397-6200 Family Medicine Spanish Vande Merwe, David NPI: 1659313583 Severn, Ernest DO ~* MD ~ Ihc Bountiful Clinic - Pead, William MD ~* Family Medicine Family Medicine Bountiful Obstetrics & Gynecology NPI: 1326080847 NPI: 1003859547 390 North Main St NPI: 1639103252 Davis Medical Group Ihc Bountiful Clinic - Bountiful, UT 84010 William G Pead Md - 386 North Main St Bountiful (801) 294-1000 Bountiful Bountiful, UT 84010 390 North Main St Spanish 390 North Main St (801) 927-3099 Bountiful, UT 84010 Bountiful, UT 84010 (801) 294-1000 Kernan, Ashley MD ~ (801) 397-6600 Smith, Maureen NP ~ Family Medicine Family Nurse Practitioner Wade, Ralph DO * NPI: 1346558517 Peterson, Bryce MD ~* NPI: 1730111311 Family Medicine Ihc Bountiful Clinic - Family Medicine Nephrology Associates - NPI: 1447256953 Bountiful NPI: 1932417300 Wood Cross Wade Family Medicine - 390 North Main St Ogden Clinic - Cope 572 West 750 South Bountiful Bountiful, UT 84010 Family Medicine Bountiful, UT 84010 557 West 2600 South (801) 294-1000 185 South 400 East Ste 100 (801) 288-2634 Bountiful, UT 84010 Bountiful, UT 84010 (801) 298-9155 Knowlton, Alisa MD ~ (801) 397-6200 Southworth, Scott MD ~* Family Medicine Internal Medicine Ward, Raymond MD * NPI: 1124073556 Pozniak, Sarah MD ~ NPI: 1972602910 Family Medicine Ihc Bountiful Clinic - Internal Medicine Lakeview Internal NPI: 1043273386 Bountiful NPI: 1316383151 Medicine And Surgery Ogden Clinic - Cope 390 North Main St Ihc Bountiful Clinic - 520 East Medical Dr Ste Family Medicine Bountiful, UT 84010 Bountiful 200 185 South 400 East Ste 100 (801) 294-1000 390 North Main St Bountiful, UT 84010 Bountiful, UT 84010 Bountiful, UT 84010 (801) 294-9333 (801) 397-6200 (801) 294-1000 Spanish

10 Primary Care Providers / Médicos de Cuidados Proveedores Davis County continued / Condado seguido

Warren, Steven MD ~* Arrington, Sara NP ~* Durtschi, Ronald MD ~* Julien, Craig MD ~* Family Medicine Family Nurse Practitioner Family Medicine Family Medicine NPI: 1366421729 NPI: 1093960668 NPI: 1780063313 NPI: 1245340173 Steven E Warren Md Pc Llc Legacy Point Family Legacy Point Family Legacy Point Family - Bountiful Medicine Center - West Medicine Center - Medicine Center - West 4790 Hidden Lake Dr Point Clearfield Point Bountiful, UT 84010 3110 West 300 North Ste 81 North 2000 West F-2 3110 West 300 North Ste (801) 652-8613 A Clearfield, UT 84015 A Clearfield, UT 84015 (801) 614-5143 Clearfield, UT 84015 Williams, Tyler MD ~ (801) 614-5140 (801) 614-5140 Internal Medicine Spanish Ericksen, Corey DO ~ NPI: 1073798377 Family Medicine Monroy, Carissa MD ~* Ihc Bountiful Clinic - Astle, Nelson MD * NPI: 1912003922 Family Medicine Bountiful Family Medicine Westside Medical Clinic - NPI: 1760610349 390 North Main St NPI: 1548366552 Clinton Midtown Community Bountiful, UT 84010 Westside Medical Clinic - 1477 North 2000 West Ste Health Center - Clearfield (801) 294-1000 Clinton C 22 South State St Ste 1007 1477 North 2000 West Ste Clearfield, UT 84015 Clearfield, UT 84015 Centerville C (801) 774-8888 (801) 393-5355 Clearfield, UT 84015 Spanish Spanish 84014 (801) 774-8888 White, Charles MD ~* Spanish Gregoire, Richard MD ~* Sprague, Brittany NP ~* Family Medicine Family Medicine Family Nurse Practitioner NPI: 1366486805 Breen, Annamarie NP ~ NPI: 1528066149 NPI: 1912427584 Uuhc Centerville Health Family Nurse Practitioner Midtown Community Legacy Point Family Center NPI: 1720442775 Health Center - Clearfield Medicine Center - 26 South Main Street Legacy Point Family 22 South State St Ste 1007 Clearfield Centerville, UT 84014 Medicine Center - Clearfield, UT 84015 81 North 2000 West F-2 (801) 213-8844 Clearfield (801) 393-5355 Clearfield, UT 84015 81 North 2000 West F-2 Spanish (801) 614-5143 Clearfield Clearfield, UT 84015 (801) 614-5143 Hogan, Eric DO ~* Farmington 84015 Family Medicine Arrington, Sara NP ~* Breen, Annamarie NP ~ NPI: 1669769451 84025 Family Nurse Practitioner Family Nurse Practitioner Westside Medical Clinic - Blaser, Brett DO ~* NPI: 1093960668 NPI: 1720442775 Clinton Family Medicine Heart And Soul Family Westside Medical Clinic - 1477 North 2000 West Ste NPI: 1538471313 Medicine - Clearfield Clinton C Mountain Star Medical 3110 West 300 North Ste 1477 North 2000 West Ste Clearfield, UT 84015 Group - Farmington A C (801) 774-8888 140 North Union Ave Ste Clearfield, UT 84015 Clearfield, UT 84015 Spanish F 300 (801) 393-8224 (801) 774-8888 Farmington, UT 84025 Spanish Jorgensen, Mark MD ~ (801) 299-3890 Dixon, Tyler DO ~ Family Medicine Family Medicine NPI: 1407083710 Breen, Annamarie NP ~ NPI: 1144339904 Westside Medical Clinic - Family Nurse Practitioner Westside Medical Clinic - Clinton NPI: 1720442775 Clinton 1477 North 2000 West Ste Pgu - Farmington Family 1477 North 2000 West Ste C Medicine - Farmington C Clearfield, UT 84015 1401 North 1075 West Ste Clearfield, UT 84015 (801) 774-8888 220 (801) 774-8888 Spanish Farmington, UT 84025 Portugese, Spanish (801) 451-4538

11 Primary Care Providers / Médicos de Cuidados Proveedores Davis County continued / Condado seguido

Broadbent, Daniel MD * Spencer, Neil MD ~* Ferrin, Tricia DO ~ Nelson, Chadd DO ~* Family Medicine Obstetrics & Gynecology Family Medicine Internal Medicine NPI: 1699901231 NPI: 1225032949 NPI: 1588736292 NPI: 1619904679 Ogden Clinic - Farmington Shepard Creek Ob/Gyn Pc - Ihc Kaysville Creekside Tanner Memorial Clinic - 991 West Shepard Ln Ste Farmington Clinic - Kaysville Kaysville 210 670 West Shepard Ln Ste 435 North Main St 380 North 400 West Farmington, UT 84025 103 Kaysville, UT 84037 Kaysville, UT 84037 (801) 397-6080 Farmington, UT 84025 (801) 498-6000 (801) 773-4840 Spanish (801) 447-3377 Fife, Jason DO ~* Potter, Steven MD ~* Byrd, Amanda NP ~* Kaysville Family Medicine Family Medicine Family Nurse Practitioner NPI: 1790761740 NPI: 1407922446 NPI: 1316399306 84037 Tanner Memorial Clinic - Ihc Kaysville Creekside Pgu - Farmington Family Breen, Annamarie NP ~ Kaysville Clinic - Kaysville Medicine - Farmington Family Nurse Practitioner 380 North 400 West 435 North Main St 1401 North 1075 West Ste NPI: 1720442775 Kaysville, UT 84037 Kaysville, UT 84037 220 Davis Medical Group - (801) 773-4840 (801) 498-6000 Farmington, UT 84025 Kaysville Spanish (801) 451-4538 349 North Flint St Ste 101 Greaves, Kimberly NP ~ Kaysville, UT 84037 Family Nurse Practitioner Potter, Steven MD ~* Chappell, Daniel DO ~* (801) 927-3080 NPI: 1285818898 Family Medicine Family Medicine Ihc Kaysville Creekside NPI: 1407922446 NPI: 1235440157 Child, Dustin MD ~* Clinic - Kaysville Kaysville Family Medicine Ogden Clinic - Farmington Family Medicine 435 North Main St Pc - Kaysville 991 West Shepard Ln Ste NPI: 1013941228 Kaysville, UT 84037 307 North 300 West Ste 210 Tanner Memorial Clinic - (801) 498-6000 301 Farmington, UT 84025 Kaysville Kaysville, UT 84037 (801) 397-6080 380 North 400 West Kamalu, Layne MD * (801) 543-2221 French Kaysville, UT 84037 Family Medicine Spanish (801) 773-4840 NPI: 1104987916 Hibbard, Julie MD ~* Spanish Kaysville Clinic Llc - Preece, Landon MD ~ Family Medicine Layton Family Medicine NPI: 1457312845 Cooper, Susan NP ~* 120 South Main St NPI: 1063701654 Pgu - Farmington Family Family Nurse Practitioner Kaysville, UT 84037 Ihc Kaysville Creekside Medicine - Farmington NPI: 1396270021 (801) 544-4227 Clinic - Kaysville 1401 North 1075 West Ste Davis Medical Group - 435 North Main St 220 Kaysville Kirkham, Michael MD ~* Kaysville, UT 84037 Farmington, UT 84025 349 North Flint St Ste 101 Family Medicine (801) 498-6000 (801) 451-4538 Kaysville, UT 84037 NPI: 1861478638 Spanish (801) 927-3080 Tanner Memorial Clinic - Jenkins, Hans DO ~* Kaysville Root, Aubrianne NP ~* Family Medicine Enz, Tatha NP ~* 380 North 400 West Family Nurse Practitioner NPI: 1316932866 Family Nurse Practitioner Kaysville, UT 84037 NPI: 1922513001 Orn Industries, Llc - NPI: 1225549793 (801) 773-4840 Tanner Memorial Clinic - Farmington Tanner Memorial Clinic - Japanese Kaysville 722 West Shepard Ln Ste Kaysville 380 North 400 West 102 380 North 400 West Lenthe, Mark DO ~* Kaysville, UT 84037 Farmington, UT 84025 Kaysville, UT 84037 Family Medicine (801) 773-4840 (385) 988-3965 (801) 773-4840 NPI: 1831188358 Tanner Memorial Clinic - Kaysville 380 North 400 West Kaysville, UT 84037 (801) 773-4840

12 Primary Care Providers / Médicos de Cuidados Proveedores Davis County continued / Condado seguido

Schaelling, Michael Hemmersmeier, John Moulton, Scott DO ~* Wheelwright, Steven MD ~* MD ~* Internal Medicine DO ~* Family Medicine Family Medicine NPI: 1811141211 Obstetrics & Gynecology NPI: 1861478737 NPI: 1073582995 Layton Specialty Clinic NPI: 1124386701 Tanner Memorial Clinic - East Layton Medical Clinic 2950 North Church St Ste Tanner Memorial Clinic - Kaysville - Layton 101 A Layton 2 380 North 400 West 2950 North Church St Ste Layton, UT 84040 1750 East 3100 North Kaysville, UT 84037 200 (801) 771-7202 Layton, UT 84040 (801) 773-4840 Layton, UT 84040 (801) 773-4840 French (801) 771-7700 Stelter, Casey MD ~* Korean Family Medicine Stewart, Ryan MD ~* Herold, Richard MD ~* NPI: 1073607222 Whittier, Cassie MD ~* Family Medicine Internal Medicine East Layton Medical Clinic Family Medicine NPI: 1649207606 NPI: 1891799318 - Layton NPI: 1992084768 Tanner Memorial Clinic - Layton Specialty Clinic 2950 North Church St Ste Tanner Memorial Clinic - Kaysville 2950 North Church St Ste 200 Layton 2 380 North 400 West 101 A Layton, UT 84040 1750 East 3100 North Kaysville, UT 84037 Layton, UT 84040 (801) 771-7700 Layton, UT 84040 (801) 773-4840 (801) 771-7202 German (801) 773-4840 French, Spanish Spanish Hibbard, Julie MD ~* Stelter, Casey MD ~* Yeates, Michael MD ~* Family Medicine Family Medicine 84041 Family Medicine NPI: 1457312845 NPI: 1073607222 Aardema, Critt MD ~* NPI: 1336394410 Tanner Memorial Clinic - Layton Family Practice - Family Medicine Tanner Memorial Clinic - Layton 2 Layton NPI: 1891003265 Kaysville 1750 East 3100 North 2950 North Church St Ste Tanner Memorial Clinic - 380 North 400 West Layton, UT 84040 200 Layton Kaysville, UT 84037 (801) 773-4840 Layton, UT 84040 2121 North 1700 West (801) 773-4840 (801) 546-9441 Layton, UT 84041 Kirkham, Mark MD ~* German (801) 773-4840 Layton Family Medicine Portugese, Spanish 84040 NPI: 1689650459 Thurston, Mckennan Tanner Memorial Clinic - MD ~* Al-Rayess, Khaldoun Deremer, Kathleen Layton 2 Family Medicine MD ~* MD ~* 1750 East 3100 North NPI: 1194088856 Internal Medicine Internal Medicine Layton, UT 84040 Tanner Memorial Clinic - NPI: 1003808122 NPI: 1437267192 (801) 773-4840 Layton 2 Davis Endocrinology And Layton Specialty Clinic Japanese 1750 East 3100 North Diabetes Llc - Layton 2950 North Church St Ste Layton, UT 84040 1492 West Antelope Dr Ste 101 A Morris, Jared DO ~* (801) 773-4840 115 Layton, UT 84040 Family Medicine Spanish Layton, UT 84041 (801) 771-7202 NPI: 1992952287 (801) 776-8080 Tanner Memorial Clinic - Weeks, Jonathan MD ~* Arabic Farnsworth, David Layton 2 Family Medicine MD ~* 1750 East 3100 North NPI: 1649364803 Family Medicine Layton, UT 84040 Layton Family Practice - NPI: 1750434577 (801) 773-4840 Layton Tanner Memorial Clinic - 2950 North Church St Ste Layton 2 200 1750 East 3100 North Layton, UT 84040 Layton, UT 84040 (801) 546-9441 (801) 773-4840 Spanish German, Polish

13 Primary Care Providers / Médicos de Cuidados Proveedores Davis County continued / Condado seguido

Al-Rayess, Khaldoun Arogyasami, Susan Biddulph, Glen MD ~* Bledsoe, James DO ~* MD ~* MD ~* Internal Medicine Family Medicine Internal Medicine Obstetrics & Gynecology NPI: 1518999275 NPI: 1669467544 NPI: 1003808122 NPI: 1346474764 Tanner Memorial Clinic - Tanner Memorial Clinic - Tanner Memorial Clinic - Rocky Mountain Womens Layton Layton Al Rayess Clinic Health Center - Layton 2121 North 1700 West 2121 North 1700 West 1492 West Antelope Dr Ste 1580 West Antelope Dr Ste Layton, UT 84041 Layton, UT 84041 115 290 (801) 773-4840 (801) 773-4840 Layton, UT 84041 Layton, UT 84041 Spanish (801) 776-8080 (801) 776-0880 Bingham, Sheryl NP ~* Arabic Spanish Family Nurse Practitioner Boheen, Karen DO ~* NPI: 1689181018 Obstetrics & Gynecology Allred, Michael MD * Barker, Layne MD ~* Ogden Clinic - Davis NPI: 1467452383 Family Medicine Family Medicine Family Physicians Antelope Womens Center - NPI: 1811973829 NPI: 1992781918 3225 West Gordon Ave Ste Layton Tanner Memorial Clinic - Tanner Memorial Clinic - 1 2132 North 1700 West Ste Layton Layton Layton, UT 84041 300 2121 North 1700 West 2121 North 1700 West (801) 397-6150 Layton, UT 84041 Layton, UT 84041 Layton, UT 84041 (801) 728-0600 (801) 773-4840 (801) 773-4840 Bingham, Sheryl NP ~* French, Spanish Family Nurse Practitioner Broadbent, Daniel MD * Anderson, Marc MD ~* NPI: 1689181018 Family Medicine Family Medicine Barney, Douglas MD ~* Ogden Clinic - Layton 2 NPI: 1699901231 NPI: 1154307197 Family Medicine 2255 North 1700 West Ste Ogden Clinic - Davis Tanner Memorial Clinic - NPI: 1013081801 200 Family Physicians Layton Douglas Paul Barney Md Layton, UT 84041 3225 West Gordon Ave Ste 2121 North 1700 West 2132 North 1700 West Ste (801) 776-2180 1 Layton, UT 84041 100 Layton, UT 84041 (801) 773-4840 Layton, UT 84041 Bishop, Scott MD ~* (801) 397-6150 Spanish (801) 807-7900 Family Medicine Spanish NPI: 1962493486 Anderson, Robert NP ~* Baxter, Mark MD ~* Tanner Memorial Clinic - Burningham, Ted MD ~* Family Nurse Practitioner Family Medicine Layton Family Medicine NPI: 1043281918 NPI: 1437135290 2121 North 1700 West NPI: 1174509129 Wee Care Pediatrics - 1700 Tanner Memorial Clinic - Layton, UT 84041 Tanner Memorial Clinic - West Layton (801) 773-4840 Layton 2084 North 1700 West Ste 2121 North 1700 West 2121 North 1700 West A Layton, UT 84041 Bitner, Mark MD ~* Layton, UT 84041 Layton, UT 84041 (801) 773-4840 Obstetrics & Gynecology (801) 773-4840 (801) 773-8644 Portugese NPI: 1447236203 Japanese Tanner Memorial Clinic - Anderson, Russell DO ~* Beus, Michael MD ~* Layton Burtenshaw, Bruce MD * Family Medicine Family Medicine 2121 North 1700 West Internal Medicine NPI: 1548407513 NPI: 1770569543 Layton, UT 84041 NPI: 1609852656 Medallus Medical - Layton Tanner Memorial Clinic - (801) 773-4840 Tanner Memorial Clinic - 1550 North Main St Ste E Layton Spanish Layton Layton, UT 84041 2121 North 1700 West 2121 North 1700 West (801) 614-9030 Layton, UT 84041 Layton, UT 84041 Dutch, Spanish (801) 773-4840 (801) 773-4840 Portugese, Spanish

14 Primary Care Providers / Médicos de Cuidados Proveedores Davis County continued / Condado seguido

Butler, Warren MD ~* Coles, Andrew MD ~* Farley, Duane MD * Gardner, Kevin MD ~* Family Medicine Internal Medicine Obstetrics & Gynecology Family Medicine NPI: 1679559694 NPI: 1982721106 NPI: 1538145586 NPI: 1790897452 Tanner Memorial Clinic - Tanner Memorial Clinic - Tanner Memorial Clinic - Wasatch Peak Family Layton Layton Layton Practice - Layton 2121 North 1700 West 2121 North 1700 West 2121 North 1700 West 1580 West Antelope Dr Ste Layton, UT 84041 Layton, UT 84041 Layton, UT 84041 200 (801) 773-4840 (801) 773-4840 (801) 773-4840 Layton, UT 84041 French Spanish (801) 773-4770 Coles, Catherine MD ~* Spanish Butters, David DO ~* Internal Medicine Fillerup, Sharon MD * Family Medicine NPI: 1679782031 Obstetrics & Gynecology Goff, Paul NP ~ NPI: 1932272598 Tanner Memorial Clinic - NPI: 1225014251 Adult Health Nurse Wasatch Peak Family Layton Tanner Memorial Clinic - Practitioner Practice - Layton 2121 North 1700 West Layton NPI: 1831576669 1580 West Antelope Dr Ste Layton, UT 84041 2121 North 1700 West Hyperbaric And Wound 200 (801) 773-4840 Layton, UT 84041 Care Center At Davis Layton, UT 84041 (801) 773-4840 Hospital - Layton (801) 773-4770 Cook, Johnnie MD ~* 2132 North 1700 West Ste Spanish Family Medicine Flinders, Kurt MD ~* 100 NPI: 1104934280 Family Medicine Layton, UT 84041 Cardon, Louis MD ~* Tanner Memorial Clinic - NPI: 1780830612 (801) 807-7900 Family Medicine Layton Tanner Memorial Clinic - NPI: 1689608895 2121 North 1700 West Layton Healey, Curtis MD ~* Tanner Memorial Clinic - Layton, UT 84041 2121 North 1700 West Family Medicine Layton (801) 773-4840 Layton, UT 84041 NPI: 1922021427 2121 North 1700 West Spanish (801) 773-4840 Tanner Memorial Clinic - Layton, UT 84041 Spanish Layton (801) 773-4840 Davis, Christopher 2121 North 1700 West French DO ~* Foote, Stephen DO ~* Layton, UT 84041 Family Medicine Family Medicine (801) 773-4840 Checketts, Darin DO * NPI: 1346565561 NPI: 1689650632 Internal Medicine Ogden Clinic - Davis Tanner Memorial Clinic - Hobbs, Rachel MD ~* NPI: 1639158512 Family Physicians Layton Family Medicine Tanner Memorial Clinic - 3225 West Gordon Ave Ste 2121 North 1700 West NPI: 1275519126 Layton 1 Layton, UT 84041 Tanner Memorial Clinic - 2121 North 1700 West Layton, UT 84041 (801) 773-4840 Layton Layton, UT 84041 (801) 397-6150 2121 North 1700 West (801) 773-4840 Chinese, Mandarin Francis Jr, Joseph MD ~* Layton, UT 84041 Spanish Family Medicine (801) 773-4840 Degrauw, Jeffrey MD ~* NPI: 1437268414 Christensen, Don NP ~* Family Medicine Davis Medical Group - Pgu Hurst, Craig MD ~* Family Nurse Practitioner NPI: 1780796441 - Layton Obstetrics & Gynecology NPI: 1619086501 Wasatch Peak Family 124 South Fairfield Rd NPI: 1073554044 Ogden Clinic - Davis Practice - Layton Layton, UT 84041 Craig L Hurst Ob/Gyn Pc - Family Physicians 1580 West Antelope Dr Ste (801) 927-3080 Layton 3225 West Gordon Ave Ste 200 Spanish 2132 North 1700 West Ste 1 Layton, UT 84041 300 Layton, UT 84041 (801) 773-4770 Layton, UT 84041 (801) 397-6150 (801) 774-8714

15 Primary Care Providers / Médicos de Cuidados Proveedores Davis County continued / Condado seguido

Jenkins, Katherine NP ~* Kirkham, Michael MD ~* Meek, Steven MD * Nebeker, Adam MD Family Nurse Practitioner Family Medicine Obstetrics & Gynecology Family Medicine NPI: 1972907541 NPI: 1861478638 NPI: 1346228723 NPI: 1366449241 Tanner Memorial Clinic - Tanner Memorial Clinic - Tanner Memorial Clinic - Ihc Layton Clinic - Layton Layton Layton Layton 2075 University Park Blvd 2121 North 1700 West 2121 North 1700 West 2121 North 1700 West Layton, UT 84041 Layton, UT 84041 Layton, UT 84041 Layton, UT 84041 (801) 779-6200 (801) 773-4840 (801) 773-4840 (801) 773-4840 Portugese, Spanish Japanese Spanish Johnson, Marc MD Nelson, Chadd DO ~* Family Medicine Koenen, Linda NP ~* Milligan, Mark MD Internal Medicine NPI: 1447320163 Obstetrics & Gynecology Family Medicine NPI: 1619904679 Ihc Layton Clinic - Layton Nurse Practitioner NPI: 1194833244 Tanner Memorial Clinic - 2075 University Park Blvd NPI: 1407949415 Ihc Layton Clinic - Layton Layton Layton, UT 84041 Rocky Mountain Womens 2075 University Park Blvd 2121 North 1700 West (801) 779-6200 Health Center - Layton Layton, UT 84041 Layton, UT 84041 1580 West Antelope Dr Ste (801) 779-6200 (801) 773-4840 Johnson, Steven MD ~* 290 Obstetrics & Gynecology Layton, UT 84041 Morrell, Stephen MD * Nelson, Courtney DO ~* NPI: 1477539245 (801) 776-0880 Family Medicine Family Medicine Tanner Memorial Clinic - NPI: 1801872601 NPI: 1205915410 Layton Lenthe, Mark DO ~* Tanner Memorial Clinic - Wasatch Peak Family 2121 North 1700 West Family Medicine Layton Practice - Layton Layton, UT 84041 NPI: 1831188358 2121 North 1700 West 1580 West Antelope Dr Ste (801) 773-4840 Tanner Memorial Clinic - Layton, UT 84041 200 Layton (801) 773-4840 Layton, UT 84041 Judson, Patricia MD ~* 2121 North 1700 West (801) 773-4770 Obstetrics & Gynecology Layton, UT 84041 Morris, Chelsea MD ~ NPI: 1063504983 (801) 773-4840 Family Medicine Neville, Roark MD ~* Center For Womens NPI: 1922363795 Family Medicine Oncology - Pgu - Layton Mansfield, Justin MD ~* Ihc Layton Clinic - Layton NPI: 1396854253 1580 West Antelope Dr Ste Internal Medicine 2075 University Park Blvd Ogden Clinic - Davis 290 NPI: 1699707059 Layton, UT 84041 Family Physicians Layton, UT 84041 Tanner Memorial Clinic - (801) 779-6200 3225 West Gordon Ave Ste (801) 601-2270 Layton 1 2121 North 1700 West Morris, Jared DO ~* Layton, UT 84041 Kendell, Patrick MD ~* Layton, UT 84041 Family Medicine (801) 397-6150 Family Medicine (801) 773-4840 NPI: 1992952287 Thai NPI: 1225324973 German Tanner Memorial Clinic - Tanner Memorial Clinic - Layton Nielsen, Michael MD Layton Martin, Jared MD ~* 2121 North 1700 West Family Medicine 2121 North 1700 West Obstetrics & Gynecology Layton, UT 84041 NPI: 1326061920 Layton, UT 84041 NPI: 1639499783 (801) 773-4840 Ihc Layton Clinic - Layton (801) 773-4840 Rocky Mountain Womens 2075 University Park Blvd Health Center - Layton Naylor, Susan NP ~* Layton, UT 84041 Kinmont, Maria NP ~* 1580 West Antelope Dr Ste Family Nurse Practitioner (801) 779-6200 Family Nurse Practitioner 290 NPI: 1245580661 Spanish NPI: 1619201951 Layton, UT 84041 The Health Spot Layton - Tanner Memorial Clinic - (801) 776-0880 1660 West Layton 1660 West Antelope Dr Ste 2121 North 1700 West 320 Layton, UT 84041 Layton, UT 84041 (801) 773-4840 (801) 820-5414 Spanish

16 Primary Care Providers / Médicos de Cuidados Proveedores Davis County continued / Condado seguido

Ostarcevic, Emily NP ~* Richardson, Charles Sorensen, Teela MD * Stewart, Ryan MD * Family Nurse Practitioner MD ~* Obstetrics & Gynecology Family Medicine NPI: 1821286923 Family Medicine NPI: 1871579920 NPI: 1649207606 Wee Care Pediatrics - 1700 NPI: 1619105236 Tanner Memorial Clinic - Tanner Memorial Clinic - West Tanner Memorial Clinic - Layton Layton 2084 North 1700 West Ste Layton 2121 North 1700 West 2121 North 1700 West A 2121 North 1700 West Layton, UT 84041 Layton, UT 84041 Layton, UT 84041 Layton, UT 84041 (801) 773-4840 (801) 773-4840 (801) 773-8644 (801) 773-4840 French, Spanish Spanish Spanish Spencer, Matthew MD ~ Family Medicine Stockslager, Gayle NP ~ Ostarcevic, Emily NP ~* Rigby, Rohn MD ~* NPI: 1245496397 Family Nurse Practitioner Family Nurse Practitioner Family Medicine Ihc Layton Clinic - Layton NPI: 1740475680 NPI: 1821286923 NPI: 1437283553 2075 University Park Blvd Davis Behavioral Health - Wee Care Pediatrics - Ogden Clinic - Davis Layton, UT 84041 Layton 1700 West Main St Family Physicians (801) 779-6200 2250 North 1700 West 934 South Main St Ste 8 3225 West Gordon Ave Ste Spanish Layton, UT 84041 Layton, UT 84041 1 (801) 773-7060 (801) 773-8644 Layton, UT 84041 Sprague, Brittany NP ~* Spanish (801) 397-6150 Family Nurse Practitioner Stockslager, Gayle NP ~ Korean NPI: 1912427584 Family Nurse Practitioner Porter, Joel MD Rocky Mountain Womens NPI: 1740475680 Family Medicine Schaelling, Michael Health Center - Layton Davis Behavioral Health - NPI: 1417977075 MD ~* 1580 West Antelope Dr Ste Layton Main St Ihc Layton Clinic - Layton Family Medicine 290 934 South Main St 2075 University Park Blvd NPI: 1861478737 Layton, UT 84041 Layton, UT 84041 Layton, UT 84041 Tanner Memorial Clinic - (801) 776-0880 (801) 773-7060 (801) 779-6200 Layton 2121 North 1700 West Stanley, Bruce MD Sumsion, Kevin MD ~* Potter, Steven MD ~* Layton, UT 84041 Family Medicine Obstetrics & Gynecology Family Medicine (801) 773-4840 NPI: 1326135807 NPI: 1255317053 NPI: 1407922446 French Ihc Layton Clinic - Layton Tanner Memorial Clinic - Davis Medical Group - Pgu 2075 University Park Blvd Layton - Layton Shelby, Todd MD Layton, UT 84041 2121 North 1700 West 124 South Fairfield Rd Family Medicine (801) 779-6200 Layton, UT 84041 Layton, UT 84041 NPI: 1275556870 Spanish (801) 773-4840 (801) 927-3080 Ihc Layton Clinic - Layton Spanish 2075 University Park Blvd Stevenson, Camille Swain, Rebecca NP ~* Layton, UT 84041 MD ~* Family Nurse Practitioner Powell, Tina NP ~* (801) 779-6200 Obstetrics & Gynecology NPI: 1245754878 Family Nurse Practitioner NPI: 1659522472 Tanner Memorial Clinic - NPI: 1942480470 Skalka Jr, David NP ~* Tanner Memorial Clinic - Layton Medallus Medical - Layton Family Nurse Practitioner Layton 2121 North 1700 West 1868 North 1200 West NPI: 1851692735 2121 North 1700 West Layton, UT 84041 Layton, UT 84041 Adult Behavioral Health Layton, UT 84041 (801) 773-4840 (801) 614-9030 Unit - Pgu - Layton (801) 773-4840 Spanish 1600 West Antelope Dr Taylor, R Robert MD ~* Layton, UT 84041 Internal Medicine (801) 807-7924 NPI: 1285610063 Tanner Memorial Clinic - Layton 2121 North 1700 West Layton, UT 84041 (801) 773-4840

17 Primary Care Providers / Médicos de Cuidados Proveedores Davis County continued / Condado seguido

Tensmeyer, David MD Wise, Marilyn NP ~* Farnsworth, David Miller, Ryan DO * Family Medicine Family Nurse Practitioner MD ~* Obstetrics & Gynecology NPI: 1336169176 NPI: 1720098189 Family Medicine NPI: 1134383649 Ihc Layton Clinic - Layton Tanner Memorial Clinic - NPI: 1750434577 Tanner Memorial Clinic - 2075 University Park Blvd Layton Tanner Memorial Clinic - Syracuse Layton, UT 84041 2121 North 1700 West Syracuse 2038 West 1900 South (801) 779-6200 Layton, UT 84041 2038 West 1900 South Syracuse, UT 84075 Spanish (801) 773-4840 Syracuse, UT 84075 (801) 773-4840 (801) 773-4840 Vigil, Debra NP ~ Yates, Jay MD ~* German, Polish Nelson, Chadd DO ~* Family Nurse Practitioner Family Medicine Internal Medicine NPI: 1821419490 NPI: 1427034297 Larose, Benjamin DO ~ NPI: 1619904679 The Health Spot Layton - Tanner Memorial Clinic - Family Medicine Tanner Memorial Clinic - 1660 West Layton NPI: 1568690188 Syracuse 1660 West Antelope Dr Ste 2121 North 1700 West Ihc Syracuse Clinic - 2038 West 1900 South 320 Layton, UT 84041 Syracuse Syracuse, UT 84075 Layton, UT 84041 (801) 773-4840 745 South 2000 West (801) 773-4840 (801) 820-5414 Syracuse, UT 84075 York, Arwen NP ~* (801) 525-2400 Sorensen, Teela MD * Villalobos, Miguel MD ~* Family Nurse Practitioner Spanish Obstetrics & Gynecology Family Medicine NPI: 1255881397 NPI: 1871579920 NPI: 1073572228 Medallus Medical - Layton Leavitt, Jarin MD ~* Tanner Memorial Clinic - Davis Internal Medicine - 1868 North 1200 West Obstetrics & Gynecology Syracuse Layton Layton, UT 84041 NPI: 1427341726 2038 West 1900 South 1492 West Antelope Dr Ste (801) 614-9030 Tanner Memorial Clinic - Syracuse, UT 84075 203 Syracuse (801) 773-4840 Layton, UT 84041 Syracuse 2038 West 1900 South (801) 773-7500 Syracuse, UT 84075 Stewart, Ryan MD * Spanish 84075 (801) 773-4840 Family Medicine Barker, Layne MD ~* Spanish NPI: 1649207606 Warrick, Robert MD ~* Family Medicine Tanner Memorial Clinic - Family Medicine NPI: 1992781918 Lenthe, Mark DO ~* Syracuse NPI: 1164514071 Tanner Memorial Clinic - Family Medicine 2038 West 1900 South Medallus Medical - Layton Syracuse NPI: 1831188358 Syracuse, UT 84075 1868 North 1200 West 2038 West 1900 South Tanner Memorial Clinic - (801) 773-4840 Layton, UT 84041 Syracuse, UT 84075 Syracuse French, Spanish (801) 614-9030 (801) 773-4840 2038 West 1900 South French, Spanish Syracuse, UT 84075 West Point Winn, Darin MD ~* (801) 773-4840 Family Medicine Burtenshaw, Brett MD ~* 84015 NPI: 1437351723 Family Medicine Macdonald, Gary DO ~ Byrd, Amanda NP ~* Ogden Clinic - Davis NPI: 1053752121 Family Medicine Family Nurse Practitioner Family Physicians Tanner Memorial Clinic - NPI: 1518271097 NPI: 1316399306 3225 West Gordon Ave Ste Syracuse Ihc Syracuse Clinic - Comprehensive Neurology 1 2038 West 1900 South Syracuse Of Utah - West Point Layton, UT 84041 Syracuse, UT 84075 745 South 2000 West 3110 West 300 North Ste (801) 397-6150 (801) 773-4840 Syracuse, UT 84075 A Tagalog German (801) 525-2400 West Point, UT 84015 (801) 773-9902

18 Primary Care Providers / Médicos de Cuidados Proveedores

Iron Gould, Betty NP ~* Page, Trevor DO ~* Swank, Luke PA ~* Family Nurse Practitioner Family Medicine Physician Assistant, Family Brian Head NPI: 1487039996 NPI: 1053603597 Medicine 84719 Family Healthcare - Cedar Family Healthcare - Cedar NPI: 1225432669 City City East Family Healthcare - Cedar Carter, Melvin MD ~* 74 West Harding Ave 245 East 680 South City East Family Medicine Cedar City, UT 84720 Cedar City, UT 84720 245 East 680 South NPI: 1043277833 (435) 865-1387 (435) 865-1387 Cedar City, UT 84720 Brian Head Medical Clinic Korean (435) 865-1387 329 South Hwy 143 Gould, Betty NP ~* Spanish Brian Head, UT 84719 Family Nurse Practitioner Polson, Drew MD ~* (435) 677-2035 NPI: 1487039996 Family Medicine Ward, Cori NP ~ Spanish Family Healthcare - Cedar NPI: 1700084829 Family Nurse Practitioner City East Cedar Ridge Family NPI: 1518132216 Cedar City 245 East 680 South Medicine - Cedar City Southwest Behavioral 84720 Cedar City, UT 84720 110 West 1325 North Ste Health Center - Cedar City (435) 865-1387 200 245 East 680 South Bulloch, Michael DO ~* Cedar City, UT 84720 Cedar City, UT 84720 Family Medicine Marshall, Thomas MD ~* (435) 586-7676 (435) 867-7654 NPI: 1700149804 Family Medicine Cedar Ridge Family NPI: 1770506230 Smith, Philip MD ~* Ward, Cori NP ~ Medicine - Cedar City Ihc Cedar City Clinic - Internal Medicine Family Nurse Practitioner 110 West 1325 North Ste Cedar City NPI: 1134142698 NPI: 1518132216 200 1303 North Main St Ste 3C Ihc Cedar City Clinic - Southwest Behavioral Cedar City, UT 84720 Cedar City, UT 84720 Cedar City Health Center - Cedar City (435) 586-7676 (435) 868-5500 1303 North Main St Ste 3C 2 Spanish Cedar City, UT 84720 54 North 200 East Monson, Dean NP ~ (435) 868-5500 Cedar City, UT 84720 Bunker, Clint DO ~* Family Nurse Practitioner (435) 586-2515 Family Medicine NPI: 1558796391 Speakman, Mori MD ~* NPI: 1306850011 Southwest Behavioral Family Medicine Wilcken, Julie PA ~* Ihc Cedar City Clinic - Health Center - Cedar City NPI: 1952564627 Physician Assistant Cedar City 245 East 680 South Ihc Cedar City Clinic - NPI: 1407046675 1303 North Main St Ste 3C Cedar City, UT 84720 Cedar City Cedar Ridge Family Cedar City, UT 84720 (435) 867-7654 1303 North Main St Ste 3C Medicine - Cedar City (435) 868-5500 Cedar City, UT 84720 110 West 1325 North Ste Newman, Steven MD ~* (435) 868-5500 200 Denhalter, Thomas NP ~ Family Medicine Cedar City, UT 84720 Family Nurse Practitioner NPI: 1134157613 Swank, Luke PA ~* (435) 586-7676 NPI: 1871594002 Cedar Ridge Family Physician Assistant, Family Intermountain Cedar City Medicine - Cedar City Medicine Specialty Clinic - Cedar 84721 110 West 1325 North Ste NPI: 1225432669 Abegglen, Joanne NP ~* City 200 Family Healthcare - Cedar 1303 North Main St Ste B Family Nurse Practitioner Cedar City, UT 84720 City NPI: 1104909878 Cedar City, UT 84720 (435) 586-7676 74 West Harding Ave (435) 868-5500 Paiute Medical Clinic - Cedar City, UT 84720 Cedar City North, Jason DO ~* (435) 865-1387 440 North Paiute Dr Garrett, Todd MD ~* Family Medicine Spanish Internal Medicine Cedar City, UT 84721 NPI: 1285760132 (435) 586-1112 NPI: 1255537429 Cedar Ridge Family Ihc Cedar City Clinic - Medicine - Cedar City Cedar City 110 West 1325 North Ste 1303 North Main St Ste 3C 200 Cedar City, UT 84720 Cedar City, UT 84720 (435) 868-5500 (435) 586-7676

19 Primary Care Providers / Médicos de Cuidados Proveedores Iron County continued / Condado seguido

Brooksby, Heather PA ~* Newman, Steven MD ~* Robbins, Brett NP ~* Parowan Physician Assistant Family Medicine Family Nurse Practitioner NPI: 1447655063 NPI: 1134157613 NPI: 1023068426 84761 Paiute Medical Clinic - Paiute Medical Clinic - Cedar Valley Medical Bunker, Clint DO ~* Cedar City Cedar City Clinic - Cedar City Family Medicine 440 North Paiute Dr 440 North Paiute Dr 2002 North Main St Ste 3 NPI: 1306850011 Cedar City, UT 84721 Cedar City, UT 84721 Cedar City, UT 84721 Ihc Canyon View Clinic - (435) 586-1112 (435) 586-1112 (435) 867-1960 Parowan Spanish 15 East 400 North Corry, Jacob DO ~* North, Jason DO ~* Parowan, UT 84761 Family Medicine Family Medicine Rogers, Brook PA ~* (435) 477-3317 NPI: 1427211788 NPI: 1285760132 Physician Assistant Ihc Valley View Family Paiute Medical Clinic - NPI: 1427308899 Gardner, Ellen MD ~* Medicine - Cedar City Cedar City Paiute Medical Clinic - Family Medicine 1333 North Main St 440 North Paiute Dr Cedar City NPI: 1013939024 Cedar City, UT 84721 Cedar City, UT 84721 440 North Paiute Dr Little S Clinic - Parowan (435) 868-5500 (435) 586-1112 Cedar City, UT 84721 200 South 4200 West Portugese (435) 586-1112 Parowan, UT 84761 Persons, Richard PA ~* (435) 477-0133 Corry, Mark MD ~* Physician Assistant Solomon, Daphne NP ~* Family Medicine NPI: 1447548128 Family Nurse Practitioner Garrett, Todd MD ~* NPI: 1033347158 Paiute Medical Clinic - NPI: 1861833303 Internal Medicine Ihc Valley View Family Cedar City Cedar City Institute Of NPI: 1255537429 Medicine - Cedar City 440 North Paiute Dr Womens Health - Cedar Ihc Canyon View Clinic - 1333 North Main St Cedar City, UT 84721 City Parowan Cedar City, UT 84721 (435) 586-1112 110 West 1325 North Ste 15 East 400 North (435) 868-5500 Spanish 300 Parowan, UT 84761 Cedar City, UT 84721 (435) 477-3317 Cowley, David NP ~* Polson, Drew MD ~* (435) 865-9500 Family Nurse Practitioner Family Medicine Lister, Donna NP ~ NPI: 1720429491 NPI: 1700084829 Spangrude, Kimberly Family Nurse Practitioner Paiute Medical Clinic - Paiute Medical Clinic - NP ~* NPI: 1104848118 Cedar City Cedar City Family Nurse Practitioner Ihc Canyon View Clinic - 440 North Paiute Dr 440 North Paiute Dr NPI: 1013986710 Parowan Cedar City, UT 84721 Cedar City, UT 84721 Paiute Medical Clinic - 15 East 400 North (435) 586-1112 (435) 586-1112 Cedar City Parowan, UT 84761 440 North Paiute Dr (435) 477-3317 Heath, Terence MD ~* Rasch, Leslie NP ~* Cedar City, UT 84721 Obstetrics & Gynecology Family Nurse Practitioner (435) 586-1112 Marshall, Thomas MD ~* NPI: 1316949241 NPI: 1962784504 Spanish Family Medicine Cedar City Institute Of Paiute Medical Clinic - NPI: 1770506230 Womens Health - Cedar Cedar City Ward, Cori NP ~ Ihc Canyon View Clinic - City 440 North Paiute Dr Family Nurse Practitioner Parowan 110 West 1325 North Ste Cedar City, UT 84721 NPI: 1518132216 15 East 400 North 300 (435) 586-1112 Utah Behavior Services - Parowan, UT 84761 Cedar City, UT 84721 Cedar City (435) 477-3317 (435) 865-9500 1870 North Main St Ste 102 Cedar City, UT 84721 (801) 255-5131

20 Primary Care Providers / Médicos de Cuidados Proveedores Iron County continued / Condado seguido

Oakden, Richard MD ~* Salt Lake Campbell, Amy NP ~* Furness, Todd DO ~* Family Medicine Family Nurse Practitioner Family Medicine NPI: 1346245438 Cottonwood Heights NPI: 1871751297 NPI: 1285941310 Parowan Medical Clinic - 84121 Medallus Medical - Draper Lone Peak Family Practice Parowan 1126 East 12300 South - Mountainstar 450 East Clinic Way Peterson, Mark MD ~* Draper, UT 84020 11760 South 700 East Ste Parowan, UT 84761 Family Medicine (801) 545-0600 111 (435) 477-3344 NPI: 1326374562 Draper, UT 84020 Spanish Paulos Toronto Chandler, Carrie NP ~* (801) 576-8855 Orthopedics And Sports Family Nurse Practitioner Robinson, Byron MD ~* Medicine NPI: 1326229782 Hamilton, Carlie NP ~* Family Medicine 6322 South 3000 East Ste Granger Medical Clinic - Family Nurse Practitioner NPI: 1700881893 140 Draper - 11724 NPI: 1104978873 Parowan Medical Clinic - Cottonwood Heights, UT 11724 South State St Draper Family Practice Parowan 84121 Draper, UT 84020 12272 South 800 East Ste 450 East Clinic Way (801) 408-8123 (801) 576-2000 A Parowan, UT 84761 Spanish Draper, UT 84020 (435) 477-3344 Christensen, Benjamin (801) 523-1300 Powell, Tina NP ~* MD ~ Smith, Lance MD ~* Family Nurse Practitioner Family Medicine Hardenbrook, Spencer Family Medicine NPI: 1942480470 NPI: 1932469459 MD ~* NPI: 1295817708 Medallus Medical - Ihc Draper Clinic - Draper Family Medicine Parowan Medical Clinic - Cottonwood Heights 12473 South Minuteman NPI: 1881952315 Parowan 6322 South 3000 East Ste Dr Spencer J Hardenbrook Md 450 East Clinic Way 140 Draper, UT 84020 Pc - Hidden Valley F.M. - Parowan, UT 84761 Cottonwood Heights, UT (801) 495-7900 Draper (435) 477-3344 84121 12176 South 1000 East (801) 912-8210 Church, Ryan NP ~ Draper, UT 84020 Smith, Rhett MD ~* Spanish Family Nurse Practitioner (801) 572-3750 Family Medicine NPI: 1912909714 Portugese NPI: 1568800209 Draper Mountainstar General Beaver Medical - Parowan 84020 Surgery - Draper Jack, David MD ~* 450 East Clinic Way 74 Kimballs Ln Ste 210 Family Medicine Parowan, UT 84761 Azarcon Jr, Jose DO ~* Draper, UT 84020 NPI: 1255434296 (435) 477-3344 Family Medicine (801) 566-3062 Lone Peak Family Practice Spanish NPI: 1285627455 - Mountainstar Foothill Clinic - Draper Coleman, Stephen MD ~* 11760 South 700 East Ste Smith, Roger MD ~* 13953 South Bangerter Family Medicine 111 Family Medicine Pkwy NPI: 1891720124 Draper, UT 84020 NPI: 1043217268 Draper, UT 84020 Foothill Clinic - Draper (801) 576-8855 Parowan Medical Clinic - (385) 900-4090 13953 South Bangerter Parowan Pkwy Kotwal, Pinky MD ~* 450 East Clinic Way Bennett, Richard MD ~* Draper, UT 84020 Internal Medicine Parowan, UT 84761 Internal Medicine (385) 900-4090 NPI: 1083645444 (435) 477-3344 NPI: 1407871510 Granger Medical Clinic - Alta Internal Medicine - Depew, Bruce MD ~* Draper - 11724 Draper Family Medicine 11724 South State St 74 Kimballs Ln Ste 300 NPI: 1376505214 Draper, UT 84020 Draper, UT 84020 Granger Medical Clinic - (801) 576-2000 (801) 572-0311 Draper - 11724 Hindi 11724 South State St Draper, UT 84020 (801) 576-2000

21 Primary Care Providers / Médicos de Cuidados Proveedores Salt Lake County continued / Condado seguido

Leeflang, Canessa NP ~* Robert, Lance DO ~ Scheidell, Renee MD ~* Smith-Holmen, Barbara Family Nurse Practitioner Family Medicine Internal Medicine NP ~* NPI: 1518243187 NPI: 1578852174 NPI: 1861413742 Family Nurse Practitioner Draper Family Practice Ihc Draper Clinic - Draper Draper Family Practice NPI: 1568665784 12272 South 800 East Ste 12473 South Minuteman 12272 South 800 East Ste Alta Internal Medicine - A Dr A Draper Draper, UT 84020 Draper, UT 84020 Draper, UT 84020 74 Kimballs Ln Ste 300 (801) 523-1300 (801) 495-7900 (801) 523-1300 Draper, UT 84020 (801) 572-0311 Lopez, Ronald MD ~* Roberts, Jordan MD ~* Sloan, Carrie MD ~* Family Medicine Family Medicine Obstetrics & Gynecology Smith-Holmen, Barbara NPI: 1699767012 NPI: 1588043871 NPI: 1124034012 NP ~* Hidden Valley Medical Granger Medical Clinic - Carrie Leigh Sloan Md - Family Nurse Practitioner Center - Draper Draper - 11724 Draper NPI: 1568665784 12176 South 1000 East 11724 South State St 74 Kimballs Lane Ste 330 Lone Peak Family Practice Draper, UT 84020 Draper, UT 84020 Draper, UT 84020 - Mountainstar (801) 572-3750 (801) 576-2000 (801) 523-3053 11760 South 700 East Ste Portugese, Spanish 111 Nelson, Todd MD ~* Sloan, Carrie MD * Draper, UT 84020 Family Medicine Roberts, Philip MD ~* Obstetrics & Gynecology (801) 576-8855 NPI: 1902917495 Internal Medicine NPI: 1124034012 Granger Medical Clinic - NPI: 1013012418 Ob Gyn Associates Llc - Smith-Holmen, Barbara Draper - 11724 Alta Internal Medicine - Draper NP ~* 11724 South State St Draper 74 Kimballs Lane Ste 330 Family Nurse Practitioner Draper, UT 84020 74 Kimballs Ln Ste 300 Draper, UT 84020 NPI: 1568665784 (801) 576-2000 Draper, UT 84020 (801) 523-3053 Lone Peak Primary Care - (801) 572-0311 Draper Orr, Rochelle DO ~* Sloan, Carrie MD ~* 74 East Kimballs Ln Ste Obstetrics & Gynecology Roberts, Philip MD ~* Obstetrics & Gynecology 260 NPI: 1669797742 Internal Medicine NPI: 1124034012 Draper, UT 84020 St Marks Gynecology NPI: 1013012418 St Marks Gynecology (801) 545-8480 Oncology Care Llc - Draper Lone Peak Family Practice Oncology Care Llc - Draper 96 Kimballs Ln Ste 202 - Mountainstar 96 Kimballs Ln Ste 202 Stock, Jennifer NP ~* Draper, UT 84020 11760 South 700 East Ste Draper, UT 84020 Family Nurse Practitioner (801) 523-3053 111 (801) 523-3053 NPI: 1689750614 Draper, UT 84020 Hidden Valley Family Powell, Tina NP ~* (801) 576-8855 Smith, Layne MD ~* Medicine - Draper Family Nurse Practitioner Obstetrics & Gynecology 12176 South 1000 East NPI: 1942480470 Robinson, Andrew DO ~* NPI: 1770693251 Draper, UT 84020 Medallus Medical - Draper Family Medicine Granger Medical Clinic - (801) 572-3750 1126 East 12300 South NPI: 1366782567 Draper - 11724 Draper, UT 84020 Lone Peak Primary Care - 11724 South State St Swenson, Jennifer DO ~ (801) 545-0600 Draper Draper, UT 84020 Family Medicine Spanish 74 East Kimballs Ln Ste (801) 576-2000 NPI: 1750320925 260 Spanish Ihc Draper Clinic - Draper Prater, Susan MD ~* Draper, UT 84020 12473 South Minuteman Family Medicine (801) 545-8480 Dr NPI: 1841430733 Draper, UT 84020 Granger Medical Clinic - (801) 495-7900 Draper - 11724 11724 South State St Draper, UT 84020 (801) 576-2000

22 Primary Care Providers / Médicos de Cuidados Proveedores Salt Lake County continued / Condado seguido

Swiler, Maggie NP ~* Vellinga, Jonathan York, Arwen NP ~* Larson, Kirt NP ~* Family Nurse Practitioner MD ~* Family Nurse Practitioner Family Nurse Practitioner NPI: 1871041574 Internal Medicine NPI: 1255881397 NPI: 1053576504 Alta Internal Medicine - NPI: 1225291727 Medallus Medical - Draper Step Mountain Medical Draper Alta Internal Medicine - 1126 East 12300 South Family Practice - 74 Kimballs Ln Ste 300 Draper Draper, UT 84020 Herriman Draper, UT 84020 74 Kimballs Ln Ste 300 (801) 545-0600 13352 South 5600 West (801) 572-0311 Draper, UT 84020 Herriman, UT 84096 (801) 572-0311 Herriman (801) 446-2760 Trujillo, Nicholas DO ~* Family Medicine Vellinga, Jonathan 84096 Osborne, Bryce MD ~ NPI: 1598100844 MD ~* Cluny, Joylyn NP ~* Family Medicine Granger Medical Clinic - Internal Medicine Family Nurse Practitioner NPI: 1194163782 Draper - 11724 NPI: 1225291727 NPI: 1578603932 Ihc Rose Canyon Clinic - 11724 South State St Lone Peak Family Practice Step Mountain Medical Herriman Draper, UT 84020 - Mountainstar Family Practice - 5541 West 13400 South (801) 576-2000 11760 South 700 East Ste Herriman Herriman, UT 84096 111 13352 South 5600 West (801) 871-4700 Tschetter, Kevin MD ~* Draper, UT 84020 Herriman, UT 84096 Spanish Internal Medicine (801) 576-8855 (801) 446-2760 NPI: 1912922923 Peterson, Michael MD ~ Alta Internal Medicine - Wallace, Seth MD ~* Daynes, Gregory MD ~* Family Medicine Draper Family Medicine Family Medicine NPI: 1497794960 74 Kimballs Ln Ste 300 NPI: 1245441971 NPI: 1972559557 Herriman Family Medicine Draper, UT 84020 Sleep Consulting Llc - Salt Herriman Family Medicine - Herriman (801) 572-0311 Lake City - Herriman 5746 West 13400 South 11576 South State St Ste 5746 West 13400 South Herriman, UT 84096 Tschetter, Kevin MD ~* 101 Herriman, UT 84096 (801) 871-4700 Internal Medicine Draper, UT 84020 (801) 871-4700 French NPI: 1912922923 (801) 512-0544 Spanish Lone Peak Family Practice Peterson, Michael MD ~ - Mountainstar Wilson, Matthew MD ~* Daynes, Gregory MD ~* Family Medicine 11760 South 700 East Ste Obstetrics & Gynecology Family Medicine NPI: 1497794960 111 NPI: 1750543955 NPI: 1972559557 Ihc Rose Canyon Clinic - Draper, UT 84020 Granger Medical Clinic - Ihc Rose Canyon Clinic - Herriman (801) 576-8855 Draper - 11724 Herriman 5541 West 13400 South 11724 South State St 5541 West 13400 South Herriman, UT 84096 Twede, Michael MD ~* Draper, UT 84020 Herriman, UT 84096 (801) 871-4700 Obstetrics & Gynecology (801) 576-2000 (801) 871-4700 French NPI: 1861450140 Spanish Spanish Granger Medical Clinic - Holladay Draper - 11724 Wilson, Preston DO ~* Esplin, Douglas MD ~ 11724 South State St Family Medicine Family Medicine 84117 Draper, UT 84020 NPI: 1952538605 NPI: 1063421451 Coates, Catherine NP ~ (801) 576-2000 Lone Peak Family Practice Ihc Rose Canyon Clinic - Primary Care Nurse Spanish - Mountainstar Herriman Practitioner 11760 South 700 East Ste 5541 West 13400 South NPI: 1811441082 111 Herriman, UT 84096 Olympus Clinic Group - Draper, UT 84020 (801) 871-4700 Holladay (801) 576-8855 4624 South Holladay Blvd Ste 100 Holladay, UT 84117 (801) 277-2682

23 Primary Care Providers / Médicos de Cuidados Proveedores Salt Lake County continued / Condado seguido

Epperson, Sally ARNP ~* Munt, Katherine MD ~* Ruden, Nathan MD ~* Carmichael, Marie NP ~* Family Nurse Practitioner Family Medicine Family Medicine Family Nurse Practitioner NPI: 1174915367 NPI: 1982867008 NPI: 1982866679 NPI: 1588174650 Olympus Clinic Group - Olympus Clinic Group - Nate Ruden Md Llc - Magna Center For Family Holladay Holladay Holladay Medicine - Magna 4624 South Holladay Blvd 4624 South Holladay Blvd 4285 South Highland Dr 3665 South 8400 West Ste Ste 100 Ste 100 Holladay, UT 84124 110 Holladay, UT 84117 Holladay, UT 84117 (801) 278-2839 Magna, UT 84044 (801) 277-2682 (801) 277-2682 (801) 250-9638 Watts, Daren MD ~* Spanish Gamble, Christopher Probst, Jared MD * Obstetrics & Gynecology MD * Family Medicine NPI: 1679589600 Hooda, Pragati MD ~* Family Medicine NPI: 1346295177 Ob Gyn Associates Llc - Family Medicine NPI: 1487609277 Olympus Clinic Group - Salt Lake City NPI: 1962735670 Olympus Clinic Group - Holladay 1151 East 3900 South Ste Magna Center For Family Holladay 4624 South Holladay Blvd B299 Medicine - Magna 4624 South Holladay Blvd Ste 100 Holladay, UT 84124 3665 South 8400 West Ste Ste 100 Holladay, UT 84117 (801) 268-6811 110 Holladay, UT 84117 (801) 277-2682 Magna, UT 84044 (801) 277-2682 Yamashiro, Vernon MD * (801) 250-9638 Romo, Kristen MD ~* Obstetrics & Gynecology Hindi Hansen, Matthew MD ~* Family Medicine NPI: 1962417741 Internal Medicine NPI: 1407177173 Ob Gyn Associates Llc - Johnson, Sara NP ~* NPI: 1598860041 Olympus Clinic Group - Salt Lake City Family Nurse Practitioner Olympus Clinic Group - Holladay 1151 East 3900 South Ste NPI: 1811917271 Holladay 4624 South Holladay Blvd B299 Magna Center For Family 4624 South Holladay Blvd Ste 100 Holladay, UT 84124 Medicine - Magna Ste 100 Holladay, UT 84117 (801) 268-6811 3665 South 8400 West Ste Holladay, UT 84117 (801) 277-2682 110 (801) 277-2682 Spanish Magna Magna, UT 84044 (801) 250-9638 Heath, Steven MD * Shaw, Dana NP * 84044 Internal Medicine, Family Family Nurse Practitioner Allen, Juanita NP ~* Kalva, Girish MD ~* Medicine NPI: 1871532101 Family Nurse Practitioner Internal Medicine NPI: 1366497166 Olympus Clinic Group - NPI: 1821125295 NPI: 1821059544 Olympus Clinic Group - Holladay Magna Center For Family Magna Center For Family Holladay 4624 South Holladay Blvd Medicine - Magna Medicine - Magna 4624 South Holladay Blvd Ste 100 3665 South 8400 West Ste 3665 South 8400 West Ste Ste 100 Holladay, UT 84117 110 110 Holladay, UT 84117 (801) 277-2682 Magna, UT 84044 Magna, UT 84044 (801) 277-2682 (801) 250-9638 (801) 250-9638 84124 Spanish Hindi, Telugu Hill, Robert MD ~* Barton, Christopher Family Medicine MD ~* Brockbank, David NP ~* Lewis, Randal MD ~* NPI: 1770521643 Obstetrics & Gynecology Family Nurse Practitioner Family Medicine Olympus Clinic Group - NPI: 1699001073 NPI: 1710222310 NPI: 1215964309 Holladay Mt Olympus Obstetrics Magna Center For Family Magna Center For Family 4624 South Holladay Blvd And Gynecology - Holladay Medicine - Magna Medicine - Magna Ste 100 1220 East 3900 South Ste 3665 South 8400 West Ste 3665 South 8400 West Ste Holladay, UT 84117 3E 110 110 (801) 277-2682 Holladay, UT 84124 Magna, UT 84044 Magna, UT 84044 (801) 685-7188 (801) 250-9638 (801) 250-9638 Spanish Spanish Spanish

24 Primary Care Providers / Médicos de Cuidados Proveedores Salt Lake County continued / Condado seguido

Nordin, Jarah NP ~* Stone, Gregory DO ~* Gohari, Mina MD ~* Moore, Rebecca MD ~* Family Nurse Practitioner Family Medicine Family Medicine Internal Medicine NPI: 1912379165 NPI: 1750348330 NPI: 1083824940 NPI: 1477609089 Magna Center For Family Magna Center For Family St Marks Senior Health St Marks Senior Health Medicine - Magna Medicine - Magna Center - Cottonwood Center - Cottonwood 3665 South 8400 West Ste 3665 South 8400 West Ste 1275 East Fort Union Blvd 1275 East Fort Union Blvd 110 110 Ste 150 Ste 150 Magna, UT 84044 Magna, UT 84044 Midvale, UT 84047 Midvale, UT 84047 (801) 250-9638 (801) 250-9638 (801) 268-7766 (801) 268-7766 Spanish German Rasmussen, Carol NP ~* Greenwood, Lyle DO ~* Family Nurse Practitioner Toone, Keira NP ~* Family Medicine Moreland, Jay MD ~* NPI: 1245397637 Family Nurse Practitioner NPI: 1215238688 Family Medicine Magna Center For Family NPI: 1780092130 Midvalley Health Clinic - NPI: 1023095866 Medicine - Magna Magna Center For Family Midvale Community Health 3665 South 8400 West Ste Medicine - Magna 8446 South Harrison St Centers - Midvale 110 3665 South 8400 West Ste Midvale, UT 84047 220 West 7200 South Ste A Magna, UT 84044 110 (801) 417-0131 Midvale, UT 84047 (801) 250-9638 Magna, UT 84044 Spanish (801) 566-5494 (801) 250-9638 Spanish Robbins, James DO ~* Joseph, Laurene MD ~* Family Medicine Young, Shane MD ~* Internal Medicine O'brien, Katherine NP ~* NPI: 1720234412 Family Medicine NPI: 1629145123 Family Nurse Practitioner Magna Center For Family NPI: 1861555823 St Marks Senior Health NPI: 1316491327 Medicine - Magna Magna Center For Family Center - Cottonwood Midvalley Health Clinic - 3665 South 8400 West Ste Medicine - Magna 1275 East Fort Union Blvd Midvale 110 3665 South 8400 West Ste Ste 150 8446 South Harrison St Magna, UT 84044 110 Midvale, UT 84047 Midvale, UT 84047 (801) 250-9638 Magna, UT 84044 (801) 268-7766 (801) 417-0131 (801) 250-9638 Hebrew Spanish Salmon, Kathryn NP ~* Spanish Family Nurse Practitioner Lawlor, Cynthia MD ~* Rahimi, Danesh MD ~* NPI: 1558881565 Zehnder, Brian MD ~* Family Medicine Internal Medicine Magna Center For Family Family Medicine NPI: 1396999868 NPI: 1487744553 Medicine - Magna NPI: 1447278023 St Marks Senior Health St Marks Senior Health 3665 South 8400 West Ste Magna Center For Family Center - Cottonwood Center - Cottonwood 110 Medicine - Magna 1275 East Fort Union Blvd 1275 East Fort Union Blvd Magna, UT 84044 3665 South 8400 West Ste Ste 150 Ste 150 (801) 250-9638 110 Midvale, UT 84047 Midvale, UT 84047 Magna, UT 84044 (801) 268-7766 (801) 268-7766 Spencer, Steven MD ~* (801) 250-9638 Persian/Farsi Family Medicine Liu, Betty MD ~* NPI: 1356369938 Midvale Family Medicine Yaroshchuk, Larisa MD * Magna Center For Family NPI: 1043577125 Family Medicine Medicine - Magna 84047 Community Health NPI: 1427148014 3665 South 8400 West Ste Day, Stefani MD ~* Centers - Midvale Uuhc Greenwood Health 110 Family Medicine 220 West 7200 South Ste A Center Magna, UT 84044 NPI: 1265439236 Midvale, UT 84047 7495 South State St (801) 250-9638 Community Health (801) 566-5494 Midvale, UT 84047 Centers - Midvale Mandarin, Spanish (801) 213-8840 220 West 7200 South Ste A Russian Midvale, UT 84047 (801) 566-5494 Spanish

25 Primary Care Providers / Médicos de Cuidados Proveedores Salt Lake County continued / Condado seguido

Riverton Boudreaux Nippert, Coleby, Craig MD ~* Epstein, Scott DO ~* Denise MD ~* Internal Medicine Obstetrics & Gynecology 84065 Obstetrics & Gynecology NPI: 1386825024 NPI: 1295793339 Allen, Eric DO ~ NPI: 1497862031 Granger Medical - Riverton Jordan River Womens Internal Medicine Jordan River Womens 12391 South 4000 West Health Pc - Riverton NPI: 1508096843 Health Pc - Riverton Riverton, UT 84065 13348 S Market Center Dr Ihc Southridge Clinic 13348 S Market Center Dr (801) 302-1700 Ste 200 Medical Specialties - Ste 200 Riverton, UT 84065 Riverton Riverton, UT 84065 Dantis-Tan, Minerva (801) 561-2227 3723 West 12600 South (801) 561-2227 NP ~ Riverton, UT 84065 French, Spanish Family Nurse Practitioner Galbraith, Brianne NP ~* (801) 285-4200 NPI: 1164715124 Family Nurse Practitioner Portugese Boulton, Cynthia NP ~ Nephrology Associates - NPI: 1710395041 Family Nurse Practitioner Riverton Wasatch Allergy And Allred, Donald DO ~* NPI: 1750397238 12511 South Creek Asthma - Riverton Family Medicine Ihc Southridge Clinic Meadow Rd Ste 111 13348 S Market Center Dr NPI: 1174510044 Surgical Specialties - Riverton, UT 84065 Ste 220 Riverton Family Health Riverton (801) 288-2634 Riverton, UT 84065 Center - Riverton 3723 West 12600 South Ste Tagalog (385) 831-1861 1756 West Park Ave 270 Riverton, UT 84065 Riverton, UT 84065 Depew, Bruce MD ~* Gourde, Theresa MD ~* (801) 254-0309 (801) 285-4600 Family Medicine Internal Medicine NPI: 1376505214 NPI: 1487688685 Anders, Suphithaya Burgett, Alton MD ~* Granger Medical - South Valley Primary Care MD ~* Obstetrics & Gynecology Parkway 13348 South Market Obstetrics & Gynecology NPI: 1124059514 1288 West 12700 South Center Dr Ste 210 NPI: 1558401919 Granger Medical - Riverton Riverton, UT 84065 Riverton, UT 84065 Western Gynecological 12391 South 4000 West (801) 253-0291 (801) 987-7500 And Obstetrical Clinic Inc - Riverton, UT 84065 Riverton (801) 302-1700 Devenport, Stephen Harmon, Steven MD ~* 3723 West 12600 South Ste MD ~* Family Medicine 350 Chandler, Carrie NP ~* Family Medicine NPI: 1891057212 Riverton, UT 84065 Family Nurse Practitioner NPI: 1093730467 South Valley Primary Care (801) 285-4800 NPI: 1326229782 Granger Medical - Riverton 13348 South Market Laotian Granger Medical - Riverton 12391 South 4000 West Center Dr Ste 210 12391 South 4000 West Riverton, UT 84065 Riverton, UT 84065 Boam, William MD ~* Riverton, UT 84065 (801) 302-1700 (801) 987-7500 Family Medicine (801) 302-1700 NPI: 1659388791 England, Edwin DO ~* Harrison, Reid MD * Granger Medical - Riverton Colby, Spencer MD ~* Obstetrics & Gynecology Internal Medicine 12391 South 4000 West Obstetrics & Gynecology NPI: 1417068313 NPI: 1356373500 Riverton, UT 84065 NPI: 1144287699 Granger Medical - Riverton Granger Medical - Riverton (801) 302-1700 Jordan River Womens 12391 South 4000 West 12391 South 4000 West German Health Pc - Riverton Riverton, UT 84065 Riverton, UT 84065 13348 S Market Center Dr (801) 302-1700 (801) 302-1700 Ste 200 Spanish Riverton, UT 84065 Hutchison, Christopher (801) 561-2227 MD ~* Obstetrics & Gynecology NPI: 1134151384 Granger Medical - Riverton 12391 South 4000 West Riverton, UT 84065 (801) 302-1700

26 Primary Care Providers / Médicos de Cuidados Proveedores Salt Lake County continued / Condado seguido

Jackson, Andrea NP ~* Merrill, Robert DO ~* Quinn, Jeffrey MD ~* Williams, Robert MD ~* Family Nurse Practitioner Obstetrics & Gynecology Obstetrics & Gynecology Family Medicine NPI: 1437670114 NPI: 1669491031 NPI: 1992845366 NPI: 1063596401 South Valley Primary Care Western Gynecological Western Gynecological Granger Medical - 13348 South Market And Obstetrical Clinic Inc - And Obstetrical Clinic Inc - Parkway Center Dr Ste 210 Riverton Riverton 1288 West 12700 South Riverton, UT 84065 3723 West 12600 South Ste 3723 West 12600 South Ste Riverton, UT 84065 (801) 987-7500 350 350 (801) 253-0291 Riverton, UT 84065 Riverton, UT 84065 Spanish Johnson, Mandy NP ~* (801) 285-4800 (801) 285-4800 Women's Health Nurse Spanish Portugese, Spanish Williams, Robert MD * Practitioner Family Medicine NPI: 1245406347 Naisbitt, Jed MD ~* Smith, Maureen NP ~ NPI: 1063596401 Riverton Healthcare For Obstetrics & Gynecology Family Nurse Practitioner Robert D Williams Md Pc - Women - Riverton NPI: 1487677613 NPI: 1730111311 Riverton 3409 West 12600 South Ste Circle Of Life Womens Nephrology Associates - 1288 West 12700 South 110 Center - Riverton Riverton Riverton, UT 84065 Riverton, UT 84065 12523 South Creek 12511 South Creek (801) 253-0291 (801) 302-5777 Meadow Rd Ste 105 Meadow Rd Ste 111 Spanish Riverton, UT 84065 Riverton, UT 84065 Larson, Katherine MD ~ (801) 337-5855 (801) 288-2634 Williamson, Diantha Internal Medicine MD ~* NPI: 1417393661 Olson, Karen NP ~* Thompson, Daniel Family Medicine Ihc Southridge Clinic Family Nurse Practitioner MD ~* NPI: 1720467780 Medical Specialties - NPI: 1215154232 Family Medicine, Granger Medical - Riverton Riverton South Valley Primary Care Obstetrics 12391 South 4000 West 3723 West 12600 South 13348 South Market NPI: 1831186717 Riverton, UT 84065 Riverton, UT 84065 Center Dr Ste 210 Riverton Family Health (801) 302-1700 (801) 285-4200 Riverton, UT 84065 Center - Riverton Spanish (801) 987-7500 1756 West Park Ave Matich, Andrea MD ~* Riverton, UT 84065 York, Arwen NP ~* Family Medicine Peterson, Tia NP ~ (801) 254-0309 Family Nurse Practitioner NPI: 1902092133 Family Nurse Practitioner NPI: 1255881397 Core South Bangerter NPI: 1902277908 Trujillo, Nicholas DO ~* Medallus Medical - Health Center - Riverton Wasatch Allergy And Family Medicine Riverton 13348 South Market Asthma - Riverton NPI: 1598100844 13348 South Market Center Dr Ste 120 13348 S Market Center Dr Granger Medical - Riverton Center Dr Ste 100 Riverton, UT 84065 Ste 220 12391 South 4000 West Riverton, UT 84065 (385) 887-7100 Riverton, UT 84065 Riverton, UT 84065 (801) 844-1600 (385) 831-1861 (801) 302-1700 Matthews, David DO ~* Salt Lake City Obstetrics & Gynecology Powell, Tina NP ~* Twelves, Tricia MD ~* NPI: 1043447394 Family Nurse Practitioner Obstetrics & Gynecology 84101 Western Gynecological NPI: 1942480470 NPI: 1730389297 Dame, Erin PA ~ And Obstetrical Clinic Inc - Medallus Medical - Granger Medical - Riverton Physician Assistant Riverton Riverton 12391 South 4000 West NPI: 1326390964 3723 West 12600 South Ste 13348 South Market Riverton, UT 84065 Healthfair Plus Pc - Salt 350 Center Dr Ste 100 (801) 302-1700 Lake City Riverton, UT 84065 Riverton, UT 84065 222 South Main St 5Th (801) 285-4800 (801) 844-1600 Floor Hungarian Spanish Salt Lake City, UT 84101 (407) 673-4074 Spanish

27 Primary Care Providers / Médicos de Cuidados Proveedores Salt Lake County continued / Condado seguido

Kovacs Goldberg, Williams, Tanya MD ~* Bagley, Sandra NP ~ Burke, Kathleen NP Michele MD ~* Family Medicine Family Nurse Practitioner Women's Health Nurse Family Medicine NPI: 1366495459 NPI: 1023022415 Practitioner NPI: 1912212846 Wasatch Homeless House Call Doctors Hcd NPI: 1477542363 Wasatch Homeless Healthcare Inc - Fourth Wellness - Salt Lake Planned Parenthood Healthcare Inc - Fourth Street Clinic 522 East 100 South Association - Salt Lake Street Clinic 409 West 400 South Salt Lake City, UT 84102 654 South 900 East 409 West 400 South Salt Lake City, UT 84101 (801) 485-5055 Salt Lake City, UT 84102 Salt Lake City, UT 84101 (801) 364-0058 (801) 322-5571 (801) 364-0058 Spanish Barton, Christopher MD ~* Burton, David MD ~ Oristaglio, Robert DO ~ 84102 Obstetrics & Gynecology Internal Medicine Internal Medicine Al-Khudairi, Amanda NPI: 1699001073 NPI: 1134141351 NPI: 1295838290 NP * Rocky Mountain Womens Ihc Salt Lake Clinic - Healthfair Plus - Salt Lake Women's Health Nurse Health Center - Salt Lake Family Internal Medicine City Practitioner 82 South 1100 East Ste 305 389 South 900 East 222 South Main St 5Th NPI: 1861613242 Salt Lake City, UT 84102 Salt Lake City, UT 84102 Floor Planned Parenthood (801) 214-7650 (385) 282-2600 Salt Lake City, UT 84101 Association - Salt Lake Spanish (407) 673-4074 654 South 900 East Burton, David MD ~ Salt Lake City, UT 84102 Bringhurst, Chelsa NP ~ Internal Medicine Rolfs Jr, Robert MD ~* (801) 322-5571 Family Nurse Practitioner NPI: 1134141351 Internal Medicine NPI: 1194170860 Ihc Salt Lake Clinic - NPI: 1649305699 Albano, Joseph MD ~* House Call Doctors Hcd Infusion Wasatch Homeless Family Medicine Wellness - Salt Lake 389 South 900 East Healthcare Inc - Fourth NPI: 1003836636 522 East 100 South Salt Lake City, UT 84102 Street Clinic Salt Lake Regional Salt Lake City, UT 84102 (385) 282-2750 409 West 400 South Regenerative & Sports (801) 485-5055 Salt Lake City, UT 84101 Medicine Cacciamani, Mark MD ~ (801) 364-0058 82 South 1100 East Ste 303 Bullock, Stephen NP ~* Family Medicine Salt Lake City, UT 84102 Family Nurse Practitioner NPI: 1063500163 Smith, Christopher NP ~* (801) 533-2002 NPI: 1073995072 House Call Doctors - Salt Family Nurse Practitioner House Call Doctors - Salt Lake NPI: 1225496391 Anderson, Perrine NP ~* Lake 522 East 100 South Wasatch Homeless Gerontology Nurse 522 East 100 South Salt Lake City, UT 84102 Healthcare Inc - Fourth Practitioner Salt Lake City, UT 84102 (801) 485-5055 Street Clinic NPI: 1447222849 (801) 485-5055 Spanish 409 West 400 South House Call Doctors - Salt Spanish Salt Lake City, UT 84101 Lake Cacciamani, Mark MD ~ (801) 364-0058 522 East 100 South Bullock, Stephen NP ~* Family Medicine Salt Lake City, UT 84102 Family Nurse Practitioner NPI: 1063500163 Wecker, Joel MD ~* (801) 485-5055 NPI: 1073995072 House Call Doctors Hcd Family Medicine House Call Doctors Hcd Wellness - Salt Lake NPI: 1326482803 Anderson, Perrine NP ~* Wellness - Salt Lake 522 East 100 South Wasatch Homeless Gerontology Nurse 522 East 100 South Salt Lake City, UT 84102 Healthcare Inc - Fourth Practitioner Salt Lake City, UT 84102 (801) 485-5055 Street Clinic NPI: 1447222849 (801) 485-5055 Spanish 409 West 400 South Senior Behavioral Health Spanish Salt Lake City, UT 84101 Outpatient - Salt Lake (801) 364-0058 Regional Spanish 82 South 1100 East Ste 404 Salt Lake City, UT 84102 (801) 350-4777

28 Primary Care Providers / Médicos de Cuidados Proveedores Salt Lake County continued / Condado seguido

Canga Siao, Cynthia Daniels, Jonathan MD ~* Hales, Reid MD ~ Harmon, Hal MD ~ MD ~* Obstetrics & Gynecology Internal Medicine Internal Medicine Internal Medicine NPI: 1043214935 NPI: 1639117823 NPI: 1538193933 NPI: 1669497558 Obstetrics & Gynecology Ihc Salt Lake Clinic - Ihc Salt Lake Clinic - Internal Medicine Of Salt Clinic - Salt Lake Infusion Infusion Lake - Pgu - Sl Reg 850 East 300 South Ste 1 389 South 900 East 389 South 900 East 82 South 1100 East Ste 403 Salt Lake City, UT 84102 Salt Lake City, UT 84102 Salt Lake City, UT 84102 Salt Lake City, UT 84102 (801) 322-1214 (385) 282-2750 (385) 282-2750 (801) 505-5299 German French Tagalog Engelen, Megan DO ~* Internal Medicine Hamula, Jason MD ~ Haws, Steven PA ~ Casull, Kathryn MD ~* NPI: 1154529246 Family Medicine Physician Assistant Internal Medicine Internal Medicine Of Salt NPI: 1043247588 NPI: 1417169871 NPI: 1831256635 Lake - Pgu - Sl Reg Ihc Salt Lake Clinic - House Call Doctors Hcd Salt Lake Regional Medical 82 South 1100 East Ste 403 Family Internal Medicine Wellness - Salt Lake Associates - Pgu - Sl Reg Salt Lake City, UT 84102 389 South 900 East 522 East 100 South 24 South 1100 East Ste 304 (801) 505-5299 Salt Lake City, UT 84102 Salt Lake City, UT 84102 Salt Lake City, UT 84102 (385) 282-2600 (801) 485-5055 (801) 521-4500 Engelen, Megan DO ~* German Internal Medicine Hirning, Patrice MD ~* Cicmanec, Sara MD ~ NPI: 1154529246 Hamula, Jason MD ~ Internal Medicine Internal Medicine Salt Lake Regional Medical Family Medicine NPI: 1770580078 NPI: 1891011375 Associates - Pgu - Sl Reg NPI: 1043247588 Salt Lake Regional Medical Ihc Salt Lake Clinic - 24 South 1100 East Ste 304 Ihc Salt Lake Clinic - Associates - Pgu - Sl Reg Family Internal Medicine Salt Lake City, UT 84102 Infusion 24 South 1100 East Ste 304 389 South 900 East (801) 521-4500 389 South 900 East Salt Lake City, UT 84102 Salt Lake City, UT 84102 Salt Lake City, UT 84102 (801) 521-4500 (385) 282-2600 Erickson, Ty MD ~ (385) 282-2750 Obstetrics & Gynecology German Hunt, John MD ~ Cicmanec, Sara MD ~ NPI: 1083783823 Internal Medicine Internal Medicine Erickson Surgical Hanson, Nicholas ~* NPI: 1487693289 NPI: 1891011375 Consulting Pllc - Salt Lake Family Medicine Ihc Salt Lake Clinic - Ihc Salt Lake Clinic - 24 South 1100 East Ste 209 NPI: 1710149794 Family Internal Medicine Infusion Salt Lake City, UT 84102 Alpine Internal Medicine 389 South 900 East 389 South 900 East (888) 258-3066 Clinic - Salt Lake Salt Lake City, UT 84102 Salt Lake City, UT 84102 1060 East 100 South Ste (385) 282-2600 (385) 282-2750 Galbraith, Brianne NP ~* L10 Family Nurse Practitioner Salt Lake City, UT 84102 Hunt, John MD ~ Clark, Ann MD ~ NPI: 1710395041 (801) 328-1260 Internal Medicine Family Medicine Wasatch Allergy And NPI: 1487693289 NPI: 1992047286 Asthma - Salt Lake Harmon, Hal MD ~ Ihc Salt Lake Clinic - Ihc Salt Lake Clinic - 24 South 1100 East Ste 201 Internal Medicine Infusion Family Internal Medicine Salt Lake City, UT 84102 NPI: 1538193933 389 South 900 East 389 South 900 East (385) 290-1289 Ihc Salt Lake Clinic - Salt Lake City, UT 84102 Salt Lake City, UT 84102 Family Internal Medicine (385) 282-2750 (385) 282-2600 Hales, Reid MD ~ 389 South 900 East Internal Medicine Salt Lake City, UT 84102 Johnsen, Jordan NP NPI: 1639117823 (385) 282-2600 Family Nurse Practitioner Ihc Salt Lake Clinic - French NPI: 1144668591 Family Internal Medicine Planned Parenthood 389 South 900 East Association - Salt Lake Salt Lake City, UT 84102 654 South 900 East (385) 282-2600 Salt Lake City, UT 84102 German (801) 322-5571

29 Primary Care Providers / Médicos de Cuidados Proveedores Salt Lake County continued / Condado seguido

Johnson, Jason MD ~* Kalaba, Slobodan MD ~ Lane, Keith MD ~* Malik, Nilma MD ~* Obstetrics & Gynecology Internal Medicine Geriatric Medicine - Internal Medicine NPI: 1376638718 NPI: 1881830693 Family Medicine NPI: 1417340704 Obstetrics & Gynecology Ihc Salt Lake Clinic - NPI: 1558370361 Internal Medicine Of Salt Clinic - Salt Lake Family Internal Medicine Salt Lake Senior Clinic - Lake - Pgu - Sl Reg 850 East 300 South Ste 1 389 South 900 East Salt Lake 82 South 1100 East Ste 403 Salt Lake City, UT 84102 Salt Lake City, UT 84102 82 South 1100 East Ste 403 Salt Lake City, UT 84102 (801) 322-1214 (385) 282-2600 Salt Lake City, UT 84102 (801) 505-5299 (801) 505-5299 Johnson, Mandy NP * Kalaba, Slobodan MD ~ Spanish Markland, Joseph PA ~ Women's Health Nurse Internal Medicine Physician Assistant Practitioner NPI: 1881830693 Lehmitz, Paul MD ~* NPI: 1952553950 NPI: 1245406347 Ihc Salt Lake Clinic - Internal Medicine, House Call Doctors Hcd Planned Parenthood Infusion Geriatric Medicine - Wellness - Salt Lake Association - Salt Lake 389 South 900 East Internal Medicine 522 East 100 South 654 South 900 East Salt Lake City, UT 84102 NPI: 1295841419 Salt Lake City, UT 84102 Salt Lake City, UT 84102 (385) 282-2750 Salt Lake Senior Clinic - (801) 485-5055 (801) 322-5571 Salt Lake Killpack, Michael MD ~* 82 South 1100 East Ste 403 Maxwell, Russell MD ~ Johnson, Nicole NP ~* Internal Medicine Salt Lake City, UT 84102 Internal Medicine Women's Health Nurse NPI: 1588714091 (801) 505-5299 NPI: 1083640767 Practitioner Alpine Internal Medicine Ihc Salt Lake Clinic - NPI: 1336484286 Clinic - Salt Lake Lewis, Mark MD ~ Family Internal Medicine Planned Parenthood 1060 East 100 South Ste Internal Medicine 389 South 900 East Association - Metro Clinic L10 NPI: 1417987587 Salt Lake City, UT 84102 160 South 1000 East Ste Salt Lake City, UT 84102 Ihc Salt Lake Clinic - (385) 282-2600 120 (801) 328-1260 Family Internal Medicine Salt Lake City, UT 84102 389 South 900 East Maxwell, Russell MD ~ (801) 257-6789 Kirk, Stephen MD ~* Salt Lake City, UT 84102 Internal Medicine Family Medicine (385) 282-2600 NPI: 1083640767 Johnson, Nicole NP ~* NPI: 1578737979 German Ihc Salt Lake Clinic - Women's Health Nurse Salt Lake Regional Infusion Practitioner Comprehensive Lewis, Mark MD ~ 389 South 900 East NPI: 1336484286 Orthopedics & Sports Med Internal Medicine Salt Lake City, UT 84102 Planned Parenthood 82 South 1100 East Ste 403 NPI: 1417987587 (385) 282-2750 Association - Salt Lake Salt Lake City, UT 84102 Ihc Salt Lake Clinic - 654 South 900 East (801) 533-2002 Infusion Mclaughlin, Nancy Salt Lake City, UT 84102 Spanish, Tagalog 389 South 900 East MD ~* (801) 322-5571 Salt Lake City, UT 84102 Internal Medicine Kuwahara, Lisa MD ~ (385) 282-2750 NPI: 1184633661 Judson, Patricia MD ~* Internal Medicine German Salt Lake Regional Medical Obstetrics & Gynecology NPI: 1538103015 Associates - Pgu - Sl Reg NPI: 1063504983 Ihc Salt Lake Clinic - Luras, John MD ~* 24 South 1100 East Ste 304 Rocky Mountain Womens Family Internal Medicine Internal Medicine Salt Lake City, UT 84102 Health Center - Salt Lake 389 South 900 East NPI: 1619084928 (801) 521-4500 82 South 1100 East Ste 305 Salt Lake City, UT 84102 Salt Lake Senior Clinic - Salt Lake City, UT 84102 (385) 282-2600 Salt Lake Mitchell, Rachel MD ~ (801) 214-7650 82 South 1100 East Ste 403 Internal Medicine Salt Lake City, UT 84102 NPI: 1205810751 (801) 505-5299 Ihc Salt Lake Clinic - Family Internal Medicine 389 South 900 East Salt Lake City, UT 84102 (385) 282-2600

30 Primary Care Providers / Médicos de Cuidados Proveedores Salt Lake County continued / Condado seguido

Montiel, Amanda Parkin, Gregory MD ~ Peterson, Tia NP ~ Sorweid, Michelle DO ~ CNM ~* Internal Medicine Family Nurse Practitioner Geriatric Medicine - Obstetrics & Gynecology NPI: 1154360691 NPI: 1902277908 Internal Medicine Nurse Practitioner Ihc Salt Lake Clinic - Wasatch Allergy And NPI: 1477849123 NPI: 1689716888 Family Internal Medicine Asthma - Salt Lake U Of U Hospital Human Centro De Salud Familiar - 389 South 900 East 24 South 1100 East Ste 201 Development Div - Salt Lake City Salt Lake City, UT 84102 Salt Lake City, UT 84102 Brookdale Nursing 24 South 1100 East Ste 209 (385) 282-2600 (385) 290-1289 76 South 500 East Salt Lake City, UT 84102 Spanish Salt Lake City, UT 84102 (801) 918-0930 Pierson, Shanlee NP ~ (801) 618-4583 Spanish Parkin, Gregory MD ~ Family Nurse Practitioner Internal Medicine NPI: 1457852378 Sprague, Brittany NP ~* Morris, Maisa MD ~* NPI: 1154360691 House Call Doctors Hcd Family Nurse Practitioner Family Medicine Ihc Salt Lake Clinic - Wellness - Salt Lake NPI: 1912427584 NPI: 1497794655 Infusion 522 East 100 South Rocky Mountain Womens House Call Doctors - Salt 389 South 900 East Salt Lake City, UT 84102 Health Center - Salt Lake Lake Salt Lake City, UT 84102 (801) 485-5055 82 South 1100 East Ste 305 522 East 100 South (385) 282-2750 Salt Lake City, UT 84102 Salt Lake City, UT 84102 Spanish Rogers, Jennifer NP ~* (801) 214-7650 (801) 485-5055 Family Nurse Practitioner Peng, Wei MD ~* NPI: 1245425610 Strong, Sharon MD ~* Nelson, David DO ~* Internal Medicine House Call Doctors - Salt Family Medicine Family Medicine NPI: 1295831865 Lake NPI: 1053343566 NPI: 1386676526 Alpine Internal Medicine 522 East 100 South House Call Doctors - Salt Helping Hand Association Clinic - Salt Lake Salt Lake City, UT 84102 Lake - Salt Lake 1060 East 100 South Ste (801) 485-5055 522 East 100 South 974 East South Temple L10 Salt Lake City, UT 84102 Salt Lake City, UT 84102 Salt Lake City, UT 84102 Rutland, Rita NP ~* (801) 485-5055 (801) 533-0070 (801) 328-1260 Family Nurse Practitioner French Spanish Chinese NPI: 1396266177 House Call Doctors - Salt Szczesny, Lorraine MD ~* Newman, Steve PA ~ Peng, Wei MD ~* Lake Internal Medicine Physician Assistant Internal Medicine 522 East 100 South NPI: 1518022896 NPI: 1033244215 NPI: 1295831865 Salt Lake City, UT 84102 Salt Lake Regional Medical House Call Doctors Hcd Cardiovascular (801) 485-5055 Associates - Pgu - Sl Reg Wellness - Salt Lake Consultants Of Utah Pc - 24 South 1100 East Ste 304 522 East 100 South Salt Lake City Skalka Jr, David NP ~* Salt Lake City, UT 84102 Salt Lake City, UT 84102 82 South 1100 East Ste 103 Family Nurse Practitioner (801) 521-4500 (801) 485-5055 Salt Lake City, UT 84102 NPI: 1851692735 (801) 263-2370 Gero Psych - Salt Lake Torres, Leah MD ~* Oglesby, John MD ~* Chinese 1050 East South Temple Obstetrics & Gynecology Obstetrics & Gynecology 2Nd Floor NPI: 1700047099 NPI: 1245385962 Peng, Wei MD ~* Salt Lake City, UT 84102 Rocky Mountain Womens Rocky Mountain Womens Internal Medicine (801) 964-3111 Health Center - Salt Lake Health Center - Salt Lake NPI: 1295831865 82 South 1100 East Ste 305 82 South 1100 East Ste 305 Wh-Bm Consultants Llc - Smith, Andrea MD ~* Salt Lake City, UT 84102 Salt Lake City, UT 84102 Pulmonary Clinic Obstetrics & Gynecology (801) 214-7650 (801) 214-7650 1060 East 100 South Ste NPI: 1831155746 Spanish L10 Rocky Mountain Womens Salt Lake City, UT 84102 Health Center - Salt Lake (801) 328-1260 82 South 1100 East Ste 305 Chinese Salt Lake City, UT 84102 (801) 214-7650 Spanish

31 Primary Care Providers / Médicos de Cuidados Proveedores Salt Lake County continued / Condado seguido

Towner, Steven MD ~ Voss, Stephen MD ~* Woolsey, Sarah MD ~* Royer, Pamela MD ~ Internal Medicine Obstetrics & Gynecology Family Medicine Obstetrics & Gynecology NPI: 1063446490 NPI: 1982799581 NPI: 1427035187 NPI: 1114161262 Ihc Salt Lake Clinic - Obstetrics & Gynecology House Call Doctors Hcd Community Health Family Internal Medicine Clinic - Salt Lake Wellness - Salt Lake Centers - Slc 389 South 900 East 850 East 300 South Ste 1 522 East 100 South 324 Tenth Ave Ste 249 Salt Lake City, UT 84102 Salt Lake City, UT 84102 Salt Lake City, UT 84102 Salt Lake City, UT 84103 (385) 282-2600 (801) 322-1214 (801) 485-5055 (801) 539-8617 Spanish Spanish Towner, Steven MD ~ Webb, Ann NP ~* Internal Medicine Family Nurse Practitioner Young, Christine NP ~ Whittaker, Thomas NPI: 1063446490 NPI: 1134473986 Family Nurse Practitioner MD ~* Ihc Salt Lake Clinic - House Call Doctors - Salt NPI: 1033329743 Family Medicine, Infusion Lake Ihc Salt Lake Clinic - Obstetrics 389 South 900 East 522 East 100 South Anticoagulation Clinic NPI: 1770600918 Salt Lake City, UT 84102 Salt Lake City, UT 84102 389 South 900 East Community Health (385) 282-2750 (801) 485-5055 Salt Lake City, UT 84102 Centers - Slc (385) 282-2425 324 Tenth Ave Ste 249 Turok, David MD ~* Whitten, Bireen MD ~ Salt Lake City, UT 84103 Obstetrics & Gynecology Internal Medicine 84103 (801) 539-8617 Spanish NPI: 1568449379 NPI: 1831162882 Curran, Marilyn MD ~* Planned Parenthood Ihc Salt Lake Clinic - Family Medicine Association - Salt Lake Family Internal Medicine NPI: 1285631358 Yanowitz, Frank MD ~* 654 South 900 East 389 South 900 East Community Health Internal Medicine, Salt Lake City, UT 84102 Salt Lake City, UT 84102 Centers - Slc Geriatric Medicine - (801) 322-5571 (385) 282-2600 324 Tenth Ave Ste 249 Family Medicine Spanish Salt Lake City, UT 84103 NPI: 1083699144 Whitten, Bireen MD ~ (801) 539-8617 Ldsh Health & Fitness Twitchell, Jeffrey MD ~ Internal Medicine Spanish Institute - Salt Lake Internal Medicine NPI: 1831162882 440 D Street Ste 206 NPI: 1922031780 Ihc Salt Lake Clinic - Salt Lake City, UT 84103 Garrison, Andrew MD ~* (801) 408-1396 Ihc Salt Lake Clinic - Infusion Family Medicine Family Internal Medicine 389 South 900 East NPI: 1821219379 389 South 900 East Salt Lake City, UT 84102 Community Health 84104 Salt Lake City, UT 84102 (385) 282-2750 Centers - Slc Erickson, Kerri NP ~ (385) 282-2600 324 Tenth Ave Ste 249 Family Nurse Practitioner Spanish Wood, James MD ~* Salt Lake City, UT 84103 NPI: 1194141911 Internal Medicine (801) 539-8617 Neighborhood Clinic - Salt Twitchell, Jeffrey MD ~ NPI: 1144212580 Spanish Lake Internal Medicine Alpine Internal Medicine 1388 South Navajo St NPI: 1922031780 Clinic - Salt Lake Hirning, Patrice MD ~* Salt Lake City, UT 84104 Ihc Salt Lake Clinic - 1060 East 100 South Ste Internal Medicine (801) 977-0502 Infusion L10 NPI: 1770580078 389 South 900 East Salt Lake City, UT 84102 Avenues Internal Medicine Fallentine, Julianne NP ~ Salt Lake City, UT 84102 (801) 328-1260 - Salt Lake City Family Nurse Practitioner (385) 282-2750 324 10Th Ave Ste 100 NPI: 1356366181 Spanish Salt Lake City, UT 84103 Neighborhood Clinic - Salt (801) 408-7500 Lake 1388 South Navajo St Salt Lake City, UT 84104 (801) 977-0502

32 Primary Care Providers / Médicos de Cuidados Proveedores Salt Lake County continued / Condado seguido

Jackson, Sarah NP ~* Daines, William MD ~ Romney, Kent MD ~ Davis, Kimberly DO ~* Family Nurse Practitioner Internal Medicine Internal Medicine Family Medicine NPI: 1992082556 NPI: 1205072394 NPI: 1720027378 NPI: 1487820320 Neighborhood Clinic - Salt Ihc Memorial Clinic - Ihc Memorial Clinic - Kimberly Davis Integrative Lake Sugarhouse Sugarhouse Health Pllc - Sugarhouse 1388 South Navajo St 2000 South 900 East 2000 South 900 East 1174 East Graystone Way Salt Lake City, UT 84104 Salt Lake City, UT 84105 Salt Lake City, UT 84105 Ste 15 (801) 977-0502 (801) 464-7500 (801) 464-7500 Salt Lake City, UT 84106 Portugese, Spanish Russian Spanish (801) 486-0875 Spanish Slack, Adelaide MD ~* Farley, Matthew MD ~ Trieu, Belinda MD ~ Family Medicine Internal Medicine Internal Medicine Fedor, Laurel MD ~* NPI: 1275822918 NPI: 1841618550 NPI: 1265616304 Internal Medicine Community Health Ihc Memorial Clinic - Ihc Memorial Clinic - NPI: 1245442086 Centers - Salt Lake City Sugarhouse Sugarhouse Nate M Ruden Md Llc - 1388 South Navajo St 2000 South 900 East 2000 South 900 East 1940 South Salt Lake City, UT 84104 Salt Lake City, UT 84105 Salt Lake City, UT 84105 1940 South 1100 East (801) 955-2360 (801) 464-7500 (801) 464-7500 Salt Lake City, UT 84106 Spanish (801) 485-1035 Gorman, Darcie MD ~ Udall, King MD ~ Vande Merwe, David Internal Medicine Family Medicine Fonua, Siosi NP ~* MD ~ NPI: 1063637353 NPI: 1699719559 Family Nurse Practitioner Family Medicine Ihc Memorial Clinic - Ihc Memorial Clinic - NPI: 1750789624 NPI: 1003859547 Sugarhouse Sugarhouse Adult Care Clinic - 3080 Intermountain 2000 South 900 East 2000 South 900 East South Neighborhood Clinic - Salt Lake City, UT 84105 Salt Lake City, UT 84105 3080 South 1300 East Sorenson Center (801) 464-7500 (801) 464-7500 Salt Lake City, UT 84106 855 West California Ave Spanish (801) 308-8400 Salt Lake City, UT 84104 Richards, Ann MD ~ Tongan (801) 977-0502 Internal Medicine Westermann, Robert NPI: 1154362895 MD ~ Johnson, Sherman MD * 84105 Ihc Memorial Clinic - Internal Medicine General Practice Bolton Orr, Brandi NP ~ Sugarhouse NPI: 1013958131 NPI: 1376510800 Family Nurse Practitioner 2000 South 900 East Ihc Memorial Clinic - Dudley Medical And NPI: 1811176761 Salt Lake City, UT 84105 Sugarhouse Wellness - Salt Lake Ihc Memorial Clinic - (801) 464-7500 2000 South 900 East 1053 East 2100 South Sugarhouse Salt Lake City, UT 84105 Salt Lake City, UT 84106 2000 South 900 East Romney, Joshua MD ~ (801) 464-7500 (801) 359-3995 Salt Lake City, UT 84105 Internal Medicine (801) 464-7500 NPI: 1649212663 84106 Ponce, Sean MD ~* Ihc Memorial Clinic - Chamberlain, Laura Family Medicine Chang, Beverly MD ~ Sugarhouse NP ~* NPI: 1376577049 Internal Medicine 2000 South 900 East Family Nurse Practitioner Salt Lake Behavioral NPI: 1780600973 Salt Lake City, UT 84105 NPI: 1164727335 Health - Slc Ihc Memorial Clinic - (801) 464-7500 Signature Transitions 3802 South 700 East Sugarhouse Primary & Palliative Care Salt Lake City, UT 84106 2000 South 900 East - Slc (801) 264-6000 Salt Lake City, UT 84105 1398 East Luck Ln Spanish (801) 464-7500 Salt Lake City, UT 84106 (801) 746-7434 Chinese

33 Primary Care Providers / Médicos de Cuidados Proveedores Salt Lake County continued / Condado seguido

84107 Chamberlain, Bruce Egan, Brent NP ~ Griswold, Jennifer NP ~* Barney, Spencer MD ~* MD ~* Family Nurse Practitioner Gerontology Nurse Obstetrics & Gynecology Internal Medicine NPI: 1376634998 Practitioner NPI: 1972644821 NPI: 1285664078 Upri Murray Clinic NPI: 1275971483 Spencer P Barney Md - Salt Hearts For Senior Care - 32 West Winchester St Ste Amazing Medical Lake Salt Lake 200 Associates - Murray 3970 South 700 East Ste 14 141 East 5600 South Ste Salt Lake City, UT 84107 835 East 4800 South Ste Salt Lake City, UT 84107 110 (801) 327-9336 230 (801) 261-3605 Salt Lake City, UT 84107 Salt Lake City, UT 84107 Spanish (801) 528-6740 Faircloth, Erica MD ~* (801) 716-7008 Obstetrics & Gynecology Brown, Bryant MD ~* Corbett, Krista NP ~ NPI: 1689849523 Guerra, Carlos MD ~ Obstetrics & Gynecology Family Nurse Practitioner Erica A Faircloth Md Pc - Family Medicine NPI: 1629038963 NPI: 1326448838 Millcreek NPI: 1891772612 Bryant J Brown Md Pc - Ihc Orthopedic Specialty 3970 South 700 East Ste 14 Ihc Cottonwood Family Murray Group - Imc - Murray Salt Lake City, UT 84107 Medicine - Murray 3970 South 700 East Ste 14 5169 South Cottonwood St (801) 261-3605 181 East Medical Tower Salt Lake City, UT 84107 Ste 430 Dr (801) 261-3605 Salt Lake City, UT 84107 Falahati-Nini, Alireza Salt Lake City, UT 84107 (801) 507-3475 MD ~* (801) 314-4266 Spanish Brown, Lindsey NP ~* Internal Medicine Family Nurse Practitioner Dascomb, Kristin MD ~ NPI: 1417989971 NPI: 1457764714 Infectious Disease Utah Endocrinology Harris, Allison NP ~ Amazing Medical NPI: 1861688939 Associates Pllc - Salt Lake Family Nurse Practitioner Associates - Murray Imed Infectious Diseases 470 East 3900 South Ste NPI: 1588963250 835 East 4800 South Ste Dept 200 Intermountain Medical 230 5121 South Cottonwood St Salt Lake City, UT 84107 Center - Neurology Salt Lake City, UT 84107 Salt Lake City, UT 84107 (801) 747-2800 5121 South Cottonwood St (801) 716-7008 (801) 507-7000 Salt Lake City, UT 84107 Fallentine, Julianne NP ~ (801) 507-7000 Brown, Samuel MD ~ De Jesus, Diana MD ~ Family Nurse Practitioner Internal Medicine Internal Medicine NPI: 1356366181 Hedin Goldsmith, NPI: 1013998947 NPI: 1336446392 Intermountain Kristina NP ~* Intermountain Ihc Cottonwood Internal Multidisciplinary Clinic Women's Health Nurse Multidisciplinary Clinic Medicine - Murray 5121 South Cottonwood St Practitioner, Nurse 5121 South Cottonwood St 181 East Medical Tower Salt Lake City, UT 84107 Practitioner Salt Lake City, UT 84107 Dr (801) 507-7000 NPI: 1235279944 (801) 507-7000 Salt Lake City, UT 84107 Granger Medical - Murray (801) 314-4300 Fulghum, Kelley MD ~ Womens Health Internal Medicine 348 East 4500 South Ste Casull, Kathryn MD ~* Duncan, Nicholas MD ~ NPI: 1770926933 200 Internal Medicine Family Medicine Ihc Cottonwood Internal Salt Lake City, UT 84107 NPI: 1831256635 NPI: 1821355827 Medicine - Murray (801) 268-8222 Granger Medical - Murray Ihc Cottonwood Family 181 East Medical Tower Womens Health Medicine - Murray Dr Hooton, Josh NP ~* 348 East 4500 South Ste 181 East Medical Tower Salt Lake City, UT 84107 Family Nurse Practitioner 200 Dr (801) 314-4300 NPI: 1306272471 Salt Lake City, UT 84107 Salt Lake City, UT 84107 Upri Murray Clinic (801) 268-8222 (801) 314-4266 32 West Winchester St Ste 200 Salt Lake City, UT 84107 (801) 327-9336

34 Primary Care Providers / Médicos de Cuidados Proveedores Salt Lake County continued / Condado seguido

Hurst, Barbara MD ~* Lee, Mark MD ~ Nakaya, Leslie NP ~ Randle, Mary NP ~ Obstetrics & Gynecology Family Medicine Family Nurse Practitioner Gerontology Nurse NPI: 1205973070 NPI: 1285644682 NPI: 1366849127 Practitioner Granger Medical - Murray Ihc Cottonwood Family The Heart & Lung Institute NPI: 1558507517 Womens Health Medicine - Murray Of Utah - Main Office Intermountain 348 East 4500 South Ste 181 East Medical Tower 5979 South Fashion Blvd Multidisciplinary Clinic 200 Dr Salt Lake City, UT 84107 5121 South Cottonwood St Salt Lake City, UT 84107 Salt Lake City, UT 84107 (801) 263-2370 Salt Lake City, UT 84107 (801) 268-8222 (801) 314-4266 (801) 507-7000 Nelson, Cory DO ~* Hurst, Barbara MD ~* Leither, Lindsay DO ~* Family Medicine Rappleye, Alan MD ~* Obstetrics & Gynecology Internal Medicine NPI: 1124339460 Obstetrics & Gynecology NPI: 1205973070 NPI: 1285878256 Emere Utah Llc - Murray NPI: 1568431575 Phase Ii Center For Granger Medical - 5296 South Commerce Dr Alan T Rappleye Md Pc - Womens Health - Salt Lake Cottonwood Sleep & Lung - Ste 104 Murray 348 East 4500 South Ste Murray Salt Lake City, UT 84107 3970 South 700 East Ste 14 200 5801 South Fashion Blvd (385) 474-8888 Salt Lake City, UT 84107 Salt Lake City, UT 84107 Ste 280 (801) 261-3605 (801) 262-9800 Salt Lake City, UT 84107 Noonan, Erika MD ~* Spanish (801) 260-5864 Family Medicine Hurst, Barbara MD ~* NPI: 1689848178 Robert, Lance DO ~ Obstetrics & Gynecology Macpherson, Jane MD ~* Amazing Medical Family Medicine NPI: 1205973070 Internal Medicine Associates - Murray NPI: 1578852174 Wasatch Infusion Llc - NPI: 1699869479 835 East 4800 South Ste Ihc Intermountain Nurse Murray Utah Cancer Specialists Pc 230 Midwives - Murray 348 East 4500 South Ste - Cottonwood St Salt Lake City, UT 84107 5121 South Cottonwood St 200 5131 South Cottonwood St (801) 716-7008 Ste 170 Salt Lake City, UT 84107 Ste L2 Salt Lake City, UT 84107 (801) 577-7055 Salt Lake City, UT 84107 Pasala, Tilak MD ~* (801) 507-7070 (801) 263-3416 Internal Medicine Johnson, Timothy MD ~ NPI: 1548493323 Romney, Douglas MD ~ Internal Medicine Mallender, Charles MD ~ The Heart & Lung Institute Internal Medicine NPI: 1972524395 Internal Medicine Of Utah - Main Office NPI: 1427060342 Ihc Cottonwood Internal NPI: 1942261037 5979 South Fashion Blvd Ihc Cottonwood Internal Medicine - Murray Ihc Int Heart Rhythm - Salt Lake City, UT 84107 Medicine - Murray 181 East Medical Tower Murray Cottonwood St (801) 263-2370 181 East Medical Tower Dr 5169 South Cottonwood St Dr Salt Lake City, UT 84107 St 510 Pradhan, Saphu MD ~ Salt Lake City, UT 84107 (801) 314-4300 Salt Lake City, UT 84107 Family Medicine (801) 314-4300 (801) 507-3513 NPI: 1215170709 Jones, Christopher MD ~ Spanish Ihc Cottonwood Family Roth, James MD ~* Internal Medicine Medicine - Murray Obstetrics & Gynecology NPI: 1417967837 Monroy, Franz MD ~ 181 East Medical Tower NPI: 1104895705 Ihc Cottonwood Internal Family Medicine Dr James T Roth Md Pc - Salt Medicine - Murray NPI: 1134373582 Salt Lake City, UT 84107 Lake City 181 East Medical Tower Ihc Cottonwood Family (801) 314-4266 3970 South 700 East Ste 14 Dr Medicine - Murray Salt Lake City, UT 84107 Salt Lake City, UT 84107 181 East Medical Tower (801) 261-3605 (801) 314-4300 Dr Salt Lake City, UT 84107 (801) 314-4266 Spanish

35 Primary Care Providers / Médicos de Cuidados Proveedores Salt Lake County continued / Condado seguido

Ruckdeschel, John MD ~ Spain, Chad MD ~ Western, Lisa NP ~* Engelen, Megan DO ~* Internal Medicine Family Medicine Family Nurse Practitioner Internal Medicine NPI: 1356380851 NPI: 1093039521 NPI: 1558712414 NPI: 1154529246 Utah Cancer Specialists Pc Ihc Cottonwood Family Mountainstar Medical Internal Medicine Of Salt - Cottonwood St Medicine - Murray Group - St Marks - Slc Lake - Pgu - Parleys Way 5131 South Cottonwood St 181 East Medical Tower 348 East 4500 South 2645 East Parleys Way Ste Ste L2 Dr Salt Lake City, UT 84107 200 Salt Lake City, UT 84107 Salt Lake City, UT 84107 (801) 266-2777 Salt Lake City, UT 84109 (801) 263-3416 (801) 314-4266 (801) 384-4700 Woller, Scott MD ~ Schonrock, Krista MD ~ Stevens, Scott MD ~ Internal Medicine Henry, Dan MD ~* Internal Medicine Internal Medicine NPI: 1508966326 Family Medicine NPI: 1578575403 NPI: 1336169788 Intermountain Outpatient NPI: 1871528018 Ihc Cottonwood Internal Intermountain Outpatient Clinic Foothill Family Clinic - Medicine - Murray Clinic 5169 South Cottonwood St Salt Lake 181 East Medical Tower 5169 South Cottonwood St Salt Lake City, UT 84107 2295 Foothill Dr Dr Salt Lake City, UT 84107 (801) 507-3355 Salt Lake City, UT 84109 Salt Lake City, UT 84107 (801) 507-3355 (801) 486-3021 (801) 314-4300 84109 Tran, Sally MD ~ Clark, Alexander DO ~* Jackson, Heather MD ~* Shephard, Shannon Family Medicine Family Medicine Family Medicine NP ~* NPI: 1083051478 NPI: 1578772109 NPI: 1023237088 Family Nurse Practitioner Ihc Cottonwood Family Foothill Family Clinic - Foothill Family Clinic - NPI: 1053757492 Medicine - Murray Salt Lake Salt Lake Amazing Medical 181 East Medical Tower 2295 Foothill Dr 2295 Foothill Dr Associates - Murray Dr Salt Lake City, UT 84109 Salt Lake City, UT 84109 835 East 4800 South Ste Salt Lake City, UT 84107 (801) 486-3021 (801) 486-3021 230 (801) 314-4266 Salt Lake City, UT 84107 Eborn, Shana MD ~* Peterson, James MD ~* (801) 716-7008 Tucker, Stephen MD ~* Family Medicine, Family Medicine, Internal Medicine Obstetrics Obstetrics Smith, Douglas MD ~* NPI: 1538179247 NPI: 1780615658 NPI: 1316962442 Family Medicine True Life Treatment Foothill Family Clinic - Foothill Family Clinic - NPI: 1174681928 Center - Slc Salt Lake Salt Lake Murray Primary & Urgent 5263 South Commerce Dr 2295 Foothill Dr 2295 Foothill Dr Care Clinic Ste 100 Salt Lake City, UT 84109 Salt Lake City, UT 84109 5980 South Fashion Blvd Salt Lake City, UT 84107 (801) 486-3021 (801) 486-3021 Salt Lake City, UT 84107 (801) 281-9853 (801) 984-3400 Edwards, Susan MD ~* Peterson, Mark MD ~* Turner, Bryan MD ~* Family Medicine Family Medicine Smith, Maureen NP ~ General Practice NPI: 1992730139 NPI: 1326374562 Family Nurse Practitioner NPI: 1700834991 Foothill Family Clinic - Internal Medicine Of Salt NPI: 1730111311 Amazing Medical Salt Lake Lake - Pgu - Parleys Way Nephrology Associates - Associates - Murray 2295 Foothill Dr 2645 East Parleys Way Ste Salt Lake 835 East 4800 South Ste Salt Lake City, UT 84109 200 650 East 4500 South Ste 230 (801) 486-3021 Salt Lake City, UT 84109 210 Salt Lake City, UT 84107 (801) 384-4700 Salt Lake City, UT 84107 (801) 716-7008 Spanish (801) 288-2634

36 Primary Care Providers / Médicos de Cuidados Proveedores Salt Lake County continued / Condado seguido

Rohrer, Jacqueline MD ~* Coe, Tyler NP ~ 84112 Sorweid, Michelle DO ~ Family Medicine Nurse Practitioner Johnson, Matthew MD ~ Geriatric Medicine - NPI: 1225296387 NPI: 1437533270 Family Medicine Internal Medicine Foothill Family Clinic - Sacred Circle Health Care - NPI: 1699787770 NPI: 1477849123 Salt Lake Goshute - Salt Lake Madsen Health Center U Of U Hospital Human 2295 Foothill Dr 660 South 200 East Ste 250 555 Foothill Blvd Development Div - 700 Salt Lake City, UT 84109 Salt Lake City, UT 84111 Salt Lake City, UT 84112 Foothill Blvd (801) 486-3021 (435) 234-1194 (801) 213-8846 700 Foothill Blvd Spanish Spanish Salt Lake City, UT 84113 Spanish (801) 581-2628 Taylor, Jack MD ~* Erickson, Kerri NP ~ Sanyer, Osman MD ~ Family Medicine Family Nurse Practitioner Family Medicine 84115 NPI: 1467477505 NPI: 1194141911 NPI: 1558451179 Dame, John MD ~* Foothill Family Clinic - Ihc Lincoln School Clinic - Madsen Health Center Family Medicine Salt Lake Salt Lake 555 Foothill Blvd NPI: 1922205947 2295 Foothill Dr 1090 Roberta St Salt Lake City, UT 84112 Midtown Community Salt Lake City, UT 84109 Salt Lake City, UT 84111 (801) 213-8846 Health Center - Salt Lake (801) 486-3021 (801) 408-3585 French, Spanish 2253 South State St Salt Lake City, UT 84115 84111 Garrison, Andrew MD ~* Wilson, Benjamin MD ~* (801) 486-0911 Arbogast, Jessica NP ~* Family Medicine Family Medicine Spanish Family Nurse Practitioner NPI: 1821219379 NPI: 1952694549 NPI: 1154721108 Central City Clinic - Salt Madsen Health Center Gregoire, Richard MD ~* Odyssey House Martindale Lake City 555 Foothill Blvd Family Medicine Clinic - Salt Lake 461 South 400 East Salt Lake City, UT 84112 NPI: 1528066149 340 East 100 South Salt Lake City, UT 84111 (801) 213-8846 Midtown Community Salt Lake City, UT 84111 (801) 539-8617 Health Center - Salt Lake (801) 428-3487 Spanish 84113 2253 South State St Salt Lake City, UT 84115 Fuller, Dianne NP ~ Arbogast, Richard MD ~* Lawrence, Kristi NP ~* (801) 486-0911 Family Nurse Practitioner Family Nurse Practitioner Spanish Family Medicine NPI: 1811349780 NPI: 1124347786 NPI: 1376613141 Sacred Circle Health Care - General Pediatrics - Pch Odyssey House Martindale 100 North Mario Capecchi Hodo, Laura MD ~* Clinic - Salt Lake Goshute - Salt Lake Family Medicine 660 South 200 East Ste 250 Dr NPI: 1922013325 340 East 100 South Salt Lake City, UT 84111 Salt Lake City, UT 84113 Salt Lake City, UT 84111 (801) 662-1000 South Main Clinic (801) 428-3487 (435) 234-1194 Pediatrics 3690 South Main St Ngatuvai, Tauaina MD ~* Hodo, Laura MD ~* Salt Lake City, UT 84115 Bentley, Melissa MD ~* Family Medicine Internal Medicine Family Medicine (801) 464-8929 NPI: 1003992470 NPI: 1922013325 Spanish NPI: 1639354897 Lihai Medical Clinic Inc - General Pediatrics - Pch Sacred Circle Health Care - 100 North Mario Capecchi Goshute - Salt Lake Salt Lake City Monroy, Carissa MD ~* 313 East 900 South Ste 102 Dr Family Medicine 660 South 200 East Ste 250 Salt Lake City, UT 84111 Salt Lake City, UT 84113 Salt Lake City, UT 84111 (801) 662-1000 NPI: 1760610349 (435) 234-1194 (801) 687-0511 Midtown Community Spanish, Samoan Spanish Health Center - Salt Lake 2253 South State St Salt Lake City, UT 84115 (801) 486-0911 Spanish

37 Primary Care Providers / Médicos de Cuidados Proveedores Salt Lake County continued / Condado seguido

84116 Guitarrari, Carolina Robinson, David MD ~* Tufts, Gillian APRN ~* Babitz, Marc MD ~* NP ~* Family Medicine Family Nurse Practitioner Family Medicine Family Nurse Practitioner NPI: 1780661421 NPI: 1083691737 NPI: 1619067246 NPI: 1447636089 Stephen D Ratcliffe Clinic - Stephen D Ratcliffe Clinic - Health Clinics Of Utah - Stephen D Ratcliffe Clinic - Rose Park Rose Park Salt Lake Site Rose Park 1365 West 1000 North 1365 West 1000 North 168 North 1950 West Ste 1365 West 1000 North Salt Lake City, UT 84116 Salt Lake City, UT 84116 201 Salt Lake City, UT 84116 (801) 328-5756 (801) 328-5756 Salt Lake City, UT 84116 (801) 328-5756 Spanish (801) 715-3500 Woolsey, Sarah MD ~* Ingersoll, Jenna MD ~* Ruske, Nicole MD ~* Family Medicine Erickson, Kerri NP ~ Family Medicine Family Medicine NPI: 1427035187 Family Nurse Practitioner NPI: 1275944563 NPI: 1750721148 Stephen D Ratcliffe Clinic - NPI: 1194141911 Stephen D Ratcliffe Clinic - Stephen D Ratcliffe Clinic - Rose Park Ihc North Temple Urgent Rose Park Rose Park 1365 West 1000 North Care Clinic - Rose Park 1365 West 1000 North 1365 West 1000 North Salt Lake City, UT 84116 54 North 800 West Salt Lake City, UT 84116 Salt Lake City, UT 84116 (801) 328-5756 Salt Lake City, UT 84116 (801) 328-5756 (801) 328-5756 Spanish (801) 408-8654 Spanish Jonat, Alana MD ~* 84117 Erickson, Kerri NP ~ Family Medicine Scholes, Cheryl NP ~* Albano, Joseph MD ~* Family Nurse Practitioner NPI: 1306136932 Family Nurse Practitioner Family Medicine NPI: 1194141911 Stephen D Ratcliffe Clinic - NPI: 1184952822 NPI: 1003836636 Ihc Rose Park Elementary Rose Park Health Clinics Of Utah - Slr Family Practice & Clinic - Rose Park 1365 West 1000 North Salt Lake Site Sports Medicine - Holladay 1105 West 1000 North Salt Lake City, UT 84116 168 North 1950 West Ste 4888 South Highland Dr Salt Lake City, UT 84116 (801) 328-5756 201 Salt Lake City, UT 84117 Spanish Salt Lake City, UT 84116 (801) 424-5042 (801) 364-2434 (801) 715-3500 German, Spanish Garzon, William NP ~* Mickelson, Steven NP ~ Bank, Stacey MD ~* Family Nurse Practitioner Family Nurse Practitioner Family Medicine NPI: 1437670098 NPI: 1881696466 Spiess, Saskia MD ~* NPI: 1790797959 Stephen D Ratcliffe Clinic - Health Clinics Of Utah - Family Medicine Granger Medical - Rose Park Salt Lake Site NPI: 1689966004 Holladay Family Medicine 1365 West 1000 North 168 North 1950 West Ste Stephen D Ratcliffe Clinic - 999 East Murray Holladay Salt Lake City, UT 84116 201 Rose Park Rd Ste 207 (801) 328-5756 Salt Lake City, UT 84116 1365 West 1000 North Salt Lake City, UT 84117 (801) 715-3500 Salt Lake City, UT 84116 (801) 268-2584 Spanish (801) 328-5756 Guitarrari, Carolina Spanish NP ~* Barton, Christopher Family Nurse Practitioner Nelson, John MD ~* MD ~* NPI: 1447636089 Obstetrics & Gynecology Sundwall, David MD ~* Obstetrics & Gynecology Chc - Stephen D Ratcliffe NPI: 1073776787 Internal Medicine NPI: 1699001073 Clinic Health Clinics Of Utah - NPI: 1558395004 Physicians Group Of Utah 1365 West 1000 North Salt Lake Site Health Clinics Of Utah - - Holladay Salt Lake City, UT 84116 168 North 1950 West Ste Salt Lake Site 4624 South Holladay Blvd (801) 328-5750 201 168 North 1950 West Ste Ste 201 Salt Lake City, UT 84116 201 Salt Lake City, UT 84117 (801) 715-3500 Salt Lake City, UT 84116 (801) 505-5370 (801) 715-3500 Spanish

38 Primary Care Providers / Médicos de Cuidados Proveedores Salt Lake County continued / Condado seguido

Fuller, Gene MD ~* Munt, Katherine MD ~* 84119 84120 Family Medicine Family Medicine Doane, John MD ~* Allen, Juanita NP ~* NPI: 1396710281 NPI: 1982867008 Internal Medicine Family Nurse Practitioner Granger Medical - Granger Medical - NPI: 1871683466 NPI: 1821125295 Holladay Family Medicine Holladay Family Medicine Uuhc Redwood Health Exodus Healthcare - West 999 East Murray Holladay 999 East Murray Holladay Center Valley City Rd Ste 207 Rd Ste 207 1525 West 2100 South 3336 South Pioneer Pkwy Salt Lake City, UT 84117 Salt Lake City, UT 84117 Salt Lake City, UT 84119 Ste 201 (801) 268-2584 (801) 268-2584 (801) 213-8841 Salt Lake City, UT 84120 French (801) 250-9638 Roberts, Jordan MD ~* Johnson, Nicole NP ~* Spanish Fuller, Gene MD * Family Medicine Women's Health Nurse Family Medicine NPI: 1588043871 Practitioner Atwood, Lynne NP ~ NPI: 1396710281 Granger Medical - NPI: 1336484286 Family Nurse Practitioner, Holladay Family Practice Holladay Family Medicine Planned Parenthood Obstetrics & Gynecology Llc - Holladay 999 East Murray Holladay Association - West Valley Nurse Practitioner 999 Murray Holladay Rd Rd Ste 207 1906 West 3600 South NPI: 1275590960 Ste 207 Salt Lake City, UT 84117 Salt Lake City, UT 84119 Rocky Mountain Womens Salt Lake City, UT 84117 (801) 268-2584 (801) 973-9675 Health Center - West (801) 268-2584 Portugese, Spanish Valley Campus French Joseph, Laurene MD ~* 3336 South Pioneer Pkwy 84118 Internal Medicine Ste 301 Larsen, David MD ~* Cosgrave Ii, Michael NPI: 1629145123 Salt Lake City, UT 84120 Family Medicine DO ~* University Of Utah (801) 964-3865 NPI: 1679548564 Family Medicine Community Physicians Granger Medical - NPI: 1720252117 Group - Redwood Ctr Baiden, Erica MD ~* Holladay Family Medicine Oval Sports Medicine 1525 West 2100 South Family Medicine 999 East Murray Holladay 5662 South Cougar Ln Ste Salt Lake City, UT 84119 NPI: 1821242108 Rd Ste 207 311 (801) 213-8841 Granger Medical - West Salt Lake City, UT 84117 Salt Lake City, UT 84118 Hebrew Valley (801) 268-2584 (801) 912-8210 3725 West 4100 South Dutch Spanish Nguyen, Anh MD * Salt Lake City, UT 84120 Family Medicine (801) 965-3600 Larsen, David MD * Guerra, Paula MD ~ NPI: 1699764407 Spanish Family Medicine Family Medicine Anh Tai Nguyen Md Pc - NPI: 1679548564 NPI: 1902883721 West Valley City Bane, Jesse MD ~* Holladay Family Practice Ihc Kearns Clinic - Kearns 1819 West 3500 South Ste Internal Medicine Llc - Holladay 4946 West 6200 South 1C NPI: 1477584837 999 Murray Holladay Rd Salt Lake City, UT 84118 Salt Lake City, UT 84119 Granger Medical - West Ste 207 (801) 871-4444 (801) 975-9707 Valley Salt Lake City, UT 84117 Spanish Vietnamese 3725 West 4100 South (801) 268-2584 Salt Lake City, UT 84120 Dutch Sandygren, Nolan MD ~ Turok, David MD ~* (801) 965-3600 Family Medicine Obstetrics & Gynecology Loving, Andrea NP ~* NPI: 1578820445 NPI: 1568449379 Bulaj, Zaneta MD ~* Family Nurse Practitioner Ihc Kearns Clinic - Kearns Planned Parenthood Internal Medicine NPI: 1447636188 4946 West 6200 South Association - West Valley NPI: 1598869026 Alie Medical Practice Salt Lake City, UT 84118 1906 West 3600 South Granger Medical - West 2180 East 4500 South Ste (801) 871-4444 Salt Lake City, UT 84119 Valley 105 Spanish (801) 973-9675 3725 West 4100 South Salt Lake City, UT 84117 Spanish Salt Lake City, UT 84120 (801) 895-8903 (801) 965-3600 German, Polish, Russian

39 Primary Care Providers / Médicos de Cuidados Proveedores Salt Lake County continued / Condado seguido

Caldwell, Katharine Daniels, Jonathan MD ~* Gonzales, Gloria MD ~* Lash, Stephen MD ~* MD ~* Obstetrics & Gynecology Internal Medicine Obstetrics & Gynecology Family Medicine NPI: 1043214935 NPI: 1942235916 NPI: 1447228572 NPI: 1598990392 Rocky Mountain Womens Granger Medical - West Rocky Mountain Womens Exodus Healthcare - West Health Center - West Valley Health Center - West Valley City Valley Campus 3725 West 4100 South Valley Campus 3336 South Pioneer Pkwy 3336 South Pioneer Pkwy Salt Lake City, UT 84120 3336 South Pioneer Pkwy Ste 201 Ste 301 (801) 965-3600 Ste 301 Salt Lake City, UT 84120 Salt Lake City, UT 84120 Spanish Salt Lake City, UT 84120 (801) 250-9638 (801) 964-3865 (801) 964-3865 Spanish Henich, Casey MD ~* Dantis-Tan, Minerva Family Medicine Martinez Santibanez, Casull, Kathryn MD ~* NP ~ NPI: 1003041740 Cuper MD ~* Internal Medicine Family Nurse Practitioner Granger Medical - West Internal Medicine NPI: 1831256635 NPI: 1164715124 Valley NPI: 1891238481 Granger Medical - West Nephrology Associates - 3725 West 4100 South Western Hills Medical Valley West Valley Salt Lake City, UT 84120 Clinic - West Valley 3725 West 4100 South 4052 West Pioneer Pkwy (801) 965-3600 3336 South Pioneer Pkwy Salt Lake City, UT 84120 Ste 101 Ste 204 (801) 965-3600 Salt Lake City, UT 84120 Homewood, Virginia Salt Lake City, UT 84120 (801) 288-2634 MD ~* (801) 912-9700 Chambers, May MD ~* Tagalog Obstetrics & Gynecology Obstetrics & Gynecology NPI: 1003072216 Mauric, John DO ~* NPI: 1669512026 Depew, Bruce MD ~* Rocky Mountain Womens Family Medicine Rocky Mountain Womens Family Medicine Health Center - West NPI: 1891731659 Health Center - West NPI: 1376505214 Valley Campus Exodus Healthcare - West Valley Campus Granger Medical - West 3336 South Pioneer Pkwy Valley City 3336 South Pioneer Pkwy Valley Ste 301 3336 South Pioneer Pkwy Ste 301 3725 West 4100 South Salt Lake City, UT 84120 Ste 201 Salt Lake City, UT 84120 Salt Lake City, UT 84120 (801) 964-3865 Salt Lake City, UT 84120 (801) 964-3865 (801) 965-3600 Spanish (801) 250-9638 French, Italian, Spanish Gandolfi, Roy MD ~* Iqbal, Ronak MD ~* Morris Iii, Ray MD ~* Chavez, Javier MD ~* Internal Medicine Internal Medicine Family Medicine Obstetrics & Gynecology NPI: 1740211101 NPI: 1679746085 NPI: 1023171014 NPI: 1295020949 Granger Medical - West Granger Medical - West Benita Medical Llc - West Granger Medical - West Valley Valley Valley City Valley 3725 West 4100 South 3725 West 4100 South 3465 South 4155 West Ste 3725 West 4100 South Salt Lake City, UT 84120 Salt Lake City, UT 84120 2 Salt Lake City, UT 84120 (801) 965-3600 (801) 965-3600 Salt Lake City, UT 84120 (801) 965-3600 Hindi, Urdu (801) 963-7636 Spanish Gandolfi, Roy MD ~* Internal Medicine Johnson, Sara NP ~* Nelson, David DO * Cutlip, Cheryle MD * NPI: 1740211101 Family Nurse Practitioner Family Medicine Family Medicine Jordan Valley Medical NPI: 1811917271 NPI: 1386676526 NPI: 1336171586 Center West Valley Exodus Healthcare - West Granger Medical - West Granger Medical - West Campus - Service Valley City Valley Valley 3460 South Pioneer Pkwy 3336 South Pioneer Pkwy 3725 West 4100 South 3725 West 4100 South Salt Lake City, UT 84120 Ste 201 Salt Lake City, UT 84120 Salt Lake City, UT 84120 (801) 964-3111 Salt Lake City, UT 84120 (801) 965-3600 (801) 965-3600 (801) 250-9638 Spanish

40 Primary Care Providers / Médicos de Cuidados Proveedores Salt Lake County continued / Condado seguido

Nelson, James MD ~* Robbins, James DO ~* Smith-Holmen, Barbara Valentine, Christopher Obstetrics & Gynecology Family Medicine NP ~* MD ~* NPI: 1588646350 NPI: 1720234412 Family Nurse Practitioner Family Medicine Rocky Mountain Womens Exodus Healthcare - West NPI: 1568665784 NPI: 1598753501 Health Center - West Valley City St Marks Primary Care - Western Hills Medical Valley Campus 3336 South Pioneer Pkwy West Valley Clinic - West Valley 3336 South Pioneer Pkwy Ste 201 3540 South 4000 West Ste 3336 South Pioneer Pkwy Ste 301 Salt Lake City, UT 84120 340 Ste 204 Salt Lake City, UT 84120 (801) 250-9638 Salt Lake City, UT 84120 Salt Lake City, UT 84120 (801) 964-3865 (801) 969-0200 (801) 912-9700 Rosenfield, Micah MD ~* Spanish Padilla, Miriam MD ~* Family Medicine Spencer, Steven MD ~* Internal Medicine NPI: 1194757336 Family Medicine Villalobos, Miguel MD ~* NPI: 1104833979 Granger Medical - West NPI: 1356369938 Family Medicine Endocrinology Of Utah - Valley Exodus Healthcare - West NPI: 1073572228 West Valley 3725 West 4100 South Valley City Western Hills Medical 3336 South 4155 West Ste Salt Lake City, UT 84120 3336 South Pioneer Pkwy Clinic - West Valley 306 (801) 965-3600 Ste 201 3336 South Pioneer Pkwy Salt Lake City, UT 84120 Spanish Salt Lake City, UT 84120 Ste 204 (801) 912-8223 (801) 250-9638 Salt Lake City, UT 84120 Spanish Schaecher, Kenneth MD * (801) 912-9700 Internal Medicine Stewart, Gayle MD ~* Spanish Parker, Robert DO ~* NPI: 1245262492 Obstetrics & Gynecology Family Medicine Granger Medical - West NPI: 1255300331 White, Ryan NP ~* NPI: 1699865212 Valley Rocky Mountain Womens Family Nurse Practitioner Granger Medical - West 3725 West 4100 South Health Center - West NPI: 1184145617 Valley Salt Lake City, UT 84120 Valley Campus Granger Medical - West 3725 West 4100 South (801) 965-3600 3336 South Pioneer Pkwy Valley Salt Lake City, UT 84120 Ste 301 3725 West 4100 South (801) 965-3600 Sheridan, Scott MD * Salt Lake City, UT 84120 Salt Lake City, UT 84120 Family Medicine (801) 964-3865 (801) 965-3600 Peterson, Mark MD ~* NPI: 1578594925 Spanish Family Medicine Granger Medical - West Zehnder, Brian MD ~* NPI: 1326374562 Valley Stone, Gregory DO ~* Family Medicine Core At West Valley - Pgu 3725 West 4100 South Family Medicine NPI: 1447278023 3336 South 4155 West Ste Salt Lake City, UT 84120 NPI: 1750348330 Exodus Healthcare - West 102 (801) 965-3600 Western Hills Medical Valley City Salt Lake City, UT 84120 Clinic - West Valley 3336 South Pioneer Pkwy (801) 964-3925 Smith, Maureen NP ~ 3336 South Pioneer Pkwy Ste 201 Spanish Family Nurse Practitioner Ste 204 Salt Lake City, UT 84120 NPI: 1730111311 Salt Lake City, UT 84120 (801) 250-9638 Rasmussen, Carol NP ~* Nephrology Associates - (801) 912-9700 Family Nurse Practitioner West Valley Spanish 84121 NPI: 1245397637 4052 West Pioneer Pkwy Allen, Richard MD ~* Exodus Healthcare - West Ste 101 Tran, Tan MD ~* Family Medicine Valley City Salt Lake City, UT 84120 Family Medicine NPI: 1831174226 3336 South Pioneer Pkwy (801) 288-2634 NPI: 1285621052 Palliative Specialty Group - Ste 201 West Valley Family & Murray Salt Lake City, UT 84120 Preventive Medicine - West 1106 East 6600 South Ste (801) 250-9638 Valley 100 3336 Pioneer Pkwy Ste 302 Salt Lake City, UT 84121 Salt Lake City, UT 84120 (385) 347-9455 (801) 964-8726 Vietnamese

41 Primary Care Providers / Médicos de Cuidados Proveedores Salt Lake County continued / Condado seguido

Brunetti, Ross MD ~* Grazulis, Diana MD ~* Longe, James MD ~* Rutledge, Dale MD ~ Family Medicine Family Medicine Family Medicine Internal Medicine NPI: 1700811023 NPI: 1124055710 NPI: 1093730129 NPI: 1639283054 Foothill Clinic - 6360 South Foothill Clinic - 6360 South Foothill Clinic - 6360 South Ihc Holladay Clinic - 6360 South 3000 East Ste 6360 South 3000 East Ste 6360 South 3000 East Ste Holladay 100 100 100 6272 South Highland Dr Salt Lake City, UT 84121 Salt Lake City, UT 84121 Salt Lake City, UT 84121 Salt Lake City, UT 84121 (801) 365-1032 (801) 365-1032 (801) 365-1032 (801) 871-6100 Lithuanian, Russian Christensen, Shane Lunt, Margaret MD * Wilson, Kathleen MD * MD ~* Hill Garrett, Karen MD ~ Internal Medicine Internal Medicine Family Medicine Internal Medicine NPI: 1326070731 NPI: 1477515690 NPI: 1861427189 NPI: 1821050626 Utah Physicians Care Utah Physicians Care Foothill Clinic - 6360 South Ihc Holladay Clinic - Centers Pc - Murray Centers Pc - Murray 6360 South 3000 East Ste Holladay 5630 South Waterbury 5630 South Waterbury 100 6272 South Highland Dr Way Ste B102 Way Ste B102 Salt Lake City, UT 84121 Salt Lake City, UT 84121 Salt Lake City, UT 84121 Salt Lake City, UT 84121 (801) 365-1032 (801) 871-6100 (801) 261-9651 (801) 261-9651 Conner Jr, Thomas ~* Jackson, Sarah NP ~* Nelson, Bryan MD ~* Wood, Stephen MD ~* Family Medicine Family Nurse Practitioner Internal Medicine Family Medicine NPI: 1780619023 NPI: 1992082556 NPI: 1346265477 NPI: 1508881657 Foothill Clinic - 6360 South Salt Lake Regional Solitude Foothill Clinic - 6360 South Foothill Clinic - 6360 South 6360 South 3000 East Ste Ski Clinic 6360 South 3000 East Ste 6360 South 3000 East Ste 100 12000 Big Cottonwood 100 100 Salt Lake City, UT 84121 Canyon Rd Salt Lake City, UT 84121 Salt Lake City, UT 84121 (801) 365-1032 Salt Lake City, UT 84121 (801) 365-1032 (801) 365-1032 (801) 536-5712 Cox, Gina MD ~* Portugese, Spanish Novak, Kirsten MD ~ 84123 Family Medicine, Internal Medicine Dietlein, John MD ~ Obstetrics Kuo, David MD * NPI: 1336175967 Family Medicine NPI: 1396770533 Internal Medicine Ihc Holladay Clinic - NPI: 1447226717 Foothill Clinic - 6360 South NPI: 1508881640 Holladay Physician Home Care Llc - 6360 South 3000 East Ste Utah Physicians Care 6272 South Highland Dr Salt Lake City 100 Centers Pc - Murray Salt Lake City, UT 84121 5292 South College Dr Ste Salt Lake City, UT 84121 5630 South Waterbury (801) 871-6100 304 (801) 365-1032 Way Ste B102 Salt Lake City, UT 84123 Salt Lake City, UT 84121 Oliver, Marquam MD ~* (801) 944-0095 Draper, Michael MD ~* (801) 261-9651 Internal Medicine, Obstetrics & Gynecology Infectious Disease Ferrone, Joyce NP ~ NPI: 1992769368 Lewis, Wesley MD ~* NPI: 1760400865 Family Nurse Practitioner Salt Lake Regional Solitude Family Medicine Utah Physicians Care NPI: 1811107261 Ski Clinic NPI: 1013932144 Centers Pc - Murray Wasatch Endocrinology Inc 12000 Big Cottonwood Foothill Clinic - 6360 South 5630 South Waterbury - Murray Canyon Rd 6360 South 3000 East Ste Way Ste B102 1035 West Bellwood Ln Salt Lake City, UT 84121 100 Salt Lake City, UT 84121 Ste 160 (801) 536-5712 Salt Lake City, UT 84121 (801) 261-9651 Salt Lake City, UT 84123 French (801) 365-1032 (801) 746-0776

42 Primary Care Providers / Médicos de Cuidados Proveedores Salt Lake County continued / Condado seguido

Johnson, Mark MD ~* 84124 Barman, Thomas MD ~* Cate Jr, Thomas MD ~* Family Medicine Abueg, Florentino MD ~* Internal Medicine Internal Medicine NPI: 1184668659 Internal Medicine NPI: 1881704286 NPI: 1275643611 Jordan Ridge Family NPI: 1649372558 Granger Medical - St Marks Professional Medicine Pllc - Salt Lake St Marks Professional Wasatch Services Llc - Holladay City Services Llc - Holladay 1160 East 3900 South Ste 1200 East 3900 South 6321 South Redwood Rd 1200 East 3900 South 1000 Salt Lake City, UT 84124 Ste 201 Salt Lake City, UT 84124 Salt Lake City, UT 84124 (801) 268-7766 Salt Lake City, UT 84123 (801) 268-7766 (801) 262-1771 (801) 265-2212 Tagalog Chamberlain, James Berneike, John MD ~* MD * Lore, Steven MD ~* Allen, Richard MD ~* Family Medicine Internal Medicine Family Medicine Family Medicine NPI: 1982688321 NPI: 1093805681 NPI: 1922090356 NPI: 1831174226 St Marks Family Medicine Internal Medicine At St Physician Home Care Llc - St Marks Family Medicine Clinic - Salt Lake Marks Hospital Salt Lake City Clinic - Salt Lake 1250 East 3900 South Ste 1160 East 3900 South Ste 5292 South College Dr Ste 1250 East 3900 South Ste 260 1200 304 260 Salt Lake City, UT 84124 Salt Lake City, UT 84124 Salt Lake City, UT 84123 Salt Lake City, UT 84124 (801) 265-2000 (801) 261-9651 (801) 944-0095 (801) 265-2000 Spanish Bhatt, Margi MD ~* Chapman, Diane NP ~* Aslami, Stephen MD * Internal Medicine Family Nurse Practitioner Miller, Hayley MD ~* Internal Medicine NPI: 1174594485 NPI: 1255715710 Internal Medicine NPI: 1134151558 Internal Medicine At St St Marks Family Medicine NPI: 1366672578 Internal Medicine At St Marks Hospital Clinic - Salt Lake Wasatch Endocrinology Inc Marks Hospital 1160 East 3900 South Ste 1250 East 3900 South Ste - Murray 1160 East 3900 South Ste 1200 260 1035 West Bellwood Ln 1200 Salt Lake City, UT 84124 Salt Lake City, UT 84124 Ste 160 Salt Lake City, UT 84124 (801) 261-9651 (801) 265-2000 Salt Lake City, UT 84123 (801) 261-9651 (801) 746-0776 Bulaj, Zaneta MD ~* Church, Ryan NP ~ Spanish Bank, Stacey MD ~* Internal Medicine Family Nurse Practitioner Family Medicine NPI: 1598869026 NPI: 1912909714 Pinkerman, Marcia NP ~* NPI: 1790797959 Granger Medical - St Marks Hospital Family Nurse Practitioner Granger Medical - Wasatch Comprehensive Spine NPI: 1093183873 Wasatch 1160 East 3900 South Ste Center Physician Home Care Llc - 1160 East 3900 South Ste 1000 1220 East 3900 South Ste Salt Lake City 1000 Salt Lake City, UT 84124 1F 5292 South College Dr Ste Salt Lake City, UT 84124 (801) 262-1771 Salt Lake City, UT 84124 304 (801) 262-1771 German, Polish, Russian (801) 262-5711 Salt Lake City, UT 84123 (801) 944-0095 Bank, Stacey MD ~* Cate Jr, Thomas MD ~* Collett, Camille MD ~* Family Medicine Internal Medicine Family Medicine Ward, Cori NP ~ NPI: 1790797959 NPI: 1275643611 NPI: 1275530305 Family Nurse Practitioner St Marks Millcreek Granger Medical - St Marks Family Medicine NPI: 1518132216 Primary Care - Wasatch Clinic - Salt Lake Utah Behavior Services - Moutainstar 1160 East 3900 South Ste 1250 East 3900 South Ste Salt Lake Central 4465 South 900 East Ste 1000 260 6013 South Redwood Rd 200 Salt Lake City, UT 84124 Salt Lake City, UT 84124 Salt Lake City, UT 84123 Salt Lake City, UT 84124 (801) 262-1771 (801) 265-2000 (801) 255-5131 (801) 266-2777 Spanish

43 Primary Care Providers / Médicos de Cuidados Proveedores Salt Lake County continued / Condado seguido

Collett, Camille MD ~* Francom, Austin NP ~* Hansen, Matthew MD ~* Johnson, Jason MD ~* Family Medicine Family Nurse Practitioner Internal Medicine Obstetrics & Gynecology NPI: 1275530305 NPI: 1154677102 NPI: 1598860041 NPI: 1376638718 St Marks Millcreek Summit Clinical Services Granger Medical - St Marks Gynecology Primary Care - Of Utah Llc - Salt Lake Wasatch Oncology Care Llc - Moutainstar City 1160 East 3900 South Ste Holladay 4465 South 900 East Ste 1151 East 3900 South Ste 1000 1140 East 3900 South Ste 200 B299 Salt Lake City, UT 84124 340 Salt Lake City, UT 84124 Salt Lake City, UT 84124 (801) 262-1771 Salt Lake City, UT 84124 (801) 266-2777 (801) 263-0717 (801) 743-4730 Spanish Herold, Richard MD ~* Francom, Mark NP ~* Internal Medicine Joseph, Laurene MD ~* Dame, John MD ~* Family Nurse Practitioner NPI: 1891799318 Internal Medicine Family Medicine NPI: 1821378118 St Marks Senior Health NPI: 1629145123 NPI: 1922205947 Summit Clinical Services Center - Salt Lake St Marks Senior Health St Marks Family Medicine Of Utah Llc - Salt Lake 1160 East 3900 South Ste Center - Holladay Clinic - Salt Lake City G200 1160 East 3900 South Ste 1250 East 3900 South Ste 1151 East 3900 South Ste Salt Lake City, UT 84124 G200 260 B299 (801) 268-7766 Salt Lake City, UT 84124 Salt Lake City, UT 84124 Salt Lake City, UT 84124 (801) 268-7766 (801) 265-2000 (801) 263-0717 Horvath, Susan MD ~* Hebrew Spanish Obstetrics & Gynecology Gohari, Mina MD ~* NPI: 1023086444 Joseph, Laurene MD ~* Dinh, An Tuong MD ~* Family Medicine Monarch Womens Cancer Internal Medicine Family Medicine NPI: 1083824940 Center - Holladay NPI: 1629145123 NPI: 1144319997 St Marks Senior Health 1140 East 3900 South Ste St Marks Senior Health St Marks Millcreek Center - Salt Lake 340 Center - Salt Lake Primary Care - 1160 East 3900 South Ste Salt Lake City, UT 84124 1160 East 3900 South Ste Moutainstar G200 (801) 743-4730 G200 4465 South 900 East Ste Salt Lake City, UT 84124 Salt Lake City, UT 84124 200 (801) 268-7766 Jack, David MD ~* (801) 268-7766 Salt Lake City, UT 84124 Family Medicine Hebrew (801) 266-2777 Grogan, Margaret NP ~* NPI: 1255434296 Spanish Family Nurse Practitioner St Marks Millcreek Kirby, Karl MD ~* NPI: 1962669853 Primary Care - Family Medicine Edmunds, Sean MD ~* Granger Medical - Moutainstar NPI: 1912955402 Obstetrics & Gynecology Wasatch 4465 South 900 East Ste St Marks Family Medicine NPI: 1508155193 1160 East 3900 South Ste 200 Clinic - Salt Lake St Marks Obstetrics & 1000 Salt Lake City, UT 84124 1250 East 3900 South Ste Gynecology Associates - Salt Lake City, UT 84124 (801) 266-2777 260 Holladay (801) 262-1771 Salt Lake City, UT 84124 1140 East 3900 South Ste Jackson, Caleb NP ~ (801) 265-2000 400 Gubler, David MD * Family Nurse Practitioner Salt Lake City, UT 84124 Internal Medicine NPI: 1275926149 Kuo, David MD * (801) 268-6811 NPI: 1295797595 Wasatch Neurosurgery Internal Medicine Internal Medicine At St And Spine Associates At St NPI: 1508881640 Marks Hospital Marks Internal Medicine At St 1160 East 3900 South Ste 1220 East 3900 South Ste Marks Hospital 1200 4E 1160 East 3900 South Ste Salt Lake City, UT 84124 Salt Lake City, UT 84124 1200 (801) 261-9651 (801) 261-8507 Salt Lake City, UT 84124 (801) 261-9651

44 Primary Care Providers / Médicos de Cuidados Proveedores Salt Lake County continued / Condado seguido

Lawlor, Cynthia MD ~* Luikenaar, Rixt MD ~* Nelson, Joseph DO ~* Ostler, Leslie MD ~* Family Medicine Obstetrics & Gynecology Family Medicine Obstetrics & Gynecology NPI: 1396999868 NPI: 1285688101 NPI: 1316122427 NPI: 1568683738 St Marks Senior Health Rebirth Obgyn Granger Medical - Millcreek Womens Center - Center - Holladay 2180 East 4500 South Ste Wasatch Salt Lake 1160 East 3900 South Ste 265 1160 East 3900 South Ste 1140 East 3900 South Ste G200 Salt Lake City, UT 84124 1000 410 Salt Lake City, UT 84124 (801) 272-3909 Salt Lake City, UT 84124 Salt Lake City, UT 84124 (801) 268-7766 Dutch, French, German (801) 262-1771 (801) 268-6811 Spanish Lawlor, Cynthia MD ~* Lunt, Margaret MD * Nelson, Todd MD ~* Family Medicine Internal Medicine Family Medicine Powel, Robert MD ~* NPI: 1396999868 NPI: 1326070731 NPI: 1902917495 Geriatric Medicine - St Marks Senior Health Internal Medicine At St Granger Medical - Internal Medicine Center - Salt Lake Marks Hospital Wasatch NPI: 1700988656 1160 East 3900 South Ste 1160 East 3900 South Ste 1160 East 3900 South Ste St Marks Senior Health G200 1200 1000 Center - Holladay Salt Lake City, UT 84124 Salt Lake City, UT 84124 Salt Lake City, UT 84124 1160 East 3900 South Ste (801) 268-7766 (801) 261-9651 (801) 262-1771 G200 Salt Lake City, UT 84124 Linsler, Rosemarie NP ~* Moore, Rebecca MD ~* Norris, Jennifer MD ~* (801) 268-7766 Family Nurse Practitioner Internal Medicine Internal Medicine NPI: 1144776089 NPI: 1477609089 NPI: 1932210895 Powell, Tina NP ~* St Marks Family Medicine St Marks Senior Health Granger Medical - Family Nurse Practitioner Clinic - Salt Lake Center - Holladay Wasatch NPI: 1942480470 1250 East 3900 South Ste 1160 East 3900 South Ste 1160 East 3900 South Ste Medallus Medical - 260 G200 1000 Holladay Salt Lake City, UT 84124 Salt Lake City, UT 84124 Salt Lake City, UT 84124 3934 South 2300 East Ste (801) 265-2000 (801) 268-7766 (801) 262-1771 D German Salt Lake City, UT 84124 Lobsiger, Jacqueline Noyes, Isaac MD ~* (801) 849-8500 NP ~* Moore, Rebecca MD ~* Family Medicine Spanish Family Nurse Practitioner Internal Medicine NPI: 1952660482 NPI: 1497774525 NPI: 1477609089 St Marks Family Medicine Rahimi, Danesh MD * Granger Medical - St Marks Senior Health Clinic - Salt Lake Internal Medicine Wasatch Center - Salt Lake 1250 East 3900 South Ste NPI: 1487744553 1160 East 3900 South Ste 1160 East 3900 South Ste 260 St Marks Professional 1000 G200 Salt Lake City, UT 84124 Services Llc - Holladay Salt Lake City, UT 84124 Salt Lake City, UT 84124 (801) 265-2000 1200 East 3900 South (801) 262-1771 (801) 268-7766 Salt Lake City, UT 84124 Spanish German Oliver, Marquam MD ~* (801) 268-7766 Internal Medicine, Persian/Farsi Lofgran, Kacie NP ~* Munt, Katherine MD ~* Infectious Disease Family Nurse Practitioner Family Medicine NPI: 1760400865 Rahimi, Danesh MD ~* NPI: 1710420617 NPI: 1982867008 Internal Medicine At St Internal Medicine St Marks Family Medicine Granger Medical - Marks Hospital NPI: 1487744553 Clinic - Salt Lake Wasatch 1160 East 3900 South Ste St Marks Senior Health 1250 East 3900 South Ste 1160 East 3900 South Ste 1200 Center - Salt Lake 260 1000 Salt Lake City, UT 84124 1160 East 3900 South Ste Salt Lake City, UT 84124 Salt Lake City, UT 84124 (801) 261-9651 G200 (801) 265-2000 (801) 262-1771 Salt Lake City, UT 84124 (801) 268-7766 Persian/Farsi

45 Primary Care Providers / Médicos de Cuidados Proveedores Salt Lake County continued / Condado seguido

Rassner, Leslie MD ~* Vellinga, Jonathan Williamson, Diantha Warren, Steven MD ~* Family Medicine MD ~* MD ~* Family Medicine NPI: 1427022938 Internal Medicine Family Medicine NPI: 1366421729 St Marks Family Medicine NPI: 1225291727 NPI: 1720467780 Adult Care Clinic Inc - Salt Clinic - Salt Lake St Marks Millcreek Granger Medical - Lake City 1250 East 3900 South Ste Primary Care - Wasatch 3920 South 1100 East Ste 260 Moutainstar 1160 East 3900 South Ste 310 Salt Lake City, UT 84124 4465 South 900 East Ste 1000 Salt Lake City, UT 84127 (801) 265-2000 200 Salt Lake City, UT 84124 (801) 308-8400 Salt Lake City, UT 84124 (801) 262-1771 Roberts, Philip MD ~* (801) 266-2777 Spanish 84128 Internal Medicine Bockoven, Kurt NP ~* NPI: 1013012418 Voss, Stephen MD ~* Wilson, Kathleen MD * Family Nurse Practitioner St Marks Millcreek Obstetrics & Gynecology Internal Medicine NPI: 1154361459 Primary Care - NPI: 1982799581 NPI: 1477515690 Hunter Medical Center - Moutainstar St Marks Obstetrics & Internal Medicine At St West Valley City 4465 South 900 East Ste Gynecology Associates - Marks Hospital 3534 South 6000 West 200 Holladay 1160 East 3900 South Ste Salt Lake City, UT 84128 Salt Lake City, UT 84124 1140 East 3900 South Ste 1200 (801) 969-6264 (801) 266-2777 400 Salt Lake City, UT 84124 Salt Lake City, UT 84124 (801) 261-9651 Civish Iii, Frederic MD ~* Smith, Andrea MD ~* (801) 268-6811 Family Medicine Obstetrics & Gynecology Yarrish, Daniel MD ~* NPI: 1124137278 NPI: 1831155746 Watts, Daren MD ~* Internal Medicine Hunter Medical Center - Millcreek Womens Center - Obstetrics & Gynecology NPI: 1235240110 West Valley City Salt Lake NPI: 1679589600 Granger Medical - 3534 South 6000 West 1140 East 3900 South Ste St Marks Gynecology Wasatch Salt Lake City, UT 84128 410 Oncology Care Llc - 1160 East 3900 South Ste (801) 969-6264 Salt Lake City, UT 84124 Holladay 1000 Spanish (801) 268-6811 1140 East 3900 South Ste Salt Lake City, UT 84124 Spanish 340 (801) 262-1771 Lake, Elyse NP ~* Salt Lake City, UT 84124 Family Nurse Practitioner Smith-Holmen, Barbara (801) 743-4730 York, Arwen NP ~* NPI: 1063721611 NP ~* Family Nurse Practitioner Hunter Medical Center - Family Nurse Practitioner Western, Lisa NP ~* NPI: 1255881397 West Valley City NPI: 1568665784 Family Nurse Practitioner Medallus Medical - 3534 South 6000 West St Marks Millcreek NPI: 1558712414 Holladay Salt Lake City, UT 84128 Primary Care - St Marks Millcreek 3934 South 2300 East Ste (801) 969-6264 Moutainstar Primary Care - D 4465 South 900 East Ste Moutainstar Salt Lake City, UT 84124 Larsen, Steven NP ~* 200 4465 South 900 East Ste (801) 849-8500 Family Nurse Practitioner Salt Lake City, UT 84124 200 NPI: 1962562603 (801) 266-2777 Salt Lake City, UT 84124 84127 Hunter Medical Center - (801) 266-2777 Fonua, Siosi NP ~* West Valley City Tschetter, Kevin MD ~* Family Nurse Practitioner 3534 South 6000 West Internal Medicine NPI: 1750789624 Salt Lake City, UT 84128 NPI: 1912922923 Adult Care Clinic Inc - Salt (801) 969-6264 St Marks Millcreek Lake City Spanish Primary Care - 3920 South 1100 East Ste Moutainstar 310 4465 South 900 East Ste Salt Lake City, UT 84127 200 (801) 308-8400 Salt Lake City, UT 84124 Tongan (801) 266-2777

46 Primary Care Providers / Médicos de Cuidados Proveedores Salt Lake County continued / Condado seguido

Nielsen, John NP ~* Gontrum, David MD ~* Lewis, Randal MD ~* Newbold, Douglas MD ~ Family Nurse Practitioner Family Medicine Family Medicine Family Medicine NPI: 1477965275 NPI: 1922084813 NPI: 1215964309 NPI: 1447363239 Hunter Medical Center - Oquirrh View Clinic Western Hills Medical Ihc Taylorsville Clinic - West Valley City 4745 South 3200 West Clinic - Kearns Taylorsville 3534 South 6000 West Salt Lake City, UT 84129 5255 South 4015 West Ste 3845 West 4700 South Salt Lake City, UT 84128 (801) 964-6214 206 Salt Lake City, UT 84129 (801) 969-6264 Spanish Salt Lake City, UT 84129 (801) 840-2000 (801) 912-9700 Japanese 84129 Hooton, Josh NP ~* Spanish Allan, Jololene NP ~* Family Nurse Practitioner Pond, Julie NP ~* Family Nurse Practitioner NPI: 1306272471 Lym, Robert MD ~ Family Nurse Practitioner NPI: 1316017627 Upri Taylorsville Clinic Family Medicine NPI: 1972780476 Steward Urgent And 1972 West 5400 South Ste NPI: 1750494548 Steward Urgent And Primary Care Center - 100 Ihc Taylorsville Clinic - Primary Care Center - Taylorsville Salt Lake City, UT 84129 Taylorsville Taylorsville 5360 South 2700 West (801) 878-7880 3845 West 4700 South 5360 South 2700 West Salt Lake City, UT 84129 Salt Lake City, UT 84129 Salt Lake City, UT 84129 (801) 964-4170 Horwood, Keith MD ~* (801) 840-2000 (801) 964-4170 Family Medicine Spanish Ayers, Jeffrey DO ~ NPI: 1316923113 Powers, Frank MD ~* Family Medicine Oquirrh View Clinic Mckellar, Nathan DO ~ Family Medicine NPI: 1629181508 4745 South 3200 West Family Medicine NPI: 1447412135 Ihc Taylorsville Clinic - Salt Lake City, UT 84129 NPI: 1508844853 Oquirrh View Clinic Taylorsville (801) 964-6214 Ihc Taylorsville Clinic - 4745 South 3200 West 3845 West 4700 South Spanish Taylorsville Salt Lake City, UT 84129 Salt Lake City, UT 84129 3845 West 4700 South (801) 964-6214 (801) 840-2000 Johnson, Leeann NP ~ Salt Lake City, UT 84129 Spanish Family Nurse Practitioner (801) 840-2000 Italian Chan, Christy MD ~ NPI: 1942462825 Reader, Jessica MD ~* Family Medicine Ihc Taylorsville Clinic - Family Medicine NPI: 1417132804 Taylorsville Miakashi, Tatsuzo MD ~ NPI: 1467871095 Ihc Taylorsville Clinic - 3845 West 4700 South Family Medicine Oquirrh View Clinic Taylorsville Salt Lake City, UT 84129 NPI: 1528383668 4745 South 3200 West 3845 West 4700 South (801) 840-2000 Ihc Taylorsville Clinic - Salt Lake City, UT 84129 Salt Lake City, UT 84129 Taylorsville (801) 964-6214 (801) 840-2000 Johnson, Sherman MD ~* 3845 West 4700 South General Practice Salt Lake City, UT 84129 Robins, Scott DO ~* NPI: 1376510800 (801) 840-2000 Family Medicine Egan, Brent NP ~ Accuheal Wound Care - NPI: 1346495678 Family Nurse Practitioner Taylorsville Miner, David MD ~ Western Hills Medical NPI: 1376634998 4159 South 2700 West Family Medicine Clinic - Kearns Upri Taylorsville Clinic Salt Lake City, UT 84129 NPI: 1811000607 5255 South 4015 West Ste 1972 West 5400 South Ste (801) 964-2008 Ihc Taylorsville Clinic - 206 100 Taylorsville Salt Lake City, UT 84129 Salt Lake City, UT 84129 3845 West 4700 South (801) 912-9700 (801) 878-7880 Salt Lake City, UT 84129 (801) 840-2000 Spanish

47 Primary Care Providers / Médicos de Cuidados Proveedores Salt Lake County continued / Condado seguido

Shen, Katherine MD ~* Ward, Cori NP ~ Sorweid, Michelle DO ~ 84190 Family Medicine Family Nurse Practitioner Geriatric Medicine - Ralston, Robert NP ~ NPI: 1578540357 NPI: 1518132216 Internal Medicine Family Nurse Practitioner Oquirrh View Clinic Utah Behavior Services - NPI: 1477849123 NPI: 1346525474 4745 South 3200 West Taylorsville University Of Utah Ihc Salt Lake County Salt Lake City, UT 84129 5558 South 1900 West Ste Hospital Human Healthme Medical Clinic - (801) 964-6214 B Development Div - 50 Salt Lake Spanish Salt Lake City, UT 84129 North 2001 South State St Ste (801) 255-5131 50 North Medical Drive S2-500 Sullivan, Cara MD ~* Salt Lake City, UT 84132 Salt Lake City, UT 84190 Family Medicine 84132 (801) 581-2628 (385) 468-0555 NPI: 1912347303 Fuller, Dianne NP ~ Oquirrh View Clinic Family Nurse Practitioner 84143 Sheehan, Brenda DO ~ 4745 South 3200 West NPI: 1124347786 Brush, Sally NP ~ Family Medicine Salt Lake City, UT 84129 General Pediatrics - Family Nurse Practitioner NPI: 1912949082 (801) 964-6214 University Of Utah NPI: 1952318651 Ihc Salt Lake County Spanish Hospital Imc Heart & Lung Healthme Medical Clinic - 50 North Medical Dr Specialty Clinic Salt Lake Tingey, Jeffrey DO ~ Salt Lake City, UT 84132 5121 Cottonwood St Ste 2001 South State St Ste Family Medicine (801) 581-2205 L1 S2-500 NPI: 1255751913 Salt Lake City, UT 84143 Salt Lake City, UT 84190 Ihc Taylorsville Clinic - Hodo, Laura MD ~* (801) 507-4000 (385) 468-0555 Taylorsville Family Medicine 3845 West 4700 South NPI: 1922013325 Kfoury, Abdallah MD ~ Sandy Salt Lake City, UT 84129 General Pediatrics - Internal Medicine (801) 840-2000 University Of Utah NPI: 1134132681 84070 Hospital Imc Heart & Lung Albano, Joseph MD ~* Villalobos, Miguel MD ~* 50 North Medical Dr Specialty Clinic Family Medicine Family Medicine Salt Lake City, UT 84132 5121 Cottonwood St Ste NPI: 1003836636 NPI: 1073572228 (801) 581-2205 L1 Comprehensive Steward Urgent And Spanish Salt Lake City, UT 84143 Orthopedics And Sports Primary Care Center - (801) 507-4000 Medicine Taylorsville Sorweid, Michelle DO ~ French 9350 South 150 East Ste 5360 South 2700 West Geriatric Medicine - 460 Salt Lake City, UT 84129 Internal Medicine Lam, Gon NP ~ Sandy, UT 84070 (801) 964-4170 NPI: 1477849123 Family Nurse Practitioner (801) 533-2002 Spanish University Of Utah NPI: 1891179339 Hospital Human Ihc Blood And Marrow Allan, Jololene NP ~* Walsman Leiva, Gabriela Development Div - 30 Transplant/Leukemia Family Nurse Practitioner MD ~* North Program - Salt Lake NPI: 1316017627 Family Medicine 30 North 1900 East 8Th Avenue & C Street Sandy Ridge Family NPI: 1477845717 Salt Lake City, UT 84132 Salt Lake City, UT 84143 Medicine - Sandy Oquirrh View Clinic (801) 585-7676 (801) 408-3729 9350 South 150 East Ste 4745 South 3200 West 150 Salt Lake City, UT 84129 Rasmusson, Kismet NP ~ Sandy, UT 84070 (801) 964-6214 Family Nurse Practitioner (801) 569-2384 Spanish NPI: 1265441059 Imc Heart & Lung Specialty Clinic 5121 Cottonwood St Ste L1 Salt Lake City, UT 84143 (801) 507-4000

48 Primary Care Providers / Médicos de Cuidados Proveedores Salt Lake County continued / Condado seguido

Cosgrave Ii, Michael Kirk, Stephen MD ~* Powel, Robert MD ~* Vogeler, Douglas MD * DO ~* Family Medicine Geriatric Medicine - Family Medicine Family Medicine NPI: 1578737979 Internal Medicine NPI: 1790869550 NPI: 1720252117 Comprehensive NPI: 1700988656 Douglas M Vogeler Md Pc - Comprehensive Orthopedics And Sports Salt Lake Senior Clinic - Sandy Orthopedics And Sports Medicine Jordan Commons 8706 South 700 East Ste Medicine 9350 South 150 East Ste 9350 South 150 East Ste 203 9350 South 150 East Ste 460 150 Sandy, UT 84070 460 Sandy, UT 84070 Sandy, UT 84070 (801) 572-0443 Sandy, UT 84070 (801) 533-2002 (801) 903-5666 French (801) 533-2002 Spanish, Tagalog Spanish Rasmussen, Sean NP ~* Vogeler, Douglas MD ~* Lehmitz, Paul MD ~* Family Nurse Practitioner Family Medicine Gourde, Theresa MD ~* Internal Medicine, NPI: 1629588934 NPI: 1790869550 Internal Medicine Geriatric Medicine - The Health Spot - Sandy Granger Medical - Sandy NPI: 1487688685 Internal Medicine 10011 South Centennial Family Practice Salt Lake Senior Clinic - NPI: 1295841419 Pkwy Ste 350 8706 South 700 East Ste Jordan Commons Salt Lake Senior Clinic - Sandy, UT 84070 203 9350 South 150 East Ste Jordan Commons (801) 566-5350 Sandy, UT 84070 150 9350 South 150 East Ste (801) 572-0443 Sandy, UT 84070 150 Robins, Scott DO ~* French (801) 903-5666 Sandy, UT 84070 Family Medicine (801) 903-5666 NPI: 1346495678 84092 Harmon, Steven MD ~* Sandy Ridge Family Dennison, Gretchen Family Medicine Moore, John NP ~* Medicine - Sandy NP ~* NPI: 1891057212 Family Nurse Practitioner 9350 South 150 East Ste Family Nurse Practitioner Sandy Ridge Family NPI: 1902154172 150 NPI: 1801335005 Medicine - Sandy Granger Medical - Sandy Sandy, UT 84070 Medallus Medical - Sandy 9350 South 150 East Ste Family Practice (801) 569-2384 7998 South 1300 East 150 8706 South 700 East Ste Sandy, UT 84092 Sandy, UT 84070 203 Switzer, Nikki MD ~* (801) 255-2000 (801) 569-2384 Sandy, UT 84070 Internal Medicine (801) 572-0443 NPI: 1851468367 Overton, Eric MD ~* Hill, Lisa MD ~* Spanish Salt Lake Senior Clinic - Family Medicine Family Medicine Jordan Commons NPI: 1225448327 NPI: 1013179936 Nelson, Jeffrey MD ~* 9350 South 150 East Ste Medallus Medical - Sandy The Health Spot - Sandy Family Medicine 150 7998 South 1300 East 10011 South Centennial NPI: 1619961315 Sandy, UT 84070 Sandy, UT 84092 Pkwy Ste 350 Freedom Healthcare (801) 903-5666 (801) 255-2000 Sandy, UT 84070 8899 South 700 East Ste Spanish (801) 566-5350 250 Powell, Tina NP ~* Spanish Sandy, UT 84070 Valentine, Christopher Family Nurse Practitioner (801) 987-8800 MD ~* NPI: 1942480470 Jackson, Andrea NP ~* Family Medicine Medallus Medical - Sandy Family Nurse Practitioner Pond, Julie NP ~* NPI: 1598753501 7998 South 1300 East NPI: 1437670114 Family Nurse Practitioner Sandy Ridge Family Sandy, UT 84092 Sandy Ridge Family NPI: 1972780476 Medicine - Sandy (801) 255-2000 Medicine - Sandy Sandy Ridge Family 9350 South 150 East Ste Spanish 9350 South 150 East Ste Medicine - Sandy 150 150 9350 South 150 East Ste Sandy, UT 84070 Sandy, UT 84070 150 (801) 569-2384 (801) 569-2384 Sandy, UT 84070 Spanish (801) 569-2384

49 Primary Care Providers / Médicos de Cuidados Proveedores Salt Lake County continued / Condado seguido

York, Arwen NP ~* Greenwood, Mark MD ~ Mcdermott, Patrick Steinvorth, June MD ~ Family Nurse Practitioner Family Medicine MD ~ Family Medicine NPI: 1255881397 NPI: 1083620298 Internal Medicine NPI: 1003849019 Medallus Medical - Sandy Alta View Family Medicine NPI: 1699883280 Ihc South Sandy Clinic - 7998 South 1300 East - Sandy Ihc Alta View Clinic Sandy Sandy, UT 84092 9450 South 1300 East Internal Medicine - Sandy 955 East 11400 South (801) 255-2000 Sandy, UT 84094 9450 South 1300 East Sandy, UT 84094 (801) 501-2123 Sandy, UT 84094 (801) 571-0030 84093 German (801) 572-1472 Szpunar, Agnieszka Johnson, Mark MD ~* Hawkins, Grant MD ~ Mcdermott, Patrick MD ~* Internal Medicine Internal Medicine MD ~ Internal Medicine NPI: 1043202393 NPI: 1255341806 Internal Medicine NPI: 1033216858 Mark Rolfe Johnson - Ihc Internal Medicine NPI: 1699883280 Ihc Alta View Clinic Cottonwood Associates - Sandy Ihc Internal Medicine Internal Medicine - Sandy 1899 Siesta Dr 9844 South 1300 East Ste Associates - 9450 South 9450 South 1300 East Sandy, UT 84093 200 9450 South 1300 East Sandy, UT 84094 (801) 647-8888 Sandy, UT 84094 Sandy, UT 84094 (801) 572-1472 84094 (801) 572-1472 (801) 572-1472 Polish Alden, Heather MD ~ Hoffman, Gregory MD ~ Mcdermott, Patrick Szpunar, Agnieszka Family Medicine Family Medicine MD ~ MD ~* NPI: 1427476126 NPI: 1649275439 Internal Medicine Internal Medicine Alta View Family Medicine Ihc South Sandy Clinic - NPI: 1699883280 NPI: 1033216858 - Sandy Sandy Ihc Sandy Clinic - Sandy Ihc Internal Medicine 9450 South 1300 East 955 East 11400 South 9500 South 1300 East Associates - 9450 South Sandy, UT 84094 Sandy, UT 84094 Sandy, UT 84094 9450 South 1300 East (801) 501-2123 (801) 571-0030 (801) 501-2100 Sandy, UT 84094 (801) 572-1472 Archer, Sandra MD ~* Later, Robert MD ~* Morris, John MD ~ Polish Obstetrics & Gynecology Obstetrics & Gynecology Internal Medicine NPI: 1356319842 NPI: 1669567376 NPI: 1295171247 Szpunar, Agnieszka Mt Timpanogas Fertility & Granger Medical - Sandy Ihc Alta View Clinic MD ~* Endocrinology Pllc - Sandy 9660 South 1300 East Internal Medicine - Sandy Internal Medicine 880 East 9400 South Ste Sandy, UT 84094 9450 South 1300 East NPI: 1033216858 112 (801) 571-0009 Sandy, UT 84094 Ihc Sandy Clinic - Sandy Sandy, UT 84094 (801) 572-1472 9500 South 1300 East (801) 938-9627 Lozano, Kristina MD ~ Sandy, UT 84094 Family Medicine Morris, John MD ~ (801) 501-2100 Chandler, Carrie NP ~* NPI: 1932369311 Internal Medicine Polish Family Nurse Practitioner Alta View Family Medicine NPI: 1295171247 NPI: 1326229782 - Sandy Ihc Sandy Clinic - Sandy Tanner, Gregory MD ~* Layne A Smith Md Pc - 9450 South 1300 East 9500 South 1300 East Obstetrics & Gynecology Sandy Sandy, UT 84094 Sandy, UT 84094 NPI: 1598875973 9660 South 1300 East Ste (801) 501-2123 (801) 501-2100 Gregory C Tanner Md - 305 Sandy Sandy, UT 84094 Schaplow, Reagan MD ~ 9720 South 1300 East Ste (801) 572-5808 Family Medicine W220 NPI: 1427388032 Sandy, UT 84094 Ihc South Sandy Clinic - (801) 572-5808 Sandy 955 East 11400 South Sandy, UT 84094 (801) 571-0030

50 Primary Care Providers / Médicos de Cuidados Proveedores Salt Lake County continued / Condado seguido

Thompson, Leigh MD ~ South Jordan Jones, Michael MD ~* Machado-Lovon, Sariah Internal Medicine Family Medicine NP ~* NPI: 1215986690 84095 NPI: 1538173422 Family Nurse Practitioner Ihc Alta View Hospital Allan, Jololene NP ~* Jordan River Family NPI: 1679095111 Senior Clinic - Sandy Family Nurse Practitioner Medicine - Michael Jones Medallus Medical - South 9720 South 1300 East Ste NPI: 1316017627 1868 West 9800 South Jordan E240 Copperview Medical South Jordan, UT 84095 10433 South Redwood Rd Sandy, UT 84094 Center - South Jordan (801) 433-2873 South Jordan, UT 84095 (801) 501-2025 3556 West 9800 South Ste (801) 501-0500 101 Jones, Michael MD ~* Tierney, Joanna MD ~ South Jordan, UT 84095 Family Medicine Marcroft, Patrick MD ~ Internal Medicine (801) 567-9780 NPI: 1538173422 Family Medicine NPI: 1801996384 Jordan River Family NPI: 1942313739 Ihc Internal Medicine Cottle, Kevin NP ~* Medicine - South Jordan Ihc South Jordan Clinic - Associates - Sandy Family Nurse Practitioner 1868 West 9800 South South Jordan 9844 South 1300 East Ste NPI: 1245440478 South Jordan, UT 84095 11444 South Redwood Rd 200 Copperview Medical (801) 433-2873 South Jordan, UT 84095 Sandy, UT 84094 Center - South Jordan (801) 253-5900 (801) 572-1472 3556 West 9800 South Ste Jones, Ryan DO ~ 101 Family Medicine Moczygemba, Roger White, Douglas MD ~ South Jordan, UT 84095 NPI: 1043328610 MD ~* Family Medicine (801) 567-9780 Ihc South Jordan Clinic - General Practice NPI: 1811908312 South Jordan NPI: 1750382503 Ihc South Sandy Clinic - Hollingsworth, Martin 11444 South Redwood Rd Medallus Medical - South Sandy MD ~* South Jordan, UT 84095 Jordan 955 East 11400 South Internal Medicine (801) 253-5900 10433 South Redwood Rd Sandy, UT 84094 NPI: 1821054842 South Jordan, UT 84095 (801) 571-0030 Copperview Medical Julien, Katie MD ~* (801) 501-0500 Center - South Jordan Family Medicine Whittington, Richard 3556 West 9800 South Ste NPI: 1386691251 Murray, Michelle MD ~* MD ~ 101 Jordan River Family Internal Medicine Internal Medicine South Jordan, UT 84095 Medicine - South Jordan NPI: 1104117381 NPI: 1750391322 (801) 567-9780 1868 West 9800 South Copperview Medical Ihc Internal Medicine Spanish South Jordan, UT 84095 Center - South Jordan Associates - Sandy (801) 433-2873 3556 West 9800 South Ste 9844 South 1300 East Ste Johnson, Nicole NP ~* 101 200 Women's Health Nurse Levine, Rebecca MD ~* South Jordan, UT 84095 Sandy, UT 84094 Practitioner Family Medicine (801) 567-9780 (801) 572-1472 NPI: 1336484286 NPI: 1316986136 Planned Parenthood Rebecca Levine Md Pllc - Ponce, Sean MD ~* Willesen, Kavita MD ~ Association - South Jordan South Jordan Family Medicine Internal Medicine 1091 West South Jordan 1868 West 9800 South Ste NPI: 1376577049 NPI: 1689684185 Pkwy Ste 100 100 South Jordan Family Ihc Alta View Clinic South Jordan, UT 84095 South Jordan, UT 84095 Medicine - South Jordan Internal Medicine - Sandy (801) 254-2052 (801) 433-2873 10623 South Redwood Rd 9450 South 1300 East Ste 101 Sandy, UT 84094 Johnson, Sheldon DO ~ South Jordan, UT 84095 (801) 572-1472 Family Medicine (801) 302-0899 Spanish NPI: 1144516402 Spanish Ihc South Jordan Clinic - South Jordan 11444 South Redwood Rd South Jordan, UT 84095 (801) 253-5900

51 Primary Care Providers / Médicos de Cuidados Proveedores Salt Lake County continued / Condado seguido

Powell, Tina NP ~* Tipton, Mary MD ~* West Jordan Allen, Brandon MD * Family Nurse Practitioner Internal Medicine Family Medicine NPI: 1942480470 NPI: 1922065598 84084 NPI: 1952333106 Medallus Medical - South Copperview Medical Jenkins, Darren DO ~* Granger Medical - West Jordan Center - South Jordan Family Medicine Jordan 10433 South Redwood Rd 3556 West 9800 South Ste NPI: 1508076753 3181 West 9000 South South Jordan, UT 84095 101 Health First Family West Jordan, UT 84088 (801) 501-0500 South Jordan, UT 84095 Medicine - West Jordan (801) 352-5600 Spanish (801) 567-9780 6933 South 1300 West West Jordan, UT 84084 Allred, Matthew NP ~* Schellenberg, Matthew Wallace, Seth MD ~* (801) 542-8080 Family Nurse Practitioner DO ~* Family Medicine NPI: 1194262022 Family Medicine NPI: 1245441971 Nakaya, Leslie NP ~ Core At West Jordan NPI: 1386855021 Copperview Medical Family Nurse Practitioner 3584 West 9000 South Ste South Jordan Family Center - South Jordan NPI: 1366849127 405 Medicine - South Jordan 3556 West 9800 South Ste The Heart & Lung Institute West Jordan, UT 84088 10623 South Redwood Rd 101 Of Utah - Jordan Valley (801) 568-3480 Ste 101 South Jordan, UT 84095 3570 West 9000 South Ste South Jordan, UT 84095 (801) 567-9780 100 Andersen, Dana MD * (801) 302-0899 West Jordan, UT 84084 Family Medicine Whiting, Cynthia NP ~* (801) 263-2370 NPI: 1578595724 Sojourner, Heather Family Nurse Practitioner Granger Medical - West MD ~* NPI: 1508383175 Pasala, Tilak MD ~* Jordan Family Medicine Medallus Medical - South Internal Medicine 3181 West 9000 South NPI: 1992719884 Jordan NPI: 1548493323 West Jordan, UT 84088 Jordan River Family 10433 South Redwood Rd The Heart & Lung Institute (801) 352-5600 Medicine - Heather South Jordan, UT 84095 Of Utah - Jordan Valley Spanish Sojourner (801) 501-0500 3570 West 9000 South Ste 1868 West 9800 South 100 Baker, Shannon MD ~ South Jordan, UT 84095 Winegar, Karen NP ~ West Jordan, UT 84084 Family Medicine (801) 433-2873 Family Nurse Practitioner (801) 263-2370 NPI: 1518025360 NPI: 1902910011 Ihc West Jordan Clinic - Sojourner, Heather Ihc South Jordan Clinic - Watson, Randall MD ~* West Jordan MD ~* South Jordan Family Medicine 2655 West 9000 South Family Medicine 11444 South Redwood Rd NPI: 1952341000 West Jordan, UT 84088 NPI: 1992719884 South Jordan, UT 84095 Southwest Family Medicine (801) 256-6343 Jordan River Family (801) 253-5900 Llc - West Jordan Medicine - South Jordan 1575 West 7000 South Bockoven, Kurt NP ~* 1868 West 9800 South York, Arwen NP ~* West Jordan, UT 84084 Family Nurse Practitioner South Jordan, UT 84095 Family Nurse Practitioner (801) 569-9133 NPI: 1154361459 (801) 433-2873 NPI: 1255881397 Spanish Jordan Meadows Medical Medallus Medical - South Center - West Jordan Thur, Vilate NP ~* Jordan 84088 3354 West 7800 South Family Nurse Practitioner 10433 South Redwood Rd Allan, Jololene NP ~* West Jordan, UT 84088 NPI: 1063478436 South Jordan, UT 84095 Family Nurse Practitioner (801) 282-2677 Copperview Medical (801) 501-0500 NPI: 1316017627 Center - South Jordan Jordan Valley Internal 3556 West 9800 South Ste Medicine - Ste 100 101 3570 West 9000 South Ste South Jordan, UT 84095 100 (801) 567-9780 West Jordan, UT 84088 (801) 569-2384

52 Primary Care Providers / Médicos de Cuidados Proveedores Salt Lake County continued / Condado seguido

Boud, Thomas MD ~ Christensen, Peter MD * Dahle, Michelle NP ~* Fillmore, Randall MD * Family Medicine Family Medicine Family Nurse Practitioner Family Medicine NPI: 1871500926 NPI: 1992737159 NPI: 1225197379 NPI: 1386675627 Ihc West Jordan Clinic - Granger Medical - West Jordan Meadows Medical Granger Medical - West West Jordan Jordan Center - West Jordan Jordan 2655 West 9000 South 3181 West 9000 South 3354 West 7800 South 3181 West 9000 South West Jordan, UT 84088 West Jordan, UT 84088 West Jordan, UT 84088 West Jordan, UT 84088 (801) 256-6343 (801) 352-5600 (801) 282-2677 (801) 352-5600 German Civish Iii, Frederic MD ~* Dantis-Tan, Minerva Gay, Nathaniel NP ~* Boudreaux Nippert, Family Medicine NP ~ Family Nurse Practitioner Denise MD ~* NPI: 1124137278 Family Nurse Practitioner NPI: 1922361872 Obstetrics & Gynecology Jordan Meadows Medical NPI: 1164715124 Jordan Landing Clinic Llc - NPI: 1497862031 Center - West Jordan Nephrology Associates - West Jordan Jordan River Womens 3354 West 7800 South West Jordan 3895 West 7800 South Ste Health Pc - West Jordan West Jordan, UT 84088 3823 West 9000 South 100 3584 West 9000 South Ste (801) 282-2677 West Jordan, UT 84088 West Jordan, UT 84088 206 Spanish (801) 288-2634 (801) 280-7774 West Jordan, UT 84088 Tagalog (801) 561-2227 Cobabe, Maurine MD ~ Goff, Paul NP ~ French, Spanish Family Medicine Draper, Michael MD ~* Adult Health Nurse NPI: 1265877096 Obstetrics & Gynecology Practitioner Burgett, Alton MD ~* Ihc West Jordan Clinic - NPI: 1992769368 NPI: 1831576669 Obstetrics & Gynecology West Jordan South Valley Womens Hyperbaric & Wound Care NPI: 1124059514 2655 West 9000 South Health Care Pc - West Care Center At Jvmc - Granger Medical - West West Jordan, UT 84088 Jordan West Jordan Jordan (801) 256-6343 3570 West 9000 South Ste 3590 West 9000 South Ste 3181 West 9000 South 210 105 West Jordan, UT 84088 Colby, Spencer MD ~* West Jordan, UT 84088 West Jordan, UT 84088 (801) 352-5600 Obstetrics & Gynecology (801) 569-2626 (801) 601-2322 NPI: 1144287699 French Chavez, Javier MD ~* Jordan River Womens Gourde, Theresa MD ~* Obstetrics & Gynecology Health Pc - West Jordan Epstein, Scott DO ~* Internal Medicine NPI: 1295020949 3584 West 9000 South Ste Obstetrics & Gynecology NPI: 1487688685 Granger Medical - West 206 NPI: 1295793339 Jordan Valley Internal Jordan West Jordan, UT 84088 Jordan River Womens Medicine - Ste 100 3181 West 9000 South (801) 561-2227 Health Pc - West Jordan 3570 West 9000 South Ste West Jordan, UT 84088 3584 West 9000 South Ste 100 (801) 352-5600 Cosgrave Ii, Michael 206 West Jordan, UT 84088 Spanish DO ~* West Jordan, UT 84088 (801) 569-2384 Family Medicine (801) 561-2227 Chowdhary, Sandeep NPI: 1720252117 Hamp, Dennis DO ~* MD ~* Jordan Valley Internal Faircloth, Erica MD ~* Family Medicine Internal Medicine, Medicine - Ste 100 Obstetrics & Gynecology NPI: 1568405397 Geriatric Medicine - 3570 West 9000 South Ste NPI: 1689849523 Jordan Landing Clinic Llc - Internal Medicine 100 Mountainstar Jordan West Jordan NPI: 1891726162 West Jordan, UT 84088 Family Health - West 3895 West 7800 South Ste Granger Medical - West (801) 569-2384 Jordan 100 Jordan Spanish 8846 South Redwood Rd West Jordan, UT 84088 3181 West 9000 South Ste E-121 (801) 280-7774 West Jordan, UT 84088 West Jordan, UT 84088 (801) 352-5600 (801) 569-1999

53 Primary Care Providers / Médicos de Cuidados Proveedores Salt Lake County continued / Condado seguido

Hancey, Brian MD ~ Judson, Patricia MD ~* Larsen, Steven NP ~* Matich, Andrea MD ~* Family Medicine Obstetrics & Gynecology Family Nurse Practitioner Family Medicine NPI: 1851308902 NPI: 1063504983 NPI: 1962562603 NPI: 1902092133 Ihc West Jordan Clinic - Jordan Valley Internal Hunter Medical Center - Center For Orthopedic And West Jordan Medicine - Ste 140 West Jordan Rehabilitation Excellence - 2655 West 9000 South 3570 West 9000 South Ste 3384 West 7800 South Wj West Jordan, UT 84088 140 West Jordan, UT 84088 3584 West 9000 South Ste (801) 256-6343 West Jordan, UT 84088 (801) 282-2677 405 Spanish (801) 964-3865 Spanish West Jordan, UT 84088 (801) 568-3480 Hougaard, Joni MD ~* Judson, Patricia MD ~* Larsen, Steven NP ~* Family Medicine Obstetrics & Gynecology Family Nurse Practitioner Memon, Kashif MD ~* NPI: 1508801606 NPI: 1063504983 NPI: 1962562603 Internal Medicine Mountainstar Jordan Physicians Group Of Utah Jordan Meadows Medical NPI: 1932161668 Family Health - West - West Jordan Ste 210 Center - West Jordan Jordan Valley Internal Jordan 3592 West 9000 South Ste 3354 West 7800 South Medicine - Ste 100 8846 South Redwood Rd 210 West Jordan, UT 84088 3570 West 9000 South Ste Ste E-121 West Jordan, UT 84088 (801) 282-2677 100 West Jordan, UT 84088 (801) 208-1050 Spanish West Jordan, UT 84088 (801) 569-1999 (801) 569-2384 King, Bari NP ~* Lehmitz, Paul MD ~* Hutchison, Christopher Family Nurse Practitioner Internal Medicine, Muije, Elizabeth NP ~* MD ~* NPI: 1063445948 Geriatric Medicine - Obstetrics & Gynecology Obstetrics & Gynecology Mountainstar Jordan Internal Medicine Nurse Practitioner NPI: 1134151384 Family Health - West NPI: 1295841419 NPI: 1851433031 Granger Medical - West Jordan Jordan Valley Internal South Valley Womens Jordan 8846 South Redwood Rd Medicine - Ste 100 Health Care Pc - West 3181 West 9000 South Ste E-121 3570 West 9000 South Ste Jordan West Jordan, UT 84088 West Jordan, UT 84088 100 3570 West 9000 South Ste (801) 352-5600 (801) 569-1999 West Jordan, UT 84088 210 (801) 569-2384 West Jordan, UT 84088 Jackson, Andrea NP ~* Kinikini, Liana NP ~* (801) 569-2626 Family Nurse Practitioner Family Nurse Practitioner Lesser, Carina NP ~* NPI: 1437670114 NPI: 1548510431 Family Nurse Practitioner Nielsen, John NP ~* Jordan Valley Internal Jordan Landing Clinic Llc - NPI: 1114364197 Family Nurse Practitioner Medicine - Ste 100 West Jordan Granger Medical - West NPI: 1477965275 3570 West 9000 South Ste 3895 West 7800 South Ste Jordan Jordan Meadows Medical 100 100 3181 West 9000 South Center - West Jordan West Jordan, UT 84088 West Jordan, UT 84088 West Jordan, UT 84088 3354 West 7800 South (801) 569-2384 (801) 280-7774 (801) 352-5600 West Jordan, UT 84088 Spanish (801) 282-2677 Johnson, Kevin MD ~* Lake, Elyse NP ~* Internal Medicine Family Nurse Practitioner Maass, Amelia NP ~* Oneida, Maria MD ~* NPI: 1255456497 NPI: 1063721611 Family Nurse Practitioner Family Medicine Jordan Valley Internal Jordan Meadows Medical NPI: 1366488348 NPI: 1154350239 Medicine - Ste 100 Center - West Jordan Mountainstar Jordan Revere Health - West 3570 West 9000 South Ste 3354 West 7800 South Family Health - West Jordan 100 West Jordan, UT 84088 Jordan 3570 W 9000 S Ste 200 West Jordan, UT 84088 (801) 282-2677 8846 South Redwood Rd West Jordan, UT 84088 (801) 569-2384 Ste E-121 (801) 566-9211 West Jordan, UT 84088 (801) 569-1999

54 Primary Care Providers / Médicos de Cuidados Proveedores Salt Lake County continued / Condado seguido

Oneida, Maria MD ~* Reinhardt, Evan MD ~* Sloan, Carrie MD ~* Timmons-Terry, Holly Family Medicine Family Medicine Obstetrics & Gynecology MD ~ NPI: 1154350239 NPI: 1518306836 NPI: 1124034012 Family Medicine West Jordan Medical Mountainstar Jordan Lone Peak Obgyn - West NPI: 1932366820 Center - West Jordan Family Health - West Jordan Ihc West Jordan Clinic - 3570 West 9000 South Ste Jordan 8846 South Redwood Rd West Jordan 200 8846 South Redwood Rd Ste E121 2655 West 9000 South West Jordan, UT 84088 Ste E-121 West Jordan, UT 84088 West Jordan, UT 84088 (801) 566-9211 West Jordan, UT 84088 (801) 569-1999 (801) 256-6343 (801) 569-1999 Padilla, Miriam MD ~* Spanish Smith, Douglas MD ~* Vawdrey, Heidi NP ~* Internal Medicine Family Medicine Family Nurse Practitioner NPI: 1104833979 Robins, Scott DO ~* NPI: 1174681928 NPI: 1184144594 Endocrinology Of Utah Family Medicine Ihc West Jordan Clinic - Revere Health - West Diabetes Center - West NPI: 1346495678 West Jordan Jordan Jordan Hyperbaric & Wound Care 2655 West 9000 South 3570 W 9000 S Ste 200 3590 West 9000 South Ste Care Center At Jvmc - West Jordan, UT 84088 West Jordan, UT 84088 240 West Jordan (801) 256-6343 (801) 566-9211 West Jordan, UT 84088 3590 West 9000 South Ste (801) 569-2384 105 Smith, Maureen NP ~ Williamson, Diantha Spanish West Jordan, UT 84088 Family Nurse Practitioner MD ~* (801) 601-2322 NPI: 1730111311 Family Medicine Palmer, Michelle MD ~* Nephrology Associates - NPI: 1720467780 Family Medicine Roth, James MD ~* West Jordan Granger Medical - West NPI: 1194987875 Obstetrics & Gynecology 3823 West 9000 South Jordan Jordan Valley Internal NPI: 1104895705 West Jordan, UT 84088 3181 West 9000 South Medicine - Ste 100 Mountainstar Jordan (801) 288-2634 West Jordan, UT 84088 3570 West 9000 South Ste Family Health - West (801) 352-5600 100 Jordan Smith-Holmen, Barbara Spanish West Jordan, UT 84088 8846 South Redwood Rd NP ~* (801) 569-2384 Ste E-121 Family Nurse Practitioner Wilson, Matthew MD ~* Portugese West Jordan, UT 84088 NPI: 1568665784 Obstetrics & Gynecology (801) 569-1999 Mountainstar Jordan NPI: 1750543955 Pond, Julie NP ~* Family Health - West Granger Medical - West Family Nurse Practitioner Sanderson, Michael MD * Jordan Jordan NPI: 1972780476 Family Medicine 8846 South Redwood Rd 3181 West 9000 South Jordan Valley Internal NPI: 1215134663 Ste E-121 West Jordan, UT 84088 Medicine - Ste 100 Granger Medical - West West Jordan, UT 84088 (801) 352-5600 3570 West 9000 South Ste Jordan (801) 569-1999 Spanish 100 3181 West 9000 South West Jordan, UT 84088 West Jordan, UT 84088 Tanner, Rebecca MD ~* Wilson, Preston DO ~* (801) 569-2384 (801) 352-5600 Internal Medicine Family Medicine NPI: 1629050067 NPI: 1952538605 Pugh, Brenten MD ~* Slack, Caryn MD ~* Jordan Valley Internal Mountainstar Jordan Family Medicine Family Medicine Medicine - Ste 100 Family Health - West NPI: 1891742508 NPI: 1689619124 3570 West 9000 South Ste Jordan Jordan Landing Clinic Llc - Mountainstar Jordan 100 8846 South Redwood Rd West Jordan Family Health - West West Jordan, UT 84088 Ste E-121 3895 West 7800 South Ste Jordan (801) 569-2384 West Jordan, UT 84088 100 8846 South Redwood Rd Spanish (801) 569-1999 West Jordan, UT 84088 Ste E-121 (801) 280-7774 West Jordan, UT 84088 (801) 569-1999

55 Primary Care Providers / Médicos de Cuidados Proveedores Salt Lake County continued / Condado seguido

Yavelak, William MD ~* Galli, Vanessa MD ~ Slack, Caryn MD ~* Tooele Family Medicine Family Medicine Family Medicine NPI: 1659491181 NPI: 1649699828 NPI: 1689619124 Grantsville Mountainstar Jordan West Valley Family Ellis R Shipp Clinic - West 84029 Family Health - West Medicine - Wvc Valley Jordan 5373 West Lake Park Blvd 4535 South 5600 West Aldridge, Rebekah PA ~* 8846 South Redwood Rd West Valley City, UT West Valley City, UT Physician Assistant, Family Ste E-121 84120 84120 Medicine West Jordan, UT 84088 (801) 902-8080 (801) 676-4405 NPI: 1427386770 (801) 569-1999 Grantsville Medical Clinic - Helms, Erin MD ~ Valdes, Wesley DO ~* Grantsville Zackrison, David MD ~* Family Medicine Internal Medicine 822 East Main St Ste 7 Internal Medicine NPI: 1053653436 NPI: 1912958588 Grantsville, UT 84029 NPI: 1346364775 West Valley Family Physicians Group Of Utah (435) 884-3578 Jordan Valley Internal Medicine - Wvc - West Valley Ste 330 Medicine - Ste 100 5373 West Lake Park Blvd 3000 North Triumph Blvd Stansbury Park 3570 West 9000 South Ste West Valley City, UT Ste 330 84074 100 84120 West Valley City, UT West Jordan, UT 84088 (801) 902-8080 84120 Bowman, David DO ~* (801) 569-2384 (801) 619-9000 Family Medicine French Libre, Kenneth MD ~* NPI: 1053486076 Family Medicine Watson, Cordell DO ~ Stansbury Springs Health Zimmerman, Patrick NPI: 1801873534 Family Medicine Center MD ~* Ellis R Shipp Clinic - West NPI: 1770642480 576 East Highway 138 Ste Family Medicine Valley West Valley Family 350 NPI: 1679589881 4535 South 5600 West Medicine - Wvc Stansbury Park, UT 84074 Ihc West Jordan Clinic - West Valley City, UT 5373 West Lake Park Blvd (435) 843-1342 West Jordan 84120 West Valley City, UT 2655 West 9000 South (801) 676-4405 84120 Davis, Russell NP ~ West Jordan, UT 84088 Spanish (801) 902-8080 Nurse Practitioner (801) 256-6343 NPI: 1982148581 Japanese Powell, Tina NP ~* York, Arwen NP ~* Stansbury Springs Health Family Nurse Practitioner Family Nurse Practitioner Center West Valley City NPI: 1942480470 NPI: 1255881397 576 East Highway 138 Ste Medallus Medical - West Medallus Medical - West 350 84120 Valley Valley Stansbury Park, UT 84074 Esparza, Jose NP ~* 3451 South 5600 West Ste 3451 South 5600 West Ste (435) 843-1342 Family Nurse Practitioner F F NPI: 1720341837 West Valley City, UT West Valley City, UT Dustin, Curtis NP ~* Ellis R Shipp Clinic - West 84120 84120 Family Nurse Practitioner Valley (801) 957-0900 (801) 957-0900 NPI: 1821043548 4535 South 5600 West Spanish Stansbury Springs Health West Valley City, UT Center 84120 Schleenbaker, Bradley ~* 576 East Highway 138 Ste (801) 676-4405 Family Medicine 350 NPI: 1699118042 Stansbury Park, UT 84074 Ellis R Shipp Clinic - West (435) 843-1342 Valley 4535 South 5600 West West Valley City, UT 84120 (801) 676-4405 Spanish

56 Primary Care Providers / Médicos de Cuidados Proveedores Tooele County continued / Condado seguido

Lehman, Damien NP ~* Beazer, Blake MD ~* Dinh, An Tuong MD ~* Gundersen, Shaun NP ~* Family Nurse Practitioner Family Medicine Family Medicine Family Nurse Practitioner NPI: 1528463635 NPI: 1073510012 NPI: 1144319997 NPI: 1659721934 Stansbury Springs Health Mountain West Family Tooele Clinic Corporation - Bonneville Family Practice Center Practice Llc - Tooele Tooele 134 West 1180 North Ste 5 576 East Highway 138 Ste 2356 North 400 East Ste 196 East 2000 North Ste Tooele, UT 84074 350 201 104 (435) 248-0333 Stansbury Park, UT 84074 Tooele, UT 84074 Tooele, UT 84074 (435) 843-1342 (435) 882-2350 (435) 882-1644 Hua, David MD ~* Spanish Obstetrics & Gynecology Tooele Crosbie, Rynthia NP ~* NPI: 1043216542 Family Nurse Practitioner Dustin, Curtis NP ~* Wellsprings Women’S Care 84074 NPI: 1235649674 Family Nurse Practitioner 196 East 2000 North Ste Abarca, Sergio MD ~* Bonneville Family Practice NPI: 1821043548 101 Family Medicine 134 West 1180 North Ste 5 Tooele Clinic Corporation - Tooele, UT 84074 NPI: 1245238617 Tooele, UT 84074 576 E Highway 138 (435) 843-3678 Sergio Abarca Md Inc - (435) 248-0333 576 East Highway 138 Ste Tooele Spanish 100 Lazernick, Samara MD ~* 2356 North 400 East Ste Tooele, UT 84074 Obstetrics & Gynecology 201 Dalton, Marlee NP ~* (435) 843-1342 NPI: 1659532307 Tooele, UT 84074 Family Nurse Practitioner All Seasons Obstetrics And (435) 882-2350 NPI: 1730175761 Dustin, Curtis NP ~* Gynecology Spanish Blake R Beazer Md Inc - Family Nurse Practitioner 196 East 2000 North Ste Tooele NPI: 1821043548 104 Archer, Sandra MD ~* 2356 North 400 East Ste Tooele Clinic Corporation - Tooele, UT 84074 Obstetrics & Gynecology 201 Tooele (435) 843-2576 NPI: 1356319842 Tooele, UT 84074 196 East 2000 North Ste All Seasons Obstetrics And (435) 882-2350 104 Lazernick, Samara MD ~* Gynecology Spanish Tooele, UT 84074 Obstetrics & Gynecology 196 East 2000 North Ste (435) 882-1644 NPI: 1659532307 104 Dalton, Marlee NP ~* Wellsprings Women’S Care Tooele, UT 84074 Family Nurse Practitioner Forbes, Carolyn MD ~* 196 East 2000 North Ste (435) 843-2576 NPI: 1730175761 Family Medicine 101 Northpoint Womens NPI: 1144251711 Tooele, UT 84074 Archer, Sandra MD ~* Center - Tooele Valley Family Medicine - (435) 843-3678 Obstetrics & Gynecology 2376 North 400 East Ste Tooele NPI: 1356319842 203 2376 North 400 East Ste Lehman, Damien NP ~* Wellsprings Women’S Care Tooele, UT 84074 102 Family Nurse Practitioner 196 East 2000 North Ste (435) 882-2350 Tooele, UT 84074 NPI: 1528463635 101 Spanish (435) 843-1225 General Surgery At Tooele, UT 84074 Northpointe - Tooele (435) 843-3678 Dantis-Tan, Minerva Green, Patrick MD ~* 2376 North 400 East Ste NP ~ Family Medicine A205 Beazer, Blake MD ~* Family Nurse Practitioner NPI: 1144431800 Tooele, UT 84074 Family Medicine NPI: 1164715124 Bonneville Family Practice (435) 882-8111 NPI: 1073510012 Nephrology Associates - 134 West 1180 North Ste 5 Blake R Beazer Md Inc - Tooele Tooele, UT 84074 Tooele 1244 North Main St Ste (435) 248-0333 2356 North 400 East Ste 101 201 Tooele, UT 84074 Tooele, UT 84074 (801) 288-2634 (435) 882-2350 Tagalog

57 Primary Care Providers / Médicos de Cuidados Proveedores Tooele County continued / Condado seguido

Lehman, Damien NP ~* Reynolds, Brand NP ~* Smith, Maureen NP ~ Anderson, Esme NP ~* Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner NPI: 1528463635 NPI: 1154325991 NPI: 1730111311 NPI: 1508870965 Mountain View Healthcare Advanced Practice Medical Nephrology Associates - Premier Family Medical - - Tooele Clinic Llc - Tooele Tooele American Fork Site 1959 North Aaron Dr Ste 491 North Main St 1244 North Main St Ste 226 North 1100 East Ste A A Tooele, UT 84074 101 American Fork, UT 84003 Tooele, UT 84074 (435) 843-8881 Tooele, UT 84074 (801) 855-3850 (435) 843-3642 Spanish (801) 288-2634 Barkdull, Thad MD ~* Littledike, Jennifer PA ~* Schultz, Edward MD ~* Trudel, Ronald MD ~* Family Medicine Physician Assistant, Family Family Medicine Internal Medicine NPI: 1871524421 Medicine NPI: 1942287719 NPI: 1962455626 Premier Family Medical - NPI: 1063729481 Granger Medical - Tooele Tooele Clinic Corporation - Af Pfm Pt Site Bonneville Family Practice 2326 North 400 East Bldg Tooele 1159 East 200 North Ste 134 West 1180 North Ste 5 C Ste 203 196 East 2000 North Ste 100 Tooele, UT 84074 Tooele, UT 84074 104 American Fork, UT 84003 (435) 248-0333 (435) 843-4406 Tooele, UT 84074 (801) 642-2890 Spanish (435) 882-1644 Nelson, Joseph DO ~* French Barkdull, Thad MD ~* Family Medicine Seibert, Hilary DO ~* Family Medicine NPI: 1316122427 Family Medicine Utah NPI: 1871524421 Oquirrh Family Practice - NPI: 1275623894 Premier Family Medical - Tooele Bonneville Family Practice American Fork American Fork Site 196 East 2000 North Ste 134 West 1180 North Ste 5 84003 226 North 1100 East Ste A 110 Tooele, UT 84074 American Fork, UT 84003 Tooele, UT 84074 (435) 248-0333 Aagard, Robert MD ~* (801) 855-3850 (435) 882-2692 Obstetrics & Gynecology Seibert, Hilary DO ~* NPI: 1477661379 Bean, Gregory MD ~* Oliver, Rachel MD ~* Family Medicine Valley Obstetrics And Obstetrics & Gynecology Obstetrics & Gynecology NPI: 1275623894 Gynecology - American NPI: 1629069695 NPI: 1043449366 North Pointe Medical Fork Valley Obstetrics And Wellsprings Women’S Care Clinic - Tooele 1248 East 90 North Ste 300 Gynecology - American 196 East 2000 North Ste 2326 North 400 East Bldg American Fork, UT 84003 Fork 101 C, Ste 202 (801) 756-1577 1248 East 90 North Ste 300 Tooele, UT 84074 Tooele, UT 84074 Japanese American Fork, UT 84003 (435) 843-3678 (435) 833-0206 (801) 756-1577 Spanish Anderson, Esme NP ~* Norwegian, Spanish, Shutts Karjola, Megan Family Nurse Practitioner Swedish Parker Ii, Alma MD ~* MD ~* NPI: 1508870965 Family Medicine Obstetrics & Gynecology Premier Family Medical - Bergeson Barkdull, Jill NPI: 1164474037 NPI: 1437143351 Af Pfm Pt Site MD ~* Tooele Clinic Corp - Wellsprings Women’S Care 1159 East 200 North Ste Family Medicine Family Medicine 196 East 2000 North Ste 100 NPI: 1043466899 196 East 2000 North 101 American Fork, UT 84003 Premier Family Medical - Tooele, UT 84074 Tooele, UT 84074 (801) 642-2890 Af Pfm Pt Site (435) 843-3643 (435) 843-3678 1159 East 200 North Ste 100 American Fork, UT 84003 (801) 642-2890

58 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Bergeson Barkdull, Jill Carroll, Tyler MD ~ Corry Jr, Elwood MD ~* Doyle, Sean DO ~* MD ~* Family Medicine Family Medicine Family Medicine Family Medicine NPI: 1518973643 NPI: 1609984988 NPI: 1235138751 NPI: 1043466899 Ihc Highland Clinic - Premier Family Medical - Premier Family Medical - Premier Family Medical - Highland American Fork Site Af Pfm Pt Site American Fork Site 10968 North Alpine Hwy 226 North 1100 East Ste A 1159 East 200 North Ste 226 North 1100 East Ste A American Fork, UT 84003 American Fork, UT 84003 100 American Fork, UT 84003 (801) 763-2900 (801) 855-3850 American Fork, UT 84003 (801) 855-3850 (801) 642-2890 Cherrington, Steven Crop, Justin DO ~* Brockbank, Roger MD ~* DO ~* Family Medicine Doyle, Sean DO ~* Family Medicine Family Medicine NPI: 1801090659 Family Medicine NPI: 1669463626 NPI: 1871608893 Premier Family Medical - NPI: 1235138751 Premier Family Medical - Premier Family Medical - Af Pfm Pt Site Premier Family Medical - Af Pfm Pt Site Af Pfm Pt Site 1159 East 200 North Ste American Fork Site 1159 East 200 North Ste 1159 East 200 North Ste 100 226 North 1100 East Ste A 100 100 American Fork, UT 84003 American Fork, UT 84003 American Fork, UT 84003 American Fork, UT 84003 (801) 642-2890 (801) 855-3850 (801) 642-2890 (801) 642-2890 Spanish Spanish Francis Jr, William Brockbank, Roger MD ~* Crop, Justin DO ~* DO ~* Family Medicine Cherrington, Steven Family Medicine Family Medicine NPI: 1669463626 DO ~* NPI: 1801090659 NPI: 1619388998 Premier Family Medical - Family Medicine Premier Family Medical - Premier Family Medical - American Fork Site NPI: 1871608893 American Fork Site American Fork Site 226 North 1100 East Ste A Premier Family Medical - 226 North 1100 East Ste A 226 North 1100 East Ste A American Fork, UT 84003 American Fork Site American Fork, UT 84003 American Fork, UT 84003 (801) 855-3850 226 North 1100 East Ste A (801) 855-3850 (801) 855-3850 American Fork, UT 84003 Spanish Burkinshaw, Sandra (801) 855-3850 Graff, Carol NP ~* NP ~* Spanish Curtis, Michael MD ~* Family Nurse Practitioner Family Nurse Practitioner Family Medicine NPI: 1174826697 NPI: 1013464726 Cloward, Tennille MD ~* NPI: 1336280759 Premier Family Medical - Valley Obstetrics And Obstetrics & Gynecology Premier Family Medical - Af Pfm Pt Site Gynecology - American NPI: 1790906279 Af Pfm Pt Site 1159 East 200 North Ste Fork Valley Obstetrics And 1159 East 200 North Ste 100 1248 East 90 North Ste 300 Gynecology - American 100 American Fork, UT 84003 American Fork, UT 84003 Fork American Fork, UT 84003 (801) 642-2890 (801) 756-1577 1248 East 90 North Ste 300 (801) 642-2890 American Fork, UT 84003 German Graff, Carol NP ~* Canfield, Charles MD ~* (801) 756-1577 Family Nurse Practitioner Family Medicine Curtis, Michael MD ~* NPI: 1174826697 NPI: 1023199825 Corry Jr, Elwood MD ~* Family Medicine Premier Family Medical - Charles O Canfield Md - Family Medicine NPI: 1336280759 American Fork Site American Fork NPI: 1609984988 Premier Family Medical - 226 North 1100 East Ste A 125 Est Main St Ste 135 Ste Premier Family Medical - American Fork Site American Fork, UT 84003 135 Af Pfm Pt Site 226 North 1100 East Ste A (801) 855-3850 American Fork, UT 84003 1159 East 200 North Ste American Fork, UT 84003 (801) 380-4488 100 (801) 855-3850 Spanish American Fork, UT 84003 German (801) 642-2890

59 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Gray, Krista NP ~* Hamblin, Todd NP ~ Heaston, Sondra NP ~* Hooper, Ruth NP ~* Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner NPI: 1508216698 NPI: 1093092678 NPI: 1104916956 NPI: 1184787566 Premier Family Medical - Revere Health - Af - Cancer Premier Family Medical - Premier Family Medical - Pleasant Grove - Amercian Center American Fork Site Af Pfm Pt Site Fork 1152 East 200 North 226 North 1100 East Ste A 1159 East 200 North Ste 226 North 1100 East Ste A American Fork, UT 84003 American Fork, UT 84003 100 American Fork, UT 84003 (801) 772-0698 (801) 855-3850 American Fork, UT 84003 (801) 855-3840 Spanish (801) 642-2890 Hess, Camber NP ~* Hafen, David MD ~* Handley, Amy NP ~ Family Nurse Practitioner Hooper, Ruth NP ~* Family Medicine Family Nurse Practitioner NPI: 1750786190 Family Nurse Practitioner NPI: 1134238207 NPI: 1255760773 Premier Family Medical - NPI: 1184787566 Premier Family Medical - Revere Health - Af - Cancer Af Pfm Pt Site Premier Family Medical - Af Pfm Pt Site Center 1159 East 200 North Ste American Fork Site 1159 East 200 North Ste 1152 East 200 North 100 226 North 1100 East Ste A 100 American Fork, UT 84003 American Fork, UT 84003 American Fork, UT 84003 American Fork, UT 84003 (801) 772-0698 (801) 642-2890 (801) 855-3850 (801) 642-2890 Chinese, Mandarin Hardman, Joshua MD ~* Hess, Camber NP ~* Huddleston, Jason MD ~* Family Medicine Family Nurse Practitioner Internal Medicine Hafen, David MD ~* NPI: 1780914283 NPI: 1750786190 NPI: 1619908001 Family Medicine Premier Family Medical - Premier Family Medical - Revere Health - Af - NPI: 1134238207 Af Pfm Pt Site American Fork Site Internal Medicine Premier Family Medical - 1159 East 200 North Ste 226 North 1100 East Ste A 1175 East 50 South Ste 241 American Fork Site 100 American Fork, UT 84003 American Fork, UT 84003 226 North 1100 East Ste A American Fork, UT 84003 (801) 855-3850 (801) 492-5999 American Fork, UT 84003 (801) 642-2890 Spanish (801) 855-3850 Hoggard, Timo MD ~* Chinese, Mandarin Hardman, Joshua MD ~* Family Medicine Huggins, Leslie NP ~* Family Medicine NPI: 1639288798 Family Nurse Practitioner Hafen, Mark DO ~* NPI: 1780914283 Premier Family Medical - NPI: 1811442890 Family Medicine Premier Family Medical - Af Pfm Pt Site Premier Family Medical - NPI: 1306952056 American Fork Site 1159 East 200 North Ste American Fork Site Premier Family Medical - 226 North 1100 East Ste A 100 226 North 1100 East Ste A Af Pfm Pt Site American Fork, UT 84003 American Fork, UT 84003 American Fork, UT 84003 1159 East 200 North Ste (801) 855-3850 (801) 642-2890 (801) 855-3850 100 American Fork, UT 84003 Haskett, Sean MD ~* Hoggard, Timo MD ~* Huggins, Leslie NP ~* (801) 642-2890 Obstetrics & Gynecology Family Medicine Family Nurse Practitioner German NPI: 1477728343 NPI: 1639288798 NPI: 1811442890 Valley Obstetrics And Premier Family Medical - Premier Family Medical - Hafen, Mark DO ~* Gynecology - American American Fork Site Pleasant Grove - Amercian Family Medicine Fork 226 North 1100 East Ste A Fork NPI: 1306952056 1248 East 90 North Ste 300 American Fork, UT 84003 226 North 1100 East Ste A Premier Family Medical - American Fork, UT 84003 (801) 855-3850 American Fork, UT 84003 American Fork Site (801) 756-1577 (801) 855-3840 226 North 1100 East Ste A American Fork, UT 84003 (801) 855-3850 German

60 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Jacobs-Peterson, Lu Ann Kennedy, Michael MD ~* Lehnardt, Michael MD ~* Mcmanus, Shawn DO ~* NP ~* Family Medicine Family Medicine Family Medicine Family Nurse Practitioner NPI: 1417047010 NPI: 1497044911 NPI: 1376707323 NPI: 1396918462 Premier Family Medical - Premier Family Medical - Premier Family Medical - Premier Family Medical - American Fork Site American Fork Site Af Pfm Pt Site Af Pfm Pt Site 226 North 1100 East Ste A 226 North 1100 East Ste A 1159 East 200 North Ste 1159 East 200 North Ste American Fork, UT 84003 American Fork, UT 84003 100 100 (801) 855-3850 (801) 855-3850 American Fork, UT 84003 American Fork, UT 84003 (801) 642-2890 (801) 642-2890 Kimball, Sharilyn NP ~* Ling, Yun MD ~* Spanish Family Nurse Practitioner Internal Medicine Mcmanus, Shawn DO ~* NPI: 1801174164 NPI: 1063475341 Family Medicine Johnson, Cheryl MD ~* Premier Family Medical - Revere Health - Af - NPI: 1376707323 Family Medicine American Fork Site Internal Medicine Premier Family Medical - NPI: 1417066671 226 North 1100 East Ste A 1175 East 50 South Ste 241 American Fork Site Premier Family Medical - American Fork, UT 84003 American Fork, UT 84003 226 North 1100 East Ste A Af Pfm Pt Site (801) 855-3850 (801) 492-5999 American Fork, UT 84003 1159 East 200 North Ste Chinese (801) 855-3850 100 Lamoreaux, James MD ~* American Fork, UT 84003 Obstetrics & Gynecology Macarthur, Toran MD ~* Melendez, Terry MD ~* (801) 642-2890 NPI: 1932212503 Family Medicine Obstetrics & Gynecology Valley Obstetrics And NPI: 1063521177 NPI: 1316050081 Johnson, Cheryl MD ~* Gynecology - American Premier Family Medical - Valley Obstetrics And Family Medicine Fork Af Pfm Pt Site Gynecology - American NPI: 1417066671 1248 East 90 North Ste 300 1159 East 200 North Ste Fork Premier Family Medical - American Fork, UT 84003 100 1248 East 90 North Ste 300 American Fork Site (801) 756-1577 American Fork, UT 84003 American Fork, UT 84003 226 North 1100 East Ste A Portugese (801) 642-2890 (801) 756-1577 American Fork, UT 84003 Portugese Spanish (801) 855-3850 Layton, Miles DO ~* Family Medicine Macarthur, Toran MD ~* Midgley, Melinda MD ~* Johnson, Jeffrey MD ~* NPI: 1790948669 Family Medicine Family Medicine Internal Medicine Premier Family Medical - NPI: 1063521177 NPI: 1760587653 NPI: 1285692400 American Fork Site Premier Family Medical - Premier Family Medical - American Fork Hospital - 226 North 1100 East Ste A American Fork Site Af Pfm Pt Site Service American Fork, UT 84003 226 North 1100 East Ste A 1159 East 200 North Ste 170 North 1100 East (801) 855-3850 American Fork, UT 84003 100 American Fork, UT 84003 (801) 855-3850 American Fork, UT 84003 (801) 855-3300 Lehnardt, Michael MD ~* Portugese (801) 642-2890 Family Medicine Kennedy, Michael MD ~* NPI: 1497044911 Mainord, Matthew MD ~ Midgley, Melinda MD ~* Family Medicine Premier Family Medical - Internal Medicine Family Medicine NPI: 1417047010 Af Pfm Pt Site NPI: 1912194150 NPI: 1760587653 Premier Family Medical - 1159 East 200 North Ste Ihc American Fork Internal Premier Family Medical - Af Pfm Pt Site 100 Medicine - Am Fork American Fork Site 1159 East 200 North Ste American Fork, UT 84003 98 North 1100 East Ste 302 226 North 1100 East Ste A 100 (801) 642-2890 American Fork, UT 84003 American Fork, UT 84003 American Fork, UT 84003 (801) 492-2200 (801) 855-3850 (801) 642-2890

61 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Miller, Sandra APRN ~* Murdock, Kenneth Nordstrom, Bjorn DO ~* Parker, Kelli NP ~* Family Nurse Practitioner MD ~* Family Medicine Obstetrics & Gynecology NPI: 1437105269 Family Medicine NPI: 1346474749 Nurse Practitioner Premier Family Medical - NPI: 1053429563 Premier Family Medical - NPI: 1861615296 Af Pfm Pt Site Premier Family Medical - Pleasant Grove - Amercian Valley Obstetrics And 1159 East 200 North Ste Af Pfm Pt Site Fork Gynecology - American 100 1159 East 200 North Ste 226 North 1100 East Ste A Fork American Fork, UT 84003 100 American Fork, UT 84003 1248 East 90 North Ste 300 (801) 642-2890 American Fork, UT 84003 (801) 855-3840 American Fork, UT 84003 (801) 642-2890 Spanish (801) 756-1577 Miller, Sandra APRN ~* Family Nurse Practitioner Murdock, Kenneth Nuttall, Marc MD ~* Peterson, Michael MD ~* NPI: 1437105269 MD ~* Internal Medicine Internal Medicine Premier Family Medical - Family Medicine NPI: 1144497322 NPI: 1902827322 American Fork Site NPI: 1053429563 Revere Health - Af - Cancer American Fork Hospital - 226 North 1100 East Ste A Premier Family Medical - Center Service American Fork, UT 84003 American Fork Site 1152 East 200 North 170 North 1100 East (801) 855-3850 226 North 1100 East Ste A American Fork, UT 84003 American Fork, UT 84003 American Fork, UT 84003 (801) 772-0698 (801) 855-3300 Morris, Cassandra NP ~* (801) 855-3850 Korean Family Nurse Practitioner Nyman, Lindsay NP ~ NPI: 1174701163 Ngatuvai, Tauaina MD ~* Family Nurse Practitioner Pickering, Derrick NP ~* Valley Obstetrics And Family Medicine NPI: 1326286774 Family Nurse Practitioner Gynecology - American NPI: 1003992470 Revere Health - Af - Plastic NPI: 1720497597 Fork Premier Family Medical - And Reconstructive Premier Family Medical - 1248 East 90 North Ste 300 Af Pfm Pt Site Surgery American Fork Site American Fork, UT 84003 1159 East 200 North Ste 1175 East 50 South Ste 171 226 North 1100 East Ste A (801) 756-1577 100 American Fork, UT 84003 American Fork, UT 84003 American Fork, UT 84003 (801) 418-0904 (801) 855-3850 Mower, Douglas MD ~* (801) 642-2890 Family Medicine Spanish, Samoan Oliver, Rosanne NP ~ Powell, Tina NP ~* NPI: 1033228283 Family Nurse Practitioner Family Nurse Practitioner Premier Family Medical - Ngatuvai, Tauaina MD ~* NPI: 1073903720 NPI: 1942480470 Af Pfm Pt Site Family Medicine Revere Health - Af - Medallus Medical - 1159 East 200 North Ste NPI: 1003992470 Internal Medicine American Fork 100 Premier Family Medical - 1175 East 50 South Ste 241 476 North 900 West C American Fork, UT 84003 American Fork Site American Fork, UT 84003 American Fork, UT 84003 (801) 642-2890 226 North 1100 East Ste A (801) 492-5999 (801) 492-1611 Spanish American Fork, UT 84003 Spanish (801) 855-3850 Ollerton, Ryan DO ~* Mower, Douglas MD ~* Spanish, Samoan Obstetrics & Gynecology Ruda, Petr NP ~* Family Medicine NPI: 1528275898 Family Nurse Practitioner NPI: 1033228283 Nordstrom, Bjorn DO ~* Valley Obstetrics And NPI: 1083081533 Premier Family Medical - Family Medicine Gynecology - American Premier Family Medical - American Fork Site NPI: 1346474749 Fork Af Pfm Pt Site 226 North 1100 East Ste A Premier Family Medical - 1248 East 90 North Ste 300 1159 East 200 North Ste American Fork, UT 84003 American Fork Site American Fork, UT 84003 100 (801) 855-3850 226 North 1100 East Ste A (801) 756-1577 American Fork, UT 84003 Spanish American Fork, UT 84003 Portugese, Spanish, (801) 642-2890 (801) 855-3850 Tagalog Czech Spanish

62 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Ruda, Petr NP ~* Smith, Garrett DO ~* Ulett-Garcia, Tomeika Williams, Christopher Family Nurse Practitioner Family Medicine NP ~ NP ~* NPI: 1083081533 NPI: 1669587630 Adult Health Nurse Family Nurse Practitioner Premier Family Medical - Premier Family Medical - Practitioner NPI: 1518402841 American Fork Site Af Pfm Pt Site NPI: 1780027722 Premier Family Medical - 226 North 1100 East Ste A 1159 East 200 North Ste Revere Health - Af - Pleasant Grove - Amercian American Fork, UT 84003 100 Gastroenterology Fork (801) 855-3850 American Fork, UT 84003 1175 East 50 South Ste 221 226 North 1100 East Ste A Czech (801) 642-2890 American Fork, UT 84003 American Fork, UT 84003 Spanish (801) 772-0775 (801) 855-3840 Russon, Sheila NP ~* Family Nurse Practitioner Smith, Garrett DO ~* Vincent, Anne NP ~* Willis Jr, Marshall MD ~* NPI: 1265981906 Family Medicine Family Nurse Practitioner Family Medicine Premier Family Medical - NPI: 1669587630 NPI: 1447672464 NPI: 1194833475 American Fork Site Premier Family Medical - Premier Family Medical - Premier Family Medical - 226 North 1100 East Ste A American Fork Site Af Pfm Pt Site Af Pfm Pt Site American Fork, UT 84003 226 North 1100 East Ste A 1159 East 200 North Ste 1159 East 200 North Ste (801) 855-3850 American Fork, UT 84003 100 100 (801) 855-3850 American Fork, UT 84003 American Fork, UT 84003 Russon, Sheila NP ~* Spanish (801) 642-2890 (801) 642-2890 Family Nurse Practitioner Italian NPI: 1265981906 Smith, Scott MD ~* Vincent, Anne NP ~* Premier Family Medical - Family Medicine Family Nurse Practitioner Willis Jr, Marshall MD ~* Pleasant Grove - Amercian NPI: 1336257617 NPI: 1447672464 Family Medicine Fork Premier Family Medical - Premier Family Medical - NPI: 1194833475 226 North 1100 East Ste A Af Pfm Pt Site American Fork Site Premier Family Medical - American Fork, UT 84003 1159 East 200 North Ste 226 North 1100 East Ste A American Fork Site (801) 855-3840 100 American Fork, UT 84003 226 North 1100 East Ste A American Fork, UT 84003 (801) 855-3850 American Fork, UT 84003 Shaver, Adrienne NP ~ (801) 642-2890 (801) 855-3850 Family Nurse Practitioner Spanish Welch, Von MD ~ Italian NPI: 1659595742 Internal Medicine Revere Health - Af - Smith, Scott MD ~* NPI: 1134136302 York, Arwen NP ~* Gastroenterology Family Medicine Ihc American Fork Internal Family Nurse Practitioner 1175 East 50 South Ste 221 NPI: 1336257617 Medicine - Am Fork NPI: 1255881397 American Fork, UT 84003 Premier Family Medical - 98 North 1100 East Ste 302 Medallus Medical - (801) 772-0775 American Fork Site American Fork, UT 84003 American Fork 226 North 1100 East Ste A (801) 492-2200 476 North 900 West C Slack, Robert DO ~ American Fork, UT 84003 American Fork, UT 84003 Family Medicine (801) 855-3850 Williams, Christopher (801) 492-1611 NPI: 1467467399 Spanish NP ~* Ihc Highland Clinic - Family Nurse Practitioner Eagle Mountain Highland Summers, Scott NP ~* NPI: 1518402841 10968 North Alpine Hwy Family Nurse Practitioner Premier Family Medical - 84005 American Fork, UT 84003 NPI: 1174808596 American Fork Site Allen, Douglas DO ~* (801) 763-2900 Revere Health - Af - 226 North 1100 East Ste A Obstetrics & Gynecology Spanish Otolaryngology Ste 211 American Fork, UT 84003 NPI: 1659575686 1175 East 50 South Ste 211 (801) 855-3850 Revere Health - Eagle American Fork, UT 84003 Mountain - Ob/Gyn 2 (801) 418-0870 3943 Pony Express Parkway Ste 110 A Eagle Mountain, UT 84005 (801) 756-5288 Japanese

63 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Barkdull, Thad MD ~* Clark, Matthew MD ~* Gray, Krista NP ~* Huggins, Leslie NP ~* Family Medicine Obstetrics & Gynecology Family Nurse Practitioner Family Nurse Practitioner NPI: 1871524421 NPI: 1851619076 NPI: 1508216698 NPI: 1811442890 Premier Family Medical - Revere Health - Eagle Premier Family Medical - Premier Family Medical - Eagle Mountain Site Mountain - Ob/Gyn 2 Pleasant Grove - Eagle Eagle Mountain Site 3943 East Pony Express 3943 Pony Express Mountain 3943 East Pony Express Pkwy Ste 120 Parkway Ste 110 A 3943 East Pony Express Pkwy Ste 120 Eagle Mountain, UT 84005 Eagle Mountain, UT 84005 Pkwy Ste 120 Eagle Mountain, UT 84005 (801) 789-5566 (801) 756-5288 Eagle Mountain, UT 84005 (801) 789-5566 (801) 789-5566 Bingham, Annalee NP ~* Corry Jr, Elwood MD ~* Huggins, Leslie NP ~* Family Nurse Practitioner Family Medicine Hardman, Joshua MD ~* Family Nurse Practitioner NPI: 1346793007 NPI: 1609984988 Family Medicine NPI: 1811442890 Premier Family Medical - Premier Family Medical - NPI: 1780914283 Premier Family Medical - Eagle Mountain Site Eagle Mountain Site Premier Family Medical - Pleasant Grove - Eagle 3943 East Pony Express 3943 East Pony Express Eagle Mountain Site Mountain Pkwy Ste 120 Pkwy Ste 120 3943 East Pony Express 3943 East Pony Express Eagle Mountain, UT 84005 Eagle Mountain, UT 84005 Pkwy Ste 120 Pkwy Ste 120 (801) 789-5566 (801) 789-5566 Eagle Mountain, UT 84005 Eagle Mountain, UT 84005 (801) 789-5566 (801) 789-5566 Brockbank, Roger MD ~* Crop, Justin DO ~* Family Medicine Family Medicine Heaston, Sondra NP ~* Kimball, Sharilyn NP ~* NPI: 1669463626 NPI: 1801090659 Family Nurse Practitioner Family Nurse Practitioner Premier Family Medical - Premier Family Medical - NPI: 1104916956 NPI: 1801174164 Eagle Mountain Site Eagle Mountain Site Premier Family Medical - Premier Family Medical - 3943 East Pony Express 3943 East Pony Express Eagle Mountain Site Eagle Mountain Site Pkwy Ste 120 Pkwy Ste 120 3943 East Pony Express 3943 East Pony Express Eagle Mountain, UT 84005 Eagle Mountain, UT 84005 Pkwy Ste 120 Pkwy Ste 120 (801) 789-5566 (801) 789-5566 Eagle Mountain, UT 84005 Eagle Mountain, UT 84005 Spanish (801) 789-5566 (801) 789-5566 Cherrington, Steven DO ~* Francis Jr, William Hess, Camber NP ~* Lehnardt, Michael MD ~* Family Medicine DO ~* Family Nurse Practitioner Family Medicine NPI: 1871608893 Family Medicine NPI: 1750786190 NPI: 1497044911 Premier Family Medical - NPI: 1619388998 Premier Family Medical - Premier Family Medical - Eagle Mountain Site Premier Family Medical - Eagle Mountain Site Eagle Mountain Site 3943 East Pony Express Eagle Mountain Site 3943 East Pony Express 3943 East Pony Express Pkwy Ste 120 3943 East Pony Express Pkwy Ste 120 Pkwy Ste 120 Eagle Mountain, UT 84005 Pkwy Ste 120 Eagle Mountain, UT 84005 Eagle Mountain, UT 84005 (801) 789-5566 Eagle Mountain, UT 84005 (801) 789-5566 (801) 789-5566 Spanish (801) 789-5566 Hooper, Ruth NP ~* Macarthur, Toran MD ~* Clark, Matthew MD ~* Gray, Krista NP ~* Family Nurse Practitioner Family Medicine Obstetrics & Gynecology Family Nurse Practitioner NPI: 1184787566 NPI: 1063521177 NPI: 1851619076 NPI: 1508216698 Premier Family Medical - Premier Family Medical - Revere Health - Eagle Premier Family Medical - Eagle Mountain Site Eagle Mountain Site Mountain - Ob/Gyn Eagle Mountain Site 3943 East Pony Express 3943 East Pony Express 4095 East Pony Express 3943 East Pony Express Pkwy Ste 120 Pkwy Ste 120 Pkwy Ste 1 Pkwy Ste 120 Eagle Mountain, UT 84005 Eagle Mountain, UT 84005 Eagle Mountain, UT 84005 Eagle Mountain, UT 84005 (801) 789-5566 (801) 789-5566 (801) 377-4623 (801) 789-5566 Portugese

64 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Mcmanus, Shawn DO ~* Ngatuvai, Tauaina MD ~* Smith, Garrett DO ~* Willis Jr, Marshall MD ~* Family Medicine Family Medicine Family Medicine Family Medicine NPI: 1376707323 NPI: 1003992470 NPI: 1669587630 NPI: 1194833475 Premier Family Medical - Premier Family Medical - Premier Family Medical - Premier Family Medical - Eagle Mountain Site Eagle Mountain Site Eagle Mountain Site Eagle Mountain Site 3943 East Pony Express 3943 East Pony Express 3943 East Pony Express 3943 East Pony Express Pkwy Ste 120 Pkwy Ste 120 Pkwy Ste 120 Pkwy Ste 120 Eagle Mountain, UT 84005 Eagle Mountain, UT 84005 Eagle Mountain, UT 84005 Eagle Mountain, UT 84005 (801) 789-5566 (801) 789-5566 (801) 789-5566 (801) 789-5566 Spanish, Samoan Spanish Italian Midgley, Melinda MD ~* Family Medicine Nordstrom, Bjorn DO ~* Smith, Scott MD ~* Young, David DO ~* NPI: 1760587653 Family Medicine Family Medicine Obstetrics & Gynecology Premier Family Medical - NPI: 1346474749 NPI: 1336257617 NPI: 1679756852 Eagle Mountain Site Premier Family Medical - Premier Family Medical - Revere Health - Eagle 3943 East Pony Express Pleasant Grove - Eagle Eagle Mountain Site Mountain - Ob/Gyn 2 Pkwy Ste 120 Mountain 3943 East Pony Express 3943 Pony Express Eagle Mountain, UT 84005 3943 East Pony Express Pkwy Ste 120 Parkway Ste 110 A (801) 789-5566 Pkwy Ste 120 Eagle Mountain, UT 84005 Eagle Mountain, UT 84005 Eagle Mountain, UT 84005 (801) 789-5566 (801) 756-5288 Miller, Sandra APRN ~* (801) 789-5566 Spanish Family Nurse Practitioner Spanish Young, David DO ~* NPI: 1437105269 Vincent, Anne NP ~* Obstetrics & Gynecology Premier Family Medical - Pickering, Derrick NP ~* Family Nurse Practitioner NPI: 1679756852 Eagle Mountain Site Family Nurse Practitioner NPI: 1447672464 Revere Health - Eagle 3943 East Pony Express NPI: 1720497597 Premier Family Medical - Mountain Family Medicine Pkwy Ste 120 Premier Family Medical - Eagle Mountain Site 4095 East Pony Express Eagle Mountain, UT 84005 Eagle Mountain Site 3943 East Pony Express Pkwy Ste 1 (801) 789-5566 3943 East Pony Express Pkwy Ste 120 Eagle Mountain, UT 84005 Pkwy Ste 120 Eagle Mountain, UT 84005 (801) 756-5288 Mower, Douglas MD ~* Eagle Mountain, UT 84005 (801) 789-5566 Family Medicine (801) 789-5566 Lehi NPI: 1033228283 Williams, Christopher Premier Family Medical - Russon, Sheila NP ~* NP ~* 84043 Eagle Mountain Site Family Nurse Practitioner Family Nurse Practitioner Aagard, Robert MD ~* 3943 East Pony Express NPI: 1265981906 NPI: 1518402841 Obstetrics & Gynecology Pkwy Ste 120 Premier Family Medical - Premier Family Medical - NPI: 1477661379 Eagle Mountain, UT 84005 Eagle Mountain Site Eagle Mountain Site Valley Obstetrics And (801) 789-5566 3943 East Pony Express 3943 East Pony Express Gynecology - Lehi Spanish Pkwy Ste 120 Pkwy Ste 120 3000 North Triumph Blvd Eagle Mountain, UT 84005 Eagle Mountain, UT 84005 Ste 210 Murdock, Kenneth (801) 789-5566 (801) 789-5566 Lehi, UT 84043 MD ~* (801) 756-1577 Family Medicine Russon, Sheila NP ~* Williams, Christopher Japanese NPI: 1053429563 Family Nurse Practitioner NP ~* Premier Family Medical - NPI: 1265981906 Family Nurse Practitioner Adams, Bryan NP ~* Eagle Mountain Site Premier Family Medical - NPI: 1518402841 Family Nurse Practitioner 3943 East Pony Express Pleasant Grove - Eagle Premier Family Medical - NPI: 1578654224 Pkwy Ste 120 Mountain Pleasant Grove - Eagle Utah Valley Urgent Care & Eagle Mountain, UT 84005 3943 East Pony Express Mountain Family Practice - Lehi (801) 789-5566 Pkwy Ste 120 3943 East Pony Express 127 East Main St Ste E Eagle Mountain, UT 84005 Pkwy Ste 120 Lehi, UT 84043 (801) 789-5566 Eagle Mountain, UT 84005 (801) 766-9822 (801) 789-5566

65 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Allred, Donald DO ~* Bean, Gregory MD ~* Brockbank, Roger MD ~* Child, Gary DO ~* Family Medicine Obstetrics & Gynecology Family Medicine General Practice, Family NPI: 1174510044 NPI: 1629069695 NPI: 1669463626 Medicine Zenith Family Health Valley Obstetrics And Premier Family Medical - NPI: 1063492304 Center - Lehi Gynecology - Lehi Lehi Site Alpsutah Inc - Lehi 3401 North Center St Ste 3000 North Triumph Blvd 680 East Main St 945 West 3200 North 175 Ste 210 Lehi, UT 84043 Lehi, UT 84043 Lehi, UT 84043 Lehi, UT 84043 (801) 768-1699 (801) 766-6055 (801) 655-5899 (801) 756-1577 Norwegian, Spanish, Brockbank, Roger MD ~* Christensen, Robert Anderson, Esme NP ~* Swedish Family Medicine MD ~ Family Nurse Practitioner NPI: 1669463626 Family Medicine NPI: 1508870965 Bergeson Barkdull, Jill Premier Family Medical - NPI: 1083645709 Premier Family Medical - MD ~* Mountain Point Site Ihc Saratoga Springs Lehi Site Family Medicine 3000 North Triumph Blvd Family Practice - Saratoga 680 East Main St NPI: 1043466899 Ste 220 Springs Lehi, UT 84043 Premier Family Medical - Lehi, UT 84043 354 West State Rd 73 (801) 768-1699 Lehi Site (801) 753-4650 Lehi, UT 84043 680 East Main St (801) 766-4567 Anderson, Esme NP ~* Lehi, UT 84043 Chamberlain, Angela Family Nurse Practitioner (801) 768-1699 NP ~ Cloward, Tennille MD ~* NPI: 1508870965 Family Nurse Practitioner Obstetrics & Gynecology Premier Family Medical - Bergeson Barkdull, Jill NPI: 1184099764 NPI: 1790906279 Mountain Point Site MD ~* Excel Cosmetic Surgery Valley Obstetrics And 3000 North Triumph Blvd Family Medicine Center - Lehi Gynecology - Lehi Ste 220 NPI: 1043466899 220 North 1200 East Ste 3000 North Triumph Blvd Lehi, UT 84043 Premier Family Medical - 101 Ste 210 (801) 753-4650 Mountain Point Site Lehi, UT 84043 Lehi, UT 84043 3000 North Triumph Blvd (801) 379-2900 (801) 756-1577 Barkdull, Thad MD ~* Ste 220 Family Medicine Lehi, UT 84043 Cherrington, Steven Corry Jr, Elwood MD ~* NPI: 1871524421 (801) 753-4650 DO ~* Family Medicine Premier Family Medical - Family Medicine NPI: 1609984988 Lehi Site Bingham, Annalee NP ~* NPI: 1871608893 Premier Family Medical - 680 East Main St Family Nurse Practitioner Premier Family Medical - Lehi Site Lehi, UT 84043 NPI: 1346793007 Lehi Site 680 East Main St (801) 768-1699 Premier Family Medical - 680 East Main St Lehi, UT 84043 Lehi Site Lehi, UT 84043 (801) 768-1699 Barkdull, Thad MD ~* 680 East Main St (801) 768-1699 Family Medicine Lehi, UT 84043 Spanish Corry Jr, Elwood MD ~* NPI: 1871524421 (801) 768-1699 Family Medicine Premier Family Medical - Cherrington, Steven NPI: 1609984988 Mountain Point Site Bingham, Annalee NP ~* DO ~* Premier Family Medical - 3000 North Triumph Blvd Family Nurse Practitioner Family Medicine Mountain Point Site Ste 220 NPI: 1346793007 NPI: 1871608893 3000 North Triumph Blvd Lehi, UT 84043 Premier Family Medical - Premier Family Medical - Ste 220 (801) 753-4650 Mountain Point Site Mountain Point Site Lehi, UT 84043 3000 North Triumph Blvd 3000 North Triumph Blvd (801) 753-4650 Ste 220 Ste 220 Lehi, UT 84043 Lehi, UT 84043 (801) 753-4650 (801) 753-4650 Spanish

66 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Coy, James DO ~ Dantis-Tan, Minerva Fieldsted, Tyler DO ~ Graff, Carol NP ~* Family Medicine NP ~ Family Medicine Family Nurse Practitioner NPI: 1174555320 Family Nurse Practitioner NPI: 1033452271 NPI: 1174826697 Ihc Saratoga Springs NPI: 1164715124 Ihc Saratoga Springs Premier Family Medical - Family Practice - Saratoga Nephrology Associates - Family Practice - Saratoga Mountain Point Site Springs Lehi Springs 3000 North Triumph Blvd 354 West State Rd 73 3000 North Triumph Blvd 354 West State Rd 73 Ste 220 Lehi, UT 84043 Ste 340 Lehi, UT 84043 Lehi, UT 84043 (801) 766-4567 Lehi, UT 84043 (801) 766-4567 (801) 753-4650 (801) 288-2634 Spanish Crop, Justin DO ~* Tagalog Gray, Krista NP ~* Family Medicine Francis Jr, William Family Nurse Practitioner NPI: 1801090659 Doyle, Sean DO ~* DO ~* NPI: 1508216698 Premier Family Medical - Family Medicine Family Medicine Premier Family Medical - Lehi Site NPI: 1235138751 NPI: 1619388998 Lehi Site 680 East Main St Premier Family Medical - Premier Family Medical - 680 East Main St Lehi, UT 84043 Lehi Site Lehi Site Lehi, UT 84043 (801) 768-1699 680 East Main St 680 East Main St (801) 768-1699 Spanish Lehi, UT 84043 Lehi, UT 84043 (801) 768-1699 (801) 768-1699 Gray, Krista NP ~* Crop, Justin DO ~* Family Nurse Practitioner Family Medicine Doyle, Sean DO ~* Francis Jr, William NPI: 1508216698 NPI: 1801090659 Family Medicine DO ~* Premier Family Medical - Premier Family Medical - NPI: 1235138751 Family Medicine Pg - Lehi Mountain Point Site Premier Family Medical - NPI: 1619388998 3000 North Triumph Blvd 3000 North Triumph Blvd Mountain Point Site Premier Family Medical - Ste 220 Ste 220 3000 North Triumph Blvd Lindon Lehi Site Lehi, UT 84043 Lehi, UT 84043 Ste 220 3000 North Triumph Blvd (801) 756-4650 (801) 753-4650 Lehi, UT 84043 Ste 220 Spanish (801) 753-4650 Lehi, UT 84043 Gray, Krista NP ~* (801) 753-4650 Family Nurse Practitioner Curtis, Michael MD ~* Eden, Lacey NP ~* NPI: 1508216698 Family Medicine Family Nurse Practitioner Fuentes Valdes, Johanna Premier Family Medical - NPI: 1336280759 NPI: 1386972875 MD ~* Pleasant Grove - Lehi 2 Premier Family Medical - Utah Valley Urgent Care & Internal Medicine 680 East Mail St Lehi Site Family Practice - Lehi NPI: 1184641987 Lehi, UT 84043 680 East Main St 127 East Main St Ste E Physicians Group Of Utah (801) 768-1699 Lehi, UT 84043 Lehi, UT 84043 - Lehi (801) 768-1699 (801) 766-9822 3000 North Triumph Blvd Hafen, David MD ~* German Lehi, UT 84043 Family Medicine Edmunds, Sean MD ~* (801) 789-4488 NPI: 1134238207 Curtis, Michael MD ~* Obstetrics & Gynecology Premier Family Medical - Family Medicine NPI: 1508155193 Graff, Carol NP ~* Lehi Site NPI: 1336280759 Timpanogos Womens Family Nurse Practitioner 680 East Main St Premier Family Medical - Center - Lehi NPI: 1174826697 Lehi, UT 84043 Mountain Point Site 3401 North Center St Ste Premier Family Medical - (801) 768-1699 3000 North Triumph Blvd 150 Lehi Site Chinese, Mandarin Ste 220 Lehi, UT 84043 680 East Main St Lehi, UT 84043 (801) 653-2757 Lehi, UT 84043 (801) 753-4650 (801) 768-1699 German

67 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Hafen, David MD ~* Hardman, Joshua MD ~* Hess, Camber NP ~* Hooper, Ruth NP ~* Family Medicine Family Medicine Family Nurse Practitioner Family Nurse Practitioner NPI: 1134238207 NPI: 1780914283 NPI: 1750786190 NPI: 1184787566 Premier Family Medical - Premier Family Medical - Premier Family Medical - Premier Family Medical - Mountain Point Site Lehi Site Lehi Site Mountain Point Site 3000 North Triumph Blvd 680 East Main St 680 East Main St 3000 North Triumph Blvd Ste 220 Lehi, UT 84043 Lehi, UT 84043 Ste 220 Lehi, UT 84043 (801) 768-1699 (801) 768-1699 Lehi, UT 84043 (801) 753-4650 (801) 753-4650 Chinese, Mandarin Hardman, Joshua MD ~* Hess, Camber NP ~* Family Medicine Family Nurse Practitioner Hooton, Josh NP ~* Hafen, Mark DO ~* NPI: 1780914283 NPI: 1750786190 Family Nurse Practitioner Family Medicine Premier Family Medical - Premier Family Medical - NPI: 1306272471 NPI: 1306952056 Mountain Point Site Mountain Point Site Utah Valley Urgent Care & Premier Family Medical - 3000 North Triumph Blvd 3000 North Triumph Blvd Family Practice - Lehi Lehi Site Ste 220 Ste 220 127 East Main St Ste E 680 East Main St Lehi, UT 84043 Lehi, UT 84043 Lehi, UT 84043 Lehi, UT 84043 (801) 753-4650 (801) 753-4650 (801) 766-9822 (801) 768-1699 German Haskett, Sean MD ~* Hoggard, Timo MD ~* Horvath, Susan MD ~* Obstetrics & Gynecology Family Medicine Obstetrics & Gynecology Hafen, Mark DO ~* NPI: 1477728343 NPI: 1639288798 NPI: 1023086444 Family Medicine Valley Obstetrics And Premier Family Medical - Timpanogos Womens NPI: 1306952056 Gynecology - Lehi Lehi Site Center - Lehi Premier Family Medical - 3000 North Triumph Blvd 680 East Main St 3401 North Center St Ste Mountain Point Site Ste 210 Lehi, UT 84043 150 3000 North Triumph Blvd Lehi, UT 84043 (801) 768-1699 Lehi, UT 84043 Ste 220 (801) 756-1577 (801) 653-2757 Lehi, UT 84043 Hoggard, Timo MD ~* (801) 753-4650 Heaston, Sondra NP ~* Family Medicine Huggins, Leslie NP ~* German Family Nurse Practitioner NPI: 1639288798 Family Nurse Practitioner NPI: 1104916956 Premier Family Medical - NPI: 1811442890 Hall, Michael MD ~* Premier Family Medical - Mountain Point Site Premier Family Medical - Family Medicine Lehi Site 3000 North Triumph Blvd Lehi Site NPI: 1124134325 680 East Main St Ste 220 680 East Main St Revere Health - Lehi - Lehi, UT 84043 Lehi, UT 84043 Lehi, UT 84043 Mountain Point Medical (801) 768-1699 (801) 753-4650 (801) 768-1699 Center Spc 3000 North Triumph Blvd Heaston, Sondra NP ~* Hooper, Ruth NP ~* Huggins, Leslie NP ~* Ste 100 Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Lehi, UT 84043 NPI: 1104916956 NPI: 1184787566 NPI: 1811442890 (801) 772-0775 Premier Family Medical - Premier Family Medical - Premier Family Medical - French Mountain Point Site Lehi Site Mountain Point Site 3000 North Triumph Blvd 680 East Main St 3000 North Triumph Blvd Hansen, Orrin NP ~* Ste 220 Lehi, UT 84043 Ste 220 Family Nurse Practitioner Lehi, UT 84043 (801) 768-1699 Lehi, UT 84043 NPI: 1104916543 (801) 753-4650 (801) 753-4650 Utah Valley Urgent Care & Family Practice - Lehi 127 East Main St Ste E Lehi, UT 84043 (801) 766-9822

68 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Huggins, Leslie NP ~* Jenkinson, Jennifer Lynn Kennedy, Michael MD ~* Layton, Miles DO ~* Family Nurse Practitioner NP ~* Family Medicine Family Medicine NPI: 1811442890 Family Nurse Practitioner NPI: 1417047010 NPI: 1790948669 Premier Family Medical - NPI: 1891125100 Premier Family Medical - Premier Family Medical - Pg - Lehi Revere Health - Lehi - Mountain Point Site Lehi Site 3000 North Triumph Blvd Mountain Point Medical 3000 North Triumph Blvd 680 East Main St Ste 220 Ctr Family Med Ste 220 Lehi, UT 84043 Lehi, UT 84043 3000 North Triumph Blvd Lehi, UT 84043 (801) 768-1699 (801) 756-4650 Ste 100 (801) 753-4650 Lehi, UT 84043 Layton, Miles DO ~* Huggins, Leslie NP ~* (385) 203-1215 Kimball, David DO ~* Family Medicine Family Nurse Practitioner Family Medicine NPI: 1790948669 NPI: 1811442890 Johnson, Cheryl MD ~* NPI: 1730325143 Premier Family Medical - Premier Family Medical - Family Medicine Revere Health - Lehi - Mountain Point Site Pleasant Grove - Lehi 2 NPI: 1417066671 Mountain Point Medical 3000 North Triumph Blvd 680 East Mail St Premier Family Medical - Ctr Family Med Ste 220 Lehi, UT 84043 Lehi Site 3000 North Triumph Blvd Lehi, UT 84043 (801) 768-1699 680 East Main St Ste 100 (801) 753-4650 Lehi, UT 84043 Lehi, UT 84043 Hunter, Judd NP ~* (801) 768-1699 (385) 203-1215 Lehnardt, Michael MD ~* Family Nurse Practitioner Family Medicine NPI: 1831428705 Johnson, Cheryl MD ~* Kimball, Sharilyn NP ~* NPI: 1497044911 Revere Health - Lehi - Sleep Family Medicine Family Nurse Practitioner Premier Family Medical - Disorders Center NPI: 1417066671 NPI: 1801174164 Lehi Site 3300 North Running Premier Family Medical - Premier Family Medical - 680 East Main St Creek Way Bldg B, Ste 100 Mountain Point Site Lehi Site Lehi, UT 84043 Lehi, UT 84043 3000 North Triumph Blvd 680 East Main St (801) 768-1699 (801) 227-7378 Ste 220 Lehi, UT 84043 Lehi, UT 84043 (801) 768-1699 Lehnardt, Michael MD ~* Hunter, Judd NP ~* (801) 753-4650 Family Medicine Family Nurse Practitioner Kimball, Sharilyn NP ~* NPI: 1497044911 NPI: 1831428705 Johnson, Jason MD ~* Family Nurse Practitioner Premier Family Medical - Utah Valley Urgent Care & Obstetrics & Gynecology NPI: 1801174164 Mountain Point Site Family Practice - Lehi NPI: 1376638718 Premier Family Medical - 3000 North Triumph Blvd 127 East Main St Ste E Timpanogos Womens Mountain Point Site Ste 220 Lehi, UT 84043 Center - Lehi 3000 North Triumph Blvd Lehi, UT 84043 (801) 766-9822 3401 North Center St Ste Ste 220 (801) 753-4650 150 Lehi, UT 84043 Jacobs-Peterson, Lu Ann Lehi, UT 84043 (801) 753-4650 Macarthur, Toran MD ~* NP ~* (801) 653-2757 Family Medicine Family Nurse Practitioner Lamoreaux, James MD ~* NPI: 1063521177 NPI: 1396918462 Kennedy, Michael MD ~* Obstetrics & Gynecology Premier Family Medical - Premier Family Medical - Family Medicine NPI: 1932212503 Lehi Site Mountain Point Site NPI: 1417047010 Valley Obstetrics And 680 East Main St 3000 North Triumph Blvd Premier Family Medical - Gynecology - Lehi Lehi, UT 84043 Ste 220 Lehi Site 3000 North Triumph Blvd (801) 768-1699 Lehi, UT 84043 680 East Main St Ste 210 Portugese (801) 753-4650 Lehi, UT 84043 Lehi, UT 84043 Spanish (801) 768-1699 (801) 756-1577 Portugese

69 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Macarthur, Toran MD ~* Memon, Kashif MD ~* Miller, Sandra APRN ~* Nelson, Cory DO ~* Family Medicine Internal Medicine Family Nurse Practitioner Family Medicine NPI: 1063521177 NPI: 1932161668 NPI: 1437105269 NPI: 1124339460 Premier Family Medical - Mountain Point Multi Premier Family Medical - Advanced Sports & Mountain Point Site Speciality Mountain Point Site Orthopedics - Lehi 3000 North Triumph Blvd 3000 N Triumph Blvd Ste 3000 North Triumph Blvd 3401 North Center St Ste Ste 220 320 Ste 220 100 Lehi, UT 84043 Lehi, UT 84043 Lehi, UT 84043 Lehi, UT 84043 (801) 753-4650 (801) 903-5620 (801) 753-4650 (801) 753-7770 Portugese Midgley, Melinda MD ~* Mower, Douglas MD ~* Ngatuvai, Tauaina MD ~* Maw, Laura NP ~* Family Medicine Family Medicine Family Medicine Family Nurse Practitioner NPI: 1760587653 NPI: 1033228283 NPI: 1003992470 NPI: 1982661039 Premier Family Medical - Premier Family Medical - Premier Family Medical - Conti-Care Llc - Lehi Lehi Site Lehi Site Lehi Site 2874 Parkside Dr 680 East Main St 680 East Main St 680 East Main St Lehi, UT 84043 Lehi, UT 84043 Lehi, UT 84043 Lehi, UT 84043 (801) 619-2175 (801) 768-1699 (801) 768-1699 (801) 768-1699 Spanish Spanish, Samoan Mcmanus, Shawn DO ~* Midgley, Melinda MD ~* Family Medicine Family Medicine Mower, Douglas MD ~* Ngatuvai, Tauaina MD ~* NPI: 1376707323 NPI: 1760587653 Family Medicine Family Medicine Premier Family Medical - Premier Family Medical - NPI: 1033228283 NPI: 1003992470 Lehi Site Mountain Point Site Premier Family Medical - Premier Family Medical - 680 East Main St 3000 North Triumph Blvd Mountain Point Site Mountain Point Site Lehi, UT 84043 Ste 220 3000 North Triumph Blvd 3000 North Triumph Blvd (801) 768-1699 Lehi, UT 84043 Ste 220 Ste 220 (801) 753-4650 Lehi, UT 84043 Lehi, UT 84043 Mcmanus, Shawn DO ~* (801) 753-4650 (801) 753-4650 Family Medicine Miller, Emma DO ~* Spanish Spanish, Samoan NPI: 1376707323 Obstetrics & Gynecology Premier Family Medical - NPI: 1609162296 Murdock, Kenneth Nordstrom, Bjorn DO ~* Mountain Point Site Timpanogos Women's MD ~* Family Medicine 3000 North Triumph Blvd Center - Lehi Family Medicine NPI: 1346474749 Ste 220 3401 North Center St Ste NPI: 1053429563 Premier Family Medical - Lehi, UT 84043 150 Premier Family Medical - Lehi Site (801) 753-4650 Lehi, UT 84043 Lehi Site 680 East Main St (801) 653-2757 680 East Main St Lehi, UT 84043 Melendez, Terry MD ~* Lehi, UT 84043 (801) 768-1699 Obstetrics & Gynecology Miller, Sandra APRN ~* (801) 768-1699 Spanish NPI: 1316050081 Family Nurse Practitioner Valley Obstetrics And NPI: 1437105269 Murdock, Kenneth Nordstrom, Bjorn DO ~* Gynecology - Lehi Premier Family Medical - MD ~* Family Medicine 3000 North Triumph Blvd Lehi Site Family Medicine NPI: 1346474749 Ste 210 680 East Main St NPI: 1053429563 Premier Family Medical - Lehi, UT 84043 Lehi, UT 84043 Premier Family Medical - Mountain Point Site (801) 756-1577 (801) 768-1699 Mountain Point Site 3000 North Triumph Blvd Spanish 3000 North Triumph Blvd Ste 220 Ste 220 Lehi, UT 84043 Lehi, UT 84043 (801) 753-4650 (801) 753-4650 Spanish

70 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Nordstrom, Bjorn DO ~* Pickering, Derrick NP ~* Ruda, Petr NP ~* Severn, Ernest DO ~* Family Medicine Family Nurse Practitioner Family Nurse Practitioner Family Medicine NPI: 1346474749 NPI: 1720497597 NPI: 1083081533 NPI: 1326080847 Premier Family Medical - Premier Family Medical - Premier Family Medical - Zenith Family Health Pg - Lehi Mountain Point Site Mountain Point Site Center - Lehi 3000 North Triumph Blvd 3000 North Triumph Blvd 3000 North Triumph Blvd 3401 North Center St Ste Ste 220 Ste 220 Ste 220 175 Lehi, UT 84043 Lehi, UT 84043 Lehi, UT 84043 Lehi, UT 84043 (801) 756-4650 (801) 753-4650 (801) 753-4650 (801) 655-5899 Spanish Czech Powell, Tina NP ~* Sharp, Richard MD ~ Nordstrom, Bjorn DO ~* Family Nurse Practitioner Russon, Sheila NP ~* Family Medicine Family Medicine NPI: 1942480470 Family Nurse Practitioner NPI: 1508817453 NPI: 1346474749 Medallus Medical - NPI: 1265981906 Revere Health - Lehi - Premier Family Medical - Thanksgiving Point Premier Family Medical - Mountain Point Medical Pleasant Grove - Lehi 2 2450 Executive Pkwy Lehi Site Ctr Family Med 680 East Mail St Lehi, UT 84043 680 East Main St 3000 North Triumph Blvd Lehi, UT 84043 (801) 753-5555 Lehi, UT 84043 Ste 100 (801) 768-1699 Spanish (801) 768-1699 Lehi, UT 84043 Spanish (385) 203-1215 Rhodes, Michael MD ~ Russon, Sheila NP ~* Spanish Ollerton, Ryan DO ~* Family Medicine Family Nurse Practitioner Obstetrics & Gynecology NPI: 1841306503 NPI: 1265981906 Shaver, Adrienne NP ~ NPI: 1528275898 Lehi Clinic - Site Premier Family Medical - Family Nurse Practitioner Valley Obstetrics And 3249 North 1200 West Mountain Point Site NPI: 1659595742 Gynecology - Lehi Lehi, UT 84043 3000 North Triumph Blvd Revere Health - Lehi - 3000 North Triumph Blvd (801) 234-5880 Ste 220 Mountain Point Medical Ste 210 Lehi, UT 84043 Center Spc Lehi, UT 84043 Robins, Scott DO ~* (801) 753-4650 3000 North Triumph Blvd (801) 756-1577 Family Medicine Ste 100 Portugese, Spanish, NPI: 1346495678 Russon, Sheila NP ~* Lehi, UT 84043 Tagalog Utah Valley Urgent Care & Family Nurse Practitioner (801) 772-0775 Family Practice - Lehi NPI: 1265981906 Orr, Rochelle DO ~* 127 East Main St Ste E Premier Family Medical - Slack, Robert DO ~ Obstetrics & Gynecology Lehi, UT 84043 Pg - Lehi Family Medicine NPI: 1669797742 (801) 766-9822 3000 North Triumph Blvd NPI: 1467467399 Timpanogos Womens Ste 220 Lehi Clinic - Site Center - Lehi Ruda, Petr NP ~* Lehi, UT 84043 3249 North 1200 West 3401 North Center St Ste Family Nurse Practitioner (801) 756-4650 Lehi, UT 84043 150 NPI: 1083081533 (801) 234-5880 Lehi, UT 84043 Premier Family Medical - Russon, Sheila NP ~* Spanish (801) 653-2757 Lehi Site Family Nurse Practitioner 680 East Main St NPI: 1265981906 Sloan, Carrie MD ~* Pickering, Derrick NP ~* Lehi, UT 84043 Premier Family Medical - Obstetrics & Gynecology Family Nurse Practitioner (801) 768-1699 Pleasant Grove - Lehi 2 NPI: 1124034012 NPI: 1720497597 Czech 680 East Mail St Timpanogos Womens Premier Family Medical - Lehi, UT 84043 Center - Lehi Lehi Site (801) 768-1699 3401 North Center St Ste 680 East Main St 150 Lehi, UT 84043 Lehi, UT 84043 (801) 768-1699 (801) 653-2757

71 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Smith, Garrett DO ~* Sullivan, Mary-Marie Vincent, Anne NP ~* Ward, Cori NP ~ Family Medicine MD ~ Family Nurse Practitioner Family Nurse Practitioner NPI: 1669587630 Family Medicine NPI: 1447672464 NPI: 1518132216 Premier Family Medical - NPI: 1770872319 Premier Family Medical - Utah Behavior Services - Lehi Site Ihc Saratoga Springs Lehi Site Lehi 680 East Main St Family Practice - Saratoga 680 East Main St 216 East Main St Ste 4 Lehi, UT 84043 Springs Lehi, UT 84043 Lehi, UT 84043 (801) 768-1699 354 West State Rd 73 (801) 768-1699 (801) 255-5131 Spanish Lehi, UT 84043 (801) 766-4567 Vincent, Anne NP ~* Watts, Daren MD ~* Smith, Garrett DO ~* Family Nurse Practitioner Obstetrics & Gynecology Family Medicine Thompson, Daniel NPI: 1447672464 NPI: 1679589600 NPI: 1669587630 MD ~* Premier Family Medical - Timpanogos Womens Premier Family Medical - Family Medicine, Mountain Point Site Center - Lehi Mountain Point Site Obstetrics 3000 North Triumph Blvd 3401 North Center St Ste 3000 North Triumph Blvd NPI: 1831186717 Ste 220 150 Ste 220 Zenith Family Health Lehi, UT 84043 Lehi, UT 84043 Lehi, UT 84043 Center - Lehi (801) 753-4650 (801) 653-2757 (801) 753-4650 3401 North Center St Ste Spanish 175 Voss, William DO ~* Williams, Christopher Lehi, UT 84043 Family Medicine NP ~* Smith, Maureen NP ~ (801) 655-5899 NPI: 1447246244 Family Nurse Practitioner Family Nurse Practitioner Health Plus Clinic - Lehi NPI: 1518402841 NPI: 1730111311 Ulett-Garcia, Tomeika 61 West 3200 North Ste C Premier Family Medical - Nephrology Associates - NP ~ Lehi, UT 84043 Lehi Site Lehi Adult Health Nurse (385) 352-0404 680 East Main St 3000 North Triumph Blvd Practitioner Lehi, UT 84043 Ste 340 NPI: 1780027722 Waite, Rebecca NP ~* (801) 768-1699 Lehi, UT 84043 Revere Health - Lehi - Adult Health Nurse (801) 288-2634 Mountain Point Medical Practitioner Williams, Christopher Center Spc NPI: 1902333065 NP ~* Smith, Scott MD ~* 3000 North Triumph Blvd Revere Health - Lehi - Dry Family Nurse Practitioner Family Medicine Ste 100 Creek Family Medicine NPI: 1518402841 NPI: 1336257617 Lehi, UT 84043 3300 North Running Premier Family Medical - Premier Family Medical - (801) 772-0775 Creek Way Bldg B, Ste 100 Mountain Point Site Lehi Site Lehi, UT 84043 3000 North Triumph Blvd 680 East Main St Vawdrey, Heidi NP ~* (801) 772-0775 Ste 220 Lehi, UT 84043 Family Nurse Practitioner Lehi, UT 84043 (801) 768-1699 NPI: 1184144594 Waite, Rebecca NP ~* (801) 753-4650 Spanish Health Plus Clinic - Lehi Adult Health Nurse 61 West 3200 North Ste C Practitioner Williams, Christopher Smith, Scott MD ~* Lehi, UT 84043 NPI: 1902333065 NP ~* Family Medicine (385) 352-0404 Revere Health - Lehi - Family Nurse Practitioner NPI: 1336257617 Mountain Point Medical NPI: 1518402841 Premier Family Medical - Villalobos, Miguel MD ~* Ctr Family Med Premier Family Medical - Mountain Point Site Family Medicine 3000 North Triumph Blvd Pg - Lehi 3000 North Triumph Blvd NPI: 1073572228 Ste 100 3000 North Triumph Blvd Ste 220 Ihc Saratoga Springs Lehi, UT 84043 Ste 220 Lehi, UT 84043 Family Practice - Saratoga (385) 203-1215 Lehi, UT 84043 (801) 753-4650 Springs (801) 756-4650 Spanish 354 West State Rd 73 Lehi, UT 84043 (801) 766-4567 Spanish

72 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Williams, Christopher Anderson, Esme NP ~* Brockbank, Roger MD ~* Corry Jr, Elwood MD ~* NP ~* Family Nurse Practitioner Family Medicine Family Medicine Family Nurse Practitioner NPI: 1508870965 NPI: 1669463626 NPI: 1609984988 NPI: 1518402841 Premier Family Medical - Premier Family Medical - Premier Family Medical - Premier Family Medical - Lindon Site Lindon Pfm Pt Site Lindon Site Pleasant Grove - Lehi 2 275 West 200 North 275 West 200 North 275 West 200 North 680 East Mail St Lindon, UT 84042 Lindon, UT 84042 Lindon, UT 84042 Lehi, UT 84043 (801) 796-1333 (801) 756-3571 (801) 796-1333 (801) 768-1699 Barkdull, Thad MD ~* Brockbank, Roger MD ~* Crop, Justin DO ~* Willis Jr, Marshall MD ~* Family Medicine Family Medicine Family Medicine Family Medicine NPI: 1871524421 NPI: 1669463626 NPI: 1801090659 NPI: 1194833475 Premier Family Medical - Premier Family Medical - Premier Family Medical - Premier Family Medical - Lindon Pfm Pt Site Lindon Site Lindon Pfm Pt Site Lehi Site 275 West 200 North 275 West 200 North 275 West 200 North 680 East Main St Lindon, UT 84042 Lindon, UT 84042 Lindon, UT 84042 Lehi, UT 84043 (801) 756-3571 (801) 796-1333 (801) 756-3571 (801) 768-1699 Spanish Italian Barkdull, Thad MD ~* Cherrington, Steven Family Medicine DO ~* Crop, Justin DO ~* Willis Jr, Marshall MD ~* NPI: 1871524421 Family Medicine Family Medicine Family Medicine Premier Family Medical - NPI: 1871608893 NPI: 1801090659 NPI: 1194833475 Lindon Site Premier Family Medical - Premier Family Medical - Premier Family Medical - 275 West 200 North Lindon Pfm Pt Site Lindon Site Mountain Point Site Lindon, UT 84042 275 West 200 North 275 West 200 North 3000 North Triumph Blvd (801) 796-1333 Lindon, UT 84042 Lindon, UT 84042 Ste 220 (801) 756-3571 (801) 796-1333 Lehi, UT 84043 Bergeson Barkdull, Jill Spanish Spanish (801) 753-4650 MD ~* Italian Family Medicine Cherrington, Steven Curtis, Michael MD ~* NPI: 1043466899 DO ~* Family Medicine York, Arwen NP ~* Premier Family Medical - Family Medicine NPI: 1336280759 Family Nurse Practitioner Lindon Pfm Pt Site NPI: 1871608893 Premier Family Medical - NPI: 1255881397 275 West 200 North Premier Family Medical - Lindon Pfm Pt Site Medallus Medical - Lindon, UT 84042 Lindon Site 275 West 200 North Thanksgiving Point (801) 756-3571 275 West 200 North Lindon, UT 84042 2450 Executive Pkwy Lindon, UT 84042 (801) 756-3571 Lehi, UT 84043 Bergeson Barkdull, Jill (801) 796-1333 German (801) 753-5555 MD ~* Spanish Family Medicine Curtis, Michael MD ~* Lindon NPI: 1043466899 Corry Jr, Elwood MD ~* Family Medicine Premier Family Medical - Family Medicine NPI: 1336280759 84042 Lindon Site NPI: 1609984988 Premier Family Medical - Anderson, Esme NP ~* 275 West 200 North Premier Family Medical - Lindon Site Family Nurse Practitioner Lindon, UT 84042 Lindon Pfm Pt Site 275 West 200 North NPI: 1508870965 (801) 796-1333 275 West 200 North Lindon, UT 84042 Premier Family Medical - Lindon, UT 84042 (801) 796-1333 Lindon Pfm Pt Site (801) 756-3571 German 275 West 200 North Lindon, UT 84042 (801) 756-3571

73 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Doyle, Sean DO ~* Hafen, David MD ~* Hardman, Joshua MD ~* Huggins, Leslie NP ~* Family Medicine Family Medicine Family Medicine Family Nurse Practitioner NPI: 1235138751 NPI: 1134238207 NPI: 1780914283 NPI: 1811442890 Premier Family Medical - Premier Family Medical - Premier Family Medical - Premier Family Medical - Lindon Pfm Pt Site Lindon Pfm Pt Site Lindon Site Lindon Site 275 West 200 North 275 West 200 North 275 West 200 North 275 West 200 North Lindon, UT 84042 Lindon, UT 84042 Lindon, UT 84042 Lindon, UT 84042 (801) 756-3571 (801) 756-3571 (801) 796-1333 (801) 796-1333 Chinese, Mandarin Doyle, Sean DO ~* Heaston, Sondra NP ~* Jacobs-Peterson, Lu Ann Family Medicine Hafen, David MD ~* Family Nurse Practitioner NP ~* NPI: 1235138751 Family Medicine NPI: 1104916956 Family Nurse Practitioner Premier Family Medical - NPI: 1134238207 Premier Family Medical - NPI: 1396918462 Lindon Site Premier Family Medical - Lindon Site Premier Family Medical - 275 West 200 North Lindon Site 275 West 200 North Lindon Pfm Pt Site Lindon, UT 84042 275 West 200 North Lindon, UT 84042 275 West 200 North (801) 796-1333 Lindon, UT 84042 (801) 796-1333 Lindon, UT 84042 (801) 796-1333 (801) 756-3571 Francis Jr, William Chinese, Mandarin Hess, Camber NP ~* Spanish DO ~* Family Nurse Practitioner Family Medicine Hafen, Mark DO ~* NPI: 1750786190 Jacobs-Peterson, Lu Ann NPI: 1619388998 Family Medicine Premier Family Medical - NP ~* Premier Family Medical - NPI: 1306952056 Lindon Site Family Nurse Practitioner Lindon Site Premier Family Medical - 275 West 200 North NPI: 1396918462 275 West 200 North Lindon Pfm Pt Site Lindon, UT 84042 Premier Family Medical - Lindon, UT 84042 275 West 200 North (801) 796-1333 Lindon Site (801) 796-1333 Lindon, UT 84042 275 West 200 North (801) 756-3571 Hoggard, Timo MD ~* Lindon, UT 84042 Graff, Carol NP ~* German Family Medicine (801) 796-1333 Family Nurse Practitioner NPI: 1639288798 Spanish NPI: 1174826697 Hafen, Mark DO ~* Premier Family Medical - Premier Family Medical - Family Medicine Lindon Pfm Pt Site Johnson, Cheryl MD ~* Lindon Pfm Pt Site NPI: 1306952056 275 West 200 North Family Medicine 275 West 200 North Premier Family Medical - Lindon, UT 84042 NPI: 1417066671 Lindon, UT 84042 Lindon Site (801) 756-3571 Premier Family Medical - (801) 756-3571 275 West 200 North Lindon Pfm Pt Site Lindon, UT 84042 Hoggard, Timo MD ~* 275 West 200 North Graff, Carol NP ~* (801) 796-1333 Family Medicine Lindon, UT 84042 Family Nurse Practitioner German NPI: 1639288798 (801) 756-3571 NPI: 1174826697 Premier Family Medical - Premier Family Medical - Hardman, Joshua MD ~* Lindon Site Johnson, Cheryl MD ~* Lindon Site Family Medicine 275 West 200 North Family Medicine 275 West 200 North NPI: 1780914283 Lindon, UT 84042 NPI: 1417066671 Lindon, UT 84042 Premier Family Medical - (801) 796-1333 Premier Family Medical - (801) 796-1333 Lindon Pfm Pt Site Lindon Site 275 West 200 North Hooper, Ruth NP ~* 275 West 200 North Gray, Krista NP ~* Lindon, UT 84042 Family Nurse Practitioner Lindon, UT 84042 Family Nurse Practitioner (801) 756-3571 NPI: 1184787566 (801) 796-1333 NPI: 1508216698 Premier Family Medical - Premier Family Medical - Lindon Site Lindon Site 275 West 200 North 275 West 200 North Lindon, UT 84042 Lindon, UT 84042 (801) 796-1333 (801) 796-1333

74 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Kennedy, Michael MD ~* Macarthur, Toran MD ~* Midgley, Melinda MD ~* Murdock, Kenneth Family Medicine Family Medicine Family Medicine MD ~* NPI: 1417047010 NPI: 1063521177 NPI: 1760587653 Family Medicine Premier Family Medical - Premier Family Medical - Premier Family Medical - NPI: 1053429563 Lindon Pfm Pt Site Lindon Pfm Pt Site Lindon Site Premier Family Medical - 275 West 200 North 275 West 200 North 275 West 200 North Lindon Pfm Pt Site Lindon, UT 84042 Lindon, UT 84042 Lindon, UT 84042 275 West 200 North (801) 756-3571 (801) 756-3571 (801) 796-1333 Lindon, UT 84042 Portugese (801) 756-3571 Kennedy, Michael MD ~* Miller, Sandra APRN ~* Family Medicine Macarthur, Toran MD ~* Family Nurse Practitioner Murdock, Kenneth NPI: 1417047010 Family Medicine NPI: 1437105269 MD ~* Premier Family Medical - NPI: 1063521177 Premier Family Medical - Family Medicine Lindon Site Premier Family Medical - Lindon Pfm Pt Site NPI: 1053429563 275 West 200 North Lindon Site 275 West 200 North Premier Family Medical - Lindon, UT 84042 275 West 200 North Lindon, UT 84042 Lindon Site (801) 796-1333 Lindon, UT 84042 (801) 756-3571 275 West 200 North (801) 796-1333 Lindon, UT 84042 Kimball, Sharilyn NP ~* Portugese Miller, Sandra APRN ~* (801) 796-1333 Family Nurse Practitioner Family Nurse Practitioner NPI: 1801174164 Mcmanus, Shawn DO ~* NPI: 1437105269 Ngatuvai, Tauaina MD ~* Premier Family Medical - Family Medicine Premier Family Medical - Family Medicine Lindon Site NPI: 1376707323 Lindon Site NPI: 1003992470 275 West 200 North Premier Family Medical - 275 West 200 North Premier Family Medical - Lindon, UT 84042 Lindon Pfm Pt Site Lindon, UT 84042 Lindon Pfm Pt Site (801) 796-1333 275 West 200 North (801) 796-1333 275 West 200 North Lindon, UT 84042 Lindon, UT 84042 Layton, Miles DO ~* (801) 756-3571 Mower, Douglas MD ~* (801) 756-3571 Family Medicine Family Medicine Spanish, Samoan NPI: 1790948669 Mcmanus, Shawn DO ~* NPI: 1033228283 Premier Family Medical - Family Medicine Premier Family Medical - Ngatuvai, Tauaina MD ~* Lindon Site NPI: 1376707323 Lindon Pfm Pt Site Family Medicine 275 West 200 North Premier Family Medical - 275 West 200 North NPI: 1003992470 Lindon, UT 84042 Lindon Site Lindon, UT 84042 Premier Family Medical - (801) 796-1333 275 West 200 North (801) 756-3571 Lindon Site Lindon, UT 84042 Spanish 275 West 200 North Lehnardt, Michael MD ~* (801) 796-1333 Lindon, UT 84042 Family Medicine Mower, Douglas MD ~* (801) 796-1333 NPI: 1497044911 Midgley, Melinda MD ~* Family Medicine Spanish, Samoan Premier Family Medical - Family Medicine NPI: 1033228283 Lindon Pfm Pt Site NPI: 1760587653 Premier Family Medical - Nordstrom, Bjorn DO ~* 275 West 200 North Premier Family Medical - Lindon Site Family Medicine Lindon, UT 84042 Lindon Pfm Pt Site 275 West 200 North NPI: 1346474749 (801) 756-3571 275 West 200 North Lindon, UT 84042 Premier Family Medical - Lindon, UT 84042 (801) 796-1333 Lindon Site Lehnardt, Michael MD ~* (801) 756-3571 Spanish 275 West 200 North Family Medicine Lindon, UT 84042 NPI: 1497044911 (801) 796-1333 Premier Family Medical - Spanish Lindon Site 275 West 200 North Lindon, UT 84042 (801) 796-1333

75 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Pickering, Derrick NP ~* Smith, Garrett DO ~* Willis Jr, Marshall MD ~* Hogenson, Eric MD ~* Family Nurse Practitioner Family Medicine Family Medicine Family Medicine, NPI: 1720497597 NPI: 1669587630 NPI: 1194833475 Obstetrics Premier Family Medical - Premier Family Medical - Premier Family Medical - NPI: 1891740163 Lindon Site Lindon Site Lindon Pfm Pt Site Mapleton Medical Clinic 275 West 200 North 275 West 200 North 275 West 200 North 724 South 1600 West Ste Lindon, UT 84042 Lindon, UT 84042 Lindon, UT 84042 203 (801) 796-1333 (801) 796-1333 (801) 756-3571 Mapleton, UT 84664 Spanish Italian (801) 489-8464 Ruda, Petr NP ~* Family Nurse Practitioner Smith, Scott MD ~* Willis Jr, Marshall MD ~* Mcbride, Brayden MD ~* NPI: 1083081533 Family Medicine Family Medicine Family Medicine Premier Family Medical - NPI: 1336257617 NPI: 1194833475 NPI: 1831363225 Lindon Pfm Pt Site Premier Family Medical - Premier Family Medical - Mapleton Medical Clinic 275 West 200 North Lindon Pfm Pt Site Lindon Site 724 South 1600 West Ste Lindon, UT 84042 275 West 200 North 275 West 200 North 203 (801) 756-3571 Lindon, UT 84042 Lindon, UT 84042 Mapleton, UT 84664 Czech (801) 756-3571 (801) 796-1333 (801) 489-8464 Spanish Italian Ruda, Petr NP ~* Mclay, Michael MD ~* Family Nurse Practitioner Smith, Scott MD ~* Mapleton Family Medicine NPI: 1083081533 Family Medicine NPI: 1063605475 Premier Family Medical - NPI: 1336257617 84664 Mapleton Medical Clinic Lindon Site Premier Family Medical - Bingham, Jared MD ~* 724 South 1600 West Ste 275 West 200 North Lindon Site Family Medicine, 203 Lindon, UT 84042 275 West 200 North Obstetrics Mapleton, UT 84664 (801) 796-1333 Lindon, UT 84042 NPI: 1932154200 (801) 489-8464 Czech (801) 796-1333 Mapleton Medical Clinic French Spanish 724 South 1600 West Ste Russon, Sheila NP ~* 203 Taylor, John MD ~* Family Nurse Practitioner Vincent, Anne NP ~* Mapleton, UT 84664 Family Medicine, NPI: 1265981906 Family Nurse Practitioner (801) 489-8464 Obstetrics Premier Family Medical - NPI: 1447672464 NPI: 1740228055 Lindon Site Premier Family Medical - Bott, Wesley DO ~* Mapleton Medical Clinic 275 West 200 North Lindon Site Family Medicine 724 South 1600 West Ste Lindon, UT 84042 275 West 200 North NPI: 1760659130 203 (801) 796-1333 Lindon, UT 84042 Mapleton Medical Clinic Mapleton, UT 84664 (801) 796-1333 724 South 1600 West Ste (801) 489-8464 Smith, Garrett DO ~* 203 Family Medicine Williams, Christopher Mapleton, UT 84664 Orem NPI: 1669587630 NP ~* (801) 489-8464 Premier Family Medical - Family Nurse Practitioner 84057 Lindon Pfm Pt Site NPI: 1518402841 Frandsen, Tracy MD ~* Bennett, Donna MD ~* 275 West 200 North Premier Family Medical - Family Medicine, Obstetrics & Gynecology Lindon, UT 84042 Lindon Site Obstetrics NPI: 1801820253 (801) 756-3571 275 West 200 North NPI: 1003854324 Valley Obstetrics And Spanish Lindon, UT 84042 Mapleton Medical Clinic Gynecology, Provo Cnm (801) 796-1333 724 South 1600 West Ste Group - Orem 203 700 West 800 North Ste Mapleton, UT 84664 200 (801) 489-8464 Orem, UT 84057 (801) 374-1801

76 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Berry, Steven MD ~* Crump, Kenneth MD ~* Fonseca, Walstir MD ~* Johnson, Nicole NP ~* Family Medicine Family Medicine Internal Medicine Women's Health Nurse NPI: 1528095312 NPI: 1891719308 NPI: 1013933506 Practitioner Revere Health - Orem - Lakeview Family Medicine Revere Health - Orem - NPI: 1336484286 Family Medicine - Orem Internal Medicine Planned Parenthood 173 North 400 West Ste 811 North 900 West 700 West 800 North Ste Association - Utah Valley C11 Orem, UT 84057 400 1086 North 1200 West Orem, UT 84057 (801) 434-7600 Orem, UT 84057 Orem, UT 84057 (801) 802-7373 (801) 221-8811 (801) 226-5246 Curzon, Sean DO ~* Romanian, Spanish Booth, Jennifer NP ~ Internal Medicine Jones, Justin MD ~* Obstetrics & Gynecology NPI: 1780600247 Garrard, Steve NP ~ Family Medicine Nurse Practitioner Revere Health - Orem - Family Nurse Practitioner NPI: 1760547699 NPI: 1821114505 Internal Medicine NPI: 1366636854 Revere Health - Orem - Valley Obstetrics And 700 West 800 North Ste Revere Health - Orem - 700 Family Medicine Ste 220 Gynecology - Orem Af 400 West 700 West 800 North Ste Group Orem, UT 84057 700 West 800 North Ste 220 700 West 800 North Ste (801) 221-8811 100 Orem, UT 84057 200 Orem, UT 84057 (801) 354-8205 Orem, UT 84057 Dabling, Heather MD ~* (801) 224-5373 (801) 404-5588 Obstetrics & Gynecology Karr, Jennifer NP ~* NPI: 1598931016 Harward, Kory DO ~* Family Nurse Practitioner Broberg, Jeffrey MD ~* Valley Obstetrics And Obstetrics & Gynecology NPI: 1417272170 Obstetrics & Gynecology Gynecology, Provo Cnm NPI: 1932238250 Valley Obstetrics And NPI: 1639150485 Group - Orem Valley Obstetrics And Gynecology - Orem Valley Obstetrics And 700 West 800 North Ste Gynecology, Provo Cnm 700 West 800 North Ste Gynecology, Provo Cnm 200 Group - Orem 200 Group - Orem Orem, UT 84057 700 West 800 North Ste Orem, UT 84057 700 West 800 North Ste (801) 374-1801 200 (801) 374-1801 200 Orem, UT 84057 Orem, UT 84057 Drewes, Peter MD ~* (801) 374-1801 Karr, Jennifer NP ~* (801) 374-1801 Obstetrics & Gynecology Family Nurse Practitioner NPI: 1275571804 Hawks, Amy APRN ~* NPI: 1417272170 Brown, Matthew MD ~ Valley Obstetrics And Family Nurse Practitioner Valley Obstetrics And Family Medicine Gynecology, Provo Cnm NPI: 1396958369 Gynecology, Provo Group - NPI: 1144236225 Group - Orem Ihc Central Orem Clinic - Orem 527West Ihc North Orem Clinic - 700 West 800 North Ste Orem 527 West 400 North Ste 4 Orem 200 505 West 400 North Orem, UT 84057 1975 North State St Orem, UT 84057 Orem, UT 84057 (801) 374-1801 Orem, UT 84057 (801) 374-1801 (801) 714-3450 (801) 714-5500 Spanish Spanish Kim, Ji MD ~ Family Medicine Butcher, Jennifer NP ~ Duros, Peter MD ~ Jacob, Scott MD ~* NPI: 1194169441 Family Nurse Practitioner Internal Medicine Obstetrics & Gynecology Ihc Central Orem Clinic - NPI: 1013230598 NPI: 1669498119 NPI: 1528184611 Orem Revere Health - Orem - Ent Timpanogos Regional Valley Obstetrics And 505 West 400 North 700 West 800 North Ste Hospital - Medical Group Gynecology, Provo Cnm Orem, UT 84057 400 Orem Group - Orem (801) 714-3450 Orem, UT 84057 750 West 800 North 700 West 800 North Ste (801) 465-4805 Orem, UT 84057 200 (801) 714-6800 Orem, UT 84057 (801) 374-1801

77 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Larimer, Sophia NP ~* Miller, Stephanie NP ~* Parker, Kelli NP ~* Robinson, Janice NP ~* Family Nurse Practitioner Family Nurse Practitioner Obstetrics & Gynecology Family Nurse Practitioner NPI: 1689123481 NPI: 1952786196 Nurse Practitioner NPI: 1184800047 Valley Obstetrics And Valley Obstetrics And NPI: 1861615296 Lakeview Family Medicine Gynecology, Provo Cnm Gynecology, Provo Cnm Valley Obstetrics And - Orem Group - Orem Group - Orem Gynecology - Orem Af 811 North 900 West 700 West 800 North Ste 700 West 800 North Ste Group Orem, UT 84057 200 200 700 West 800 North Ste (801) 434-7600 Orem, UT 84057 Orem, UT 84057 200 (801) 374-1801 (801) 374-1801 Orem, UT 84057 Seaquist Goble, Erika (801) 404-5588 NP ~* Marshall, Kent MD * Miller, Stephanie NP ~* Family Nurse Practitioner Internal Medicine Family Nurse Practitioner Pratte, Mitchell DO ~ NPI: 1558804641 NPI: 1962422543 NPI: 1952786196 Family Medicine Utah Valley Pediatrics Llc - Revere Health - Orem - Valley Obstetrics And NPI: 1396782207 Orem Internal Medicine Gynecology, Provo Group - Ihc North Orem Clinic - 716 West 800 North Ste 700 West 800 North Ste Orem 527West Orem 300 400 527 West 400 North Ste 4 1975 North State St Orem, UT 84057 Orem, UT 84057 Orem, UT 84057 Orem, UT 84057 (801) 224-0421 (801) 221-8811 (801) 374-1801 (801) 714-5500 Shelton, Marie DO ~ Mcgovern, Joseph NP ~* Ogden, Jeffrey MD ~* Rasmussen, Isaac DO ~ Family Medicine Nurse Practitioner Internal Medicine Family Medicine NPI: 1437343316 NPI: 1710240734 NPI: 1801953518 NPI: 1548586431 Ihc Central Orem Clinic - Revere Health - Orem - Jeffrey G Ogden Md - Orem Ihc Central Orem Clinic - Orem Family Medicine 421 North Orem Blvd Orem 505 West 400 North 173 North 400 West Ste Orem, UT 84057 505 West 400 North Orem, UT 84057 C11 (801) 764-0200 Orem, UT 84057 (801) 714-3450 Orem, UT 84057 Spanish (801) 714-3450 (801) 802-7373 Spanish Sorenson, Nathan NP ~* Spanish Olsen, Allen MD ~ Family Nurse Practitioner Family Medicine Rees, Scott DO ~* NPI: 1891163010 Mcsweeney, Heidi NP ~* NPI: 1932115003 Obstetrics & Gynecology Revere Health - Orem - Obstetrics & Gynecology Ihc North Orem Clinic - NPI: 1952427031 Family Medicine Nurse Practitioner Orem Valley Obstetrics And 173 North 400 West Ste NPI: 1063538775 1975 North State St Gynecology, Provo Cnm C11 Valley Obstetrics And Orem, UT 84057 Group - Orem Orem, UT 84057 Gynecology, Provo Cnm (801) 714-5500 700 West 800 North Ste (801) 802-7373 Group - Orem German 200 700 West 800 North Ste Orem, UT 84057 Spencer, Tiffany NP ~ 200 Pace, Randall MD ~* (801) 374-1801 Family Nurse Practitioner Orem, UT 84057 Family Medicine Spanish NPI: 1932430824 (801) 374-1801 NPI: 1932337466 Valley Obstetrics And Portugese, Spanish Revere Health - Orem - Roberts, Sarah NP ~* Gynecology - Orem Af Family Medicine Family Nurse Practitioner Group 173 North 400 West Ste NPI: 1437607876 700 West 800 North Ste C11 Valley Obstetrics And 200 Orem, UT 84057 Gynecology, Provo Cnm Orem, UT 84057 (801) 802-7373 Group - Orem (801) 404-5588 700 West 800 North Ste 200 Orem, UT 84057 (801) 374-1801

78 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Springer, Karyn MD ~ Udall, Marc MD ~ Peterson, David MD * Rasmussen, Sean NP ~* Family Medicine Family Medicine Family Medicine Family Nurse Practitioner NPI: 1225044217 NPI: 1922012228 NPI: 1659321990 NPI: 1629588934 Ihc North Orem Clinic - Ihc Central Orem Clinic - Wasatch Medical Center - The Health Spot Inc - Orem Orem Orem Orem 1975 North State St 505 West 400 North 575 South State St 1375 East 800 North Ste Orem, UT 84057 Orem, UT 84057 Orem, UT 84058 202 (801) 714-5500 (801) 714-3450 (801) 225-2926 Orem, UT 84097 (801) 566-5350 Stansfield-Duvall, Micah Wolsey, Brian MD ~* Peterson, Scott MD ~* NP ~* Obstetrics & Gynecology Family Medicine, Payson Family Nurse Practitioner NPI: 1316986714 Obstetrics NPI: 1730465873 Valley Obstetrics And NPI: 1427008812 84651 Lakeview Family Medicine Gynecology, Provo Cnm Revere Health - Orem Anderson, Cameron - Orem Group - Orem 575 South State St MD ~* 811 North 900 West 700 West 800 North Ste Orem, UT 84058 Obstetrics & Gynecology Orem, UT 84057 200 (801) 225-2926 NPI: 1629096870 (801) 434-7600 Orem, UT 84057 Valley Obstetrics And (801) 374-1801 Peterson, Scott MD ~* Gynecology - Payson Thorpe, Jefforey MD ~* Japanese Family Medicine, 39 South Professional Way Obstetrics & Gynecology Obstetrics Ste 4 NPI: 1225153828 84058 NPI: 1427008812 Payson, UT 84651 (801) 465-3201 Valley Obstetrics And Carn, Thomas MD ~* Wasatch Medical Center - Gynecology, Provo Cnm Family Medicine Orem Group - Orem NPI: 1194774588 575 South State St Archer, Frank MD ~* 700 West 800 North Ste Revere Health - Orem Orem, UT 84058 Family Medicine, Internal 200 575 South State St (801) 225-2926 Medicine Orem, UT 84057 Orem, UT 84058 NPI: 1093710998 (801) 374-1801 84097 Revere Health - Payson (801) 225-2926 Family Medicine Spanish Durrans, Robert MD ~* 97 South Professional Way Tomco, Abraham MD ~* Family Medicine Family Medicine Ste 2 Carn, Thomas MD ~* NPI: 1447332465 Payson, UT 84651 NPI: 1033320791 Family Medicine Mountain Peaks Family Revere Health - Orem - (801) 465-4898 NPI: 1194774588 Practice Spanish Family Medicine Ste 220 Wasatch Medical Center - 501 East 770 North 700 West 800 North Ste Orem Orem, UT 84097 220 575 South State St (801) 724-9840 Archer, Frank MD ~* Orem, UT 84057 Orem, UT 84058 Family Medicine, Internal (801) 354-8205 Medicine (801) 225-2926 Hill, Lisa MD ~* NPI: 1093710998 Spanish Family Medicine Tomco, Abraham MD ~* Revere Health - Payson NPI: 1013179936 Womens Clinic Family Medicine Olsen, Allen MD ~ The Health Spot Inc - NPI: 1033320791 15 South 1000 East Ste 300 Family Medicine Orem Payson, UT 84651 Revere Health - Orem NPI: 1932115003 1375 East 800 North Ste North Family Medicine (801) 465-4896 Ihc Us Synthetic Clinic - 202 Spanish 700 West 800 North Ste Orem Orem, UT 84097 220 1378 South 1600 West (801) 566-5350 Orem, UT 84057 Orem, UT 84058 Spanish (801) 354-8205 (801) 235-9001 German

79 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Barager, William DO ~* Chipman, Stephen MD ~* Dayton, Elizabeth MD ~* Hammer, Jarrett DO ~* Internal Medicine Family Medicine, Family Medicine Family Medicine NPI: 1962444638 Obstetrics & Gynecology NPI: 1598799421 NPI: 1417152026 Revere Health - Payson - NPI: 1992734057 Revere Health - Payson Revere Health - Payson Pulmonary & Internal Revere Health - Payson Family Medicine Family Medicine Medicine Family Medicine 97 South Professional Way 97 South Professional Way 910 East 100 North Ste 105 97 South Professional Way Ste 2 Ste 2 Payson, UT 84651 Ste 2 Payson, UT 84651 Payson, UT 84651 (801) 465-4813 Payson, UT 84651 (801) 465-4898 (801) 465-4898 (801) 465-4898 Bennett, Donna MD ~* Dayton, Elizabeth MD ~* Johnston, Arlene NP ~* Obstetrics & Gynecology Clark, Robert MD ~* Family Medicine Family Nurse Practitioner NPI: 1801820253 Family Medicine NPI: 1598799421 NPI: 1144687807 Valley Obstetrics And NPI: 1689692071 Revere Health - Payson Revere Health - Payson Gynecology - Payson 1120 Revere Health - Payson Womens Clinic Family Medicine East Family Medicine 15 South 1000 East Ste 300 97 South Professional Way 1120 East 100 North Ste 3 97 South Professional Way Payson, UT 84651 Ste 2 Payson, UT 84651 Ste 2 (801) 465-4896 Payson, UT 84651 (801) 374-1801 Payson, UT 84651 (801) 465-4898 (801) 465-4898 Dewey, Steven MD ~* Bennion, David MD * Obstetrics & Gynecology Judd, Andrew MD ~* Internal Medicine Clark, Robert MD ~* NPI: 1356358147 Family Medicine NPI: 1255435244 Family Medicine Southwestern Ob/Gyn - NPI: 1104186758 Mountain View Hospital - NPI: 1689692071 Payson Ihc Payson Clinic - Payson Medical Group Site Revere Health - Payson 39 Professional Way Ste 4 854 Turf Farm Rd Ste 1 1000 E 100 N Womens Clinic Payson, UT 84651 Payson, UT 84651 Payson, UT 84651 15 South 1000 East Ste 300 (801) 465-9263 (801) 465-6200 (801) 465-7100 Payson, UT 84651 German (801) 465-4896 Fernandez, Salvador Ludlow, David MD ~* MD ~* Obstetrics & Gynecology Bennion, David MD * Crouch, Max MD ~* Family Medicine NPI: 1104864412 Internal Medicine Obstetrics & Gynecology NPI: 1952491557 Payson Womens Care - NPI: 1255435244 NPI: 1861569261 Mountainlands Payson Revere Health - Payson - Revere Health - Payson Community Health Center 15 South 1000 East Ste 125 Pulmonary & Internal Family Medicine - Payson Payson, UT 84651 Medicine 97 South Professional Way 910 East 100 North Ste 155 (801) 465-2559 910 East 100 North Ste 105 Ste 2 Payson, UT 84651 Payson, UT 84651 Payson, UT 84651 (801) 465-1890 Lunceford, Troy MD ~* (801) 465-4813 (801) 465-4898 Spanish Internal Medicine German French NPI: 1194842286 Gasser, Brian NP ~ Revere Health - Payson - Brooks, Aubrie NP ~* Crouch, Max MD ~* Family Nurse Practitioner Pulmonary & Internal Family Nurse Practitioner Obstetrics & Gynecology NPI: 1194744615 Medicine NPI: 1780114819 NPI: 1861569261 Aspen Dermatology Pllc - 910 East 100 North Ste 105 Utah Valley Pediatrics Llc - Revere Health - Payson Payson Payson, UT 84651 Payson Womens Clinic 123 North 500 East (801) 465-4813 15 South 1000 East Ste 200 15 South 1000 East Ste 300 Payson, UT 84651 Cantonese Payson, UT 84651 Payson, UT 84651 (801) 465-8001 (801) 465-2800 (801) 465-4896 French

80 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Miller Ii, Garry DO ~* Skousen, Gale MD ~* Wardle, Mark DO ~ Barkdull, Thad MD ~* Internal Medicine Family Medicine Family Medicine Family Medicine NPI: 1053568592 NPI: 1053305391 NPI: 1639274574 NPI: 1871524421 Revere Health - Payson - Revere Health - Payson Ihc Payson Clinic - Payson Premier Family Medical - Pulmonary & Internal Family Medicine 854 Turf Farm Rd Ste 1 Pleasant Grove Site Medicine 97 South Professional Way Payson, UT 84651 830 North 2000 West 910 East 100 North Ste 105 Ste 2 (801) 465-6200 Pleasant Grove, UT 84062 Payson, UT 84651 Payson, UT 84651 Spanish (801) 756-3511 (801) 465-4813 (801) 465-4898 Spanish Warner, William MD ~* Bergeson Barkdull, Jill Money, Nolan MD ~* Obstetrics & Gynecology MD ~* Family Medicine Skousen, Gale MD ~* NPI: 1508954348 Family Medicine NPI: 1194759027 Family Medicine Payson Womens Care - NPI: 1043466899 Revere Health - Payson NPI: 1053305391 Payson Premier Family Medical - Family Medicine Revere Health - Payson 15 South 1000 East Ste 125 Pleasant Grove Site 97 South Professional Way Womens Clinic Payson, UT 84651 830 North 2000 West Ste 2 15 South 1000 East Ste 300 (801) 465-2559 Pleasant Grove, UT 84062 Payson, UT 84651 Payson, UT 84651 (801) 756-3511 (801) 465-4898 (801) 465-4896 Wright, Kristen NP ~* Spanish Family Nurse Practitioner Bingham, Annalee NP ~* Money, Nolan MD ~* NPI: 1376733196 Family Nurse Practitioner Family Medicine Sorensen, Marilyn NP ~* Payson Womens Care - NPI: 1346793007 NPI: 1194759027 Family Nurse Practitioner Payson Premier Family Medical - Revere Health - Payson NPI: 1568480713 15 South 1000 East Ste 125 Pleasant Grove Site Womens Clinic Revere Health - Payson Payson, UT 84651 830 North 2000 West 15 South 1000 East Ste 300 Womens Clinic (801) 465-2559 Pleasant Grove, UT 84062 Payson, UT 84651 15 South 1000 East Ste 300 (801) 756-3511 (801) 465-4896 Payson, UT 84651 Pleasant Grove (801) 465-4896 Brockbank, Roger MD ~* Noonan, Erika MD ~* 84062 Family Medicine Family Medicine Tipton, David MD ~* Allen, Douglas DO ~* NPI: 1669463626 NPI: 1689848178 Family Medicine Obstetrics & Gynecology Premier Family Medical - Ihc Payson Clinic - Payson NPI: 1811915051 NPI: 1659575686 Pleasant Grove Site 854 Turf Farm Rd Ste 1 Revere Health - Payson Revere Health - Pleasant 830 North 2000 West Payson, UT 84651 Family Medicine Grove - Womens Health Pleasant Grove, UT 84062 (801) 465-6200 97 South Professional Way 1886 West 800 North (801) 756-3511 Ste 2 Pleasant Grove, UT 84062 Nuttall, Craig NP ~* Payson, UT 84651 (801) 756-5288 Cherrington, Steven Family Nurse Practitioner (801) 465-4898 Japanese DO ~* NPI: 1649553306 Family Medicine Revere Health - Payson Tipton, David MD ~* Anderson, Esme NP ~* NPI: 1871608893 Family Medicine Family Medicine Family Nurse Practitioner Premier Family Medical - 97 South Professional Way NPI: 1811915051 NPI: 1508870965 Pleasant Grove Site Ste 2 Revere Health - Payson Premier Family Medical - 830 North 2000 West Payson, UT 84651 Womens Clinic Pleasant Grove Site Pleasant Grove, UT 84062 (801) 465-4898 15 South 1000 East Ste 300 830 North 2000 West (801) 756-3511 Payson, UT 84651 Pleasant Grove, UT 84062 Spanish (801) 465-4896 (801) 756-3511

81 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Clark, Matthew MD ~* Francis Jr, William Hardman, Joshua MD ~* Jones, Justin MD ~* Obstetrics & Gynecology DO ~* Family Medicine Family Medicine NPI: 1851619076 Family Medicine NPI: 1780914283 NPI: 1760547699 Revere Health - Pleasant NPI: 1619388998 Premier Family Medical - Revere Health - Pleasant Grove - Womens Health Premier Family Medical - Pleasant Grove Site Grove - Womens Health 1886 West 800 North Pleasant Grove Site 830 North 2000 West 1886 West 800 North Pleasant Grove, UT 84062 830 North 2000 West Pleasant Grove, UT 84062 Pleasant Grove, UT 84062 (801) 756-5288 Pleasant Grove, UT 84062 (801) 756-3511 (801) 756-5288 (801) 756-3511 Corry Jr, Elwood MD ~* Hess, Camber NP ~* Kennedy, Michael MD ~* Family Medicine Graff, Carol NP ~* Family Nurse Practitioner Family Medicine NPI: 1609984988 Family Nurse Practitioner NPI: 1750786190 NPI: 1417047010 Premier Family Medical - NPI: 1174826697 Premier Family Medical - Premier Family Medical - Pleasant Grove Site Premier Family Medical - Pleasant Grove Site Pleasant Grove Site 830 North 2000 West Pleasant Grove Site 830 North 2000 West 830 North 2000 West Pleasant Grove, UT 84062 830 North 2000 West Pleasant Grove, UT 84062 Pleasant Grove, UT 84062 (801) 756-3511 Pleasant Grove, UT 84062 (801) 756-3511 (801) 756-3511 (801) 756-3511 Crop, Justin DO ~* Hoggard, Timo MD ~* Kimball, Sharilyn NP ~* Family Medicine Gray, Krista NP ~* Family Medicine Family Nurse Practitioner NPI: 1801090659 Family Nurse Practitioner NPI: 1639288798 NPI: 1801174164 Premier Family Medical - NPI: 1508216698 Premier Family Medical - Premier Family Medical - Pleasant Grove Site Premier Family Medical - Pleasant Grove Site Pleasant Grove Site 830 North 2000 West Pleasant Grove Site 830 North 2000 West 830 North 2000 West Pleasant Grove, UT 84062 830 North 2000 West Pleasant Grove, UT 84062 Pleasant Grove, UT 84062 (801) 756-3511 Pleasant Grove, UT 84062 (801) 756-3511 (801) 756-3511 Spanish (801) 756-3511 Hooper, Ruth NP ~* Lehnardt, Michael MD ~* Curtis, Michael MD ~* Hafen, David MD ~* Family Nurse Practitioner Family Medicine Family Medicine Family Medicine NPI: 1184787566 NPI: 1497044911 NPI: 1336280759 NPI: 1134238207 Premier Family Medical - Premier Family Medical - Premier Family Medical - Premier Family Medical - Pleasant Grove Site Pleasant Grove Site Pleasant Grove Site Pleasant Grove Site 830 North 2000 West 830 North 2000 West 830 North 2000 West 830 North 2000 West Pleasant Grove, UT 84062 Pleasant Grove, UT 84062 Pleasant Grove, UT 84062 Pleasant Grove, UT 84062 (801) 756-3511 (801) 756-3511 (801) 756-3511 (801) 756-3511 German Chinese, Mandarin Huggins, Leslie NP ~* Macarthur, Toran MD ~* Family Nurse Practitioner Family Medicine Doyle, Sean DO ~* Hafen, Mark DO ~* NPI: 1811442890 NPI: 1063521177 Family Medicine Family Medicine Premier Family Medical - Premier Family Medical - NPI: 1235138751 NPI: 1306952056 Pleasant Grove Site Pleasant Grove Site Premier Family Medical - Premier Family Medical - 830 North 2000 West 830 North 2000 West Pleasant Grove Site Pleasant Grove Site Pleasant Grove, UT 84062 Pleasant Grove, UT 84062 830 North 2000 West 830 North 2000 West (801) 756-3511 (801) 756-3511 Pleasant Grove, UT 84062 Pleasant Grove, UT 84062 Portugese (801) 756-3511 (801) 756-3511 Johnson, Cheryl MD ~* German Family Medicine Mcmanus, Shawn DO ~* NPI: 1417066671 Family Medicine Premier Family Medical - NPI: 1376707323 Pleasant Grove Site Premier Family Medical - 830 North 2000 West Pleasant Grove Site Pleasant Grove, UT 84062 830 North 2000 West (801) 756-3511 Pleasant Grove, UT 84062 (801) 756-3511

82 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Midgley, Melinda MD ~* Nordstrom, Bjorn DO ~* Smith, Scott MD ~* Bennett, Donna MD ~* Family Medicine Family Medicine Family Medicine Obstetrics & Gynecology NPI: 1760587653 NPI: 1346474749 NPI: 1336257617 NPI: 1801820253 Premier Family Medical - Premier Family Medical - Premier Family Medical - Valley Obstetrics And Pleasant Grove Site Pleasant Grove Site Pleasant Grove Site Gynecology - Provo 830 North 2000 West 830 North 2000 West 830 North 2000 West 585 North 500 West Pleasant Grove, UT 84062 Pleasant Grove, UT 84062 Pleasant Grove, UT 84062 Provo, UT 84601 (801) 756-3511 (801) 756-3511 (801) 756-3511 (801) 374-1801 Spanish Spanish Miller, Sandra APRN ~* Booth, Jennifer NP ~ Family Nurse Practitioner Pickering, Derrick NP ~* Williams, Christopher Obstetrics & Gynecology NPI: 1437105269 Family Nurse Practitioner NP ~* Nurse Practitioner Premier Family Medical - NPI: 1720497597 Family Nurse Practitioner NPI: 1821114505 Pleasant Grove Site Premier Family Medical - NPI: 1518402841 Valley Obstetrics And 830 North 2000 West Pleasant Grove Site Premier Family Medical - Gynecology - Provo Pleasant Grove, UT 84062 830 North 2000 West Pleasant Grove Site 585 North 500 West (801) 756-3511 Pleasant Grove, UT 84062 830 North 2000 West Provo, UT 84601 (801) 756-3511 Pleasant Grove, UT 84062 (801) 374-1801 Mower, Douglas MD ~* (801) 756-3511 Family Medicine Ruda, Petr NP ~* Broberg, Jeffrey MD ~* NPI: 1033228283 Family Nurse Practitioner Willis Jr, Marshall MD ~* Obstetrics & Gynecology Premier Family Medical - NPI: 1083081533 Family Medicine NPI: 1639150485 Pleasant Grove Site Premier Family Medical - NPI: 1194833475 Valley Obstetrics And 830 North 2000 West Pleasant Grove Site Premier Family Medical - Gynecology - Provo Pleasant Grove, UT 84062 830 North 2000 West Pleasant Grove Site 585 North 500 West (801) 756-3511 Pleasant Grove, UT 84062 830 North 2000 West Provo, UT 84601 Spanish (801) 756-3511 Pleasant Grove, UT 84062 (801) 374-1801 Czech (801) 756-3511 Murdock, Kenneth Italian Dabling, Heather MD ~* MD ~* Russon, Sheila NP ~* Obstetrics & Gynecology Family Medicine Family Nurse Practitioner Young, David DO ~* NPI: 1598931016 NPI: 1053429563 NPI: 1265981906 Obstetrics & Gynecology Valley Obstetrics And Premier Family Medical - Premier Family Medical - NPI: 1679756852 Gynecology - Provo Pleasant Grove Site Pleasant Grove Site Revere Health - Pleasant 585 North 500 West 830 North 2000 West 830 North 2000 West Grove - Womens Health Provo, UT 84601 Pleasant Grove, UT 84062 Pleasant Grove, UT 84062 1886 West 800 North (801) 374-1801 (801) 756-3511 (801) 756-3511 Pleasant Grove, UT 84062 (801) 756-5288 Drewes, Peter MD ~* Ngatuvai, Tauaina MD ~* Smith, Garrett DO ~* Obstetrics & Gynecology Family Medicine Family Medicine Provo NPI: 1275571804 NPI: 1003992470 NPI: 1669587630 Valley Obstetrics And Premier Family Medical - Premier Family Medical - 84601 Gynecology - Provo Pleasant Grove Site Pleasant Grove Site Andrews, Sarah MD ~* 585 North 500 West 830 North 2000 West 830 North 2000 West Family Medicine Provo, UT 84601 Pleasant Grove, UT 84062 Pleasant Grove, UT 84062 NPI: 1578889465 (801) 374-1801 (801) 756-3511 (801) 756-3511 Valley Obstetrics And Spanish Spanish, Samoan Spanish Gynecology - Provo 585 North 500 West Erickson, Kerri NP ~ Provo, UT 84601 Family Nurse Practitioner (801) 374-1801 NPI: 1194141911 Ihc Dixon Clinic - Provo 750 West 200 North Provo, UT 84601 (801) 357-5757

83 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Grover, Bruce MD ~* Ludlow, David MD ~* Thorpe, Jefforey MD ~* Allred, Camille NP ~* Family Medicine Obstetrics & Gynecology Obstetrics & Gynecology Family Nurse Practitioner NPI: 1659391704 NPI: 1104864412 NPI: 1225153828 NPI: 1073905972 Mountainlands Canyon View Womens Valley Obstetrics And Byu Student Health Center Community Health Center Care - Provo Gynecology - Provo - Provo - Wasatch 777 North 500 West Ste 585 North 500 West 1750 North Wymount 750 North 200 West Ste 203 Provo, UT 84601 Terrace Dr 201 Provo, UT 84601 (801) 374-1801 Provo, UT 84604 Provo, UT 84601 (801) 465-2559 (801) 422-2771 (801) 429-2000 Warner, William MD ~* Spanish Mcsweeney, Heidi NP ~* Obstetrics & Gynecology Anderson, Nathan DO ~ Obstetrics & Gynecology NPI: 1508954348 Family Medicine Harward, Kory DO ~* Nurse Practitioner Canyon View Womens NPI: 1437598091 Obstetrics & Gynecology NPI: 1063538775 Care - Provo Ihc North Canyon Family NPI: 1932238250 Valley Obstetrics And 777 North 500 West Ste Practice - Provo Valley Obstetrics And Gynecology - Provo 203 3200 North Canyon Rd Ste Gynecology - Provo 585 North 500 West Provo, UT 84601 D 585 North 500 West Provo, UT 84601 (801) 465-2559 Provo, UT 84604 Provo, UT 84601 (801) 374-1801 (801) 373-3300 (801) 374-1801 Portugese, Spanish Wolsey, Brian MD ~* Obstetrics & Gynecology Archer, Sandra MD ~* Jacob, Scott MD ~* Miller, Stephanie NP ~* NPI: 1316986714 Obstetrics & Gynecology Obstetrics & Gynecology Family Nurse Practitioner Valley Obstetrics And NPI: 1356319842 NPI: 1528184611 NPI: 1952786196 Gynecology - Provo Utah Valley Obstetrics & Valley Obstetrics And Valley Obstetrics And 585 North 500 West Gynecology - Provo Gynecology - Provo Gynecology - Provo Provo, UT 84601 1055 North 300 West Ste 585 North 500 West 585 North 500 West (801) 374-1801 110 Provo, UT 84601 Provo, UT 84601 Japanese Provo, UT 84604 (801) 374-1801 (801) 374-1801 (801) 357-7377 84602 Karr, Jennifer NP ~* Rees, Scott DO ~* Dewey, Steven MD ~* Au, Liana MD ~* Family Nurse Practitioner Obstetrics & Gynecology Obstetrics & Gynecology Family Medicine NPI: 1417272170 NPI: 1952427031 NPI: 1356358147 NPI: 1942474333 Valley Obstetrics And Valley Obstetrics And Southwestern Ob/Gyn - Byu Student Health Center Gynecology - Provo Gynecology - Provo Provo - Provo 585 North 500 West 585 North 500 West 777 North 500 West Ste 1750 North Wymount Provo, UT 84601 Provo, UT 84601 203 Terrace Dr (801) 374-1801 (801) 374-1801 Provo, UT 84602 Provo, UT 84604 Spanish (801) 375-8889 (801) 422-2771 Larimer, Sophia NP ~* Family Nurse Practitioner Roberts, Sarah NP ~* Barager, William DO ~* NPI: 1689123481 Family Nurse Practitioner 84604 Internal Medicine Valley Obstetrics And NPI: 1437607876 Allen, Douglas DO ~* NPI: 1962444638 Gynecology - Provo Valley Obstetrics And Obstetrics & Gynecology Revere Health - Provo - 585 North 500 West Gynecology - Provo NPI: 1659575686 Nephrology Provo, UT 84601 585 North 500 West Revere Health - Provo - 1055 North 500 West Ste (801) 374-1801 Provo, UT 84601 Endocrinology 222 (801) 374-1801 1055 North 500 West Ste Provo, UT 84604 212 (801) 377-4623 Provo, UT 84604 (801) 429-8095 Japanese

84 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Bloink, Steven MD ~* Chamberlain, Angela Cronin, Jill NP ~* Fallentine, Julianne NP ~ Family Medicine NP ~ Family Nurse Practitioner Family Nurse Practitioner NPI: 1891787891 Family Nurse Practitioner NPI: 1649780495 NPI: 1356366181 Byu Student Health Center NPI: 1184099764 Revere Health - Provo - Merrill Gappmayer Family - Provo Excel Cosmetic Surgery Bldg A Medicine Center 1750 North Wymount Center - Provo 1055 North 500 West Bldg 475 West 940 North Terrace Dr 1735 North State St A Provo, UT 84604 Provo, UT 84604 Provo, UT 84604 Provo, UT 84604 (801) 357-7930 (801) 422-2771 (801) 379-2900 (801) 812-5033 Francis, Ryan NP ~ Broadbent, David MD ~* Chasson, Susan NP ~ Dabling, Heather MD * Family Nurse Practitioner Obstetrics & Gynecology Family Nurse Practitioner Obstetrics & Gynecology NPI: 1962873281 NPI: 1437225612 NPI: 1265518633 NPI: 1598931016 Revere Health - Provo - David H Broadbent Md - Merrill Gappmayer Family Utah Valley Obstetrics & Orthopedic Specialty Ctr Provo Medicine Center Gynecology - Provo 1055 North 500 West Ste 1355 North University Ave 475 West 940 North 1055 North 300 West Ste 121 Ste 130 Provo, UT 84604 110 Provo, UT 84604 Provo, UT 84604 (801) 357-7930 Provo, UT 84604 (801) 373-7350 (801) 373-4649 German (801) 357-7377 Spanish Frost, Rachelle NP ~ Christianson, Marlin Daly, Sarah DO ~ Family Nurse Practitioner Brown, Matthew MD ~ MD ~ Family Medicine NPI: 1730105214 Family Medicine Family Medicine NPI: 1457549263 Revere Health - Provo - NPI: 1144236225 NPI: 1023124781 Merrill Gappmayer Family Cardiology Merrill Gappmayer Family Merrill Gappmayer Family Medicine Center 1055 North 500 West Ste Medicine Center Medicine Center 475 West 940 North 101 Bldg C 475 West 940 North 475 West 940 North Provo, UT 84604 Provo, UT 84604 Provo, UT 84604 Provo, UT 84604 (801) 357-7930 (801) 373-4366 (801) 357-7930 (801) 357-7930 Drew, Lynsey DO ~ Garrard, Steve NP ~ Butcher, Jennifer NP ~ Clark, Matthew MD ~* Family Medicine Family Nurse Practitioner Family Nurse Practitioner Obstetrics & Gynecology NPI: 1194953216 NPI: 1366636854 NPI: 1013230598 NPI: 1851619076 Ihc North Canyon Family Revere Health - Provo - Revere Health - Provo - Revere Health - Provo - Practice - Provo Orthopedic Specialty Ctr Cardiology Ob/Gyn 3200 North Canyon Rd Ste 1055 North 500 West Ste 1055 North 500 West Ste 1055 North 500 West Ste D 121 101 Bldg C 205B Provo, UT 84604 Provo, UT 84604 Provo, UT 84604 Provo, UT 84604 (801) 373-3300 (801) 373-7350 (801) 373-4366 (801) 756-5288 Evans, Mary NP ~* Glenn, Clair MD ~* Carroll, Tyler MD ~ Corniea, Robert MD * Family Nurse Practitioner Obstetrics & Gynecology Family Medicine Internal Medicine NPI: 1144404385 NPI: 1942302211 NPI: 1518973643 NPI: 1447218664 Byu Student Health Center Utah Valley Obstetrics & Merrill Gappmayer Family Revere Health - Provo - - Provo Gynecology - Provo Medicine Center Internal Medicine 1750 North Wymount 1055 North 300 West Ste 475 West 940 North 1055 North 500 West Ste Terrace Dr 110 Provo, UT 84604 212, Bldg C Provo, UT 84604 Provo, UT 84604 (801) 357-7930 Provo, UT 84604 (801) 422-2771 (801) 357-7377 (801) 374-2362

85 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Gourley, George DO ~* Gulbrandsen, Erik DO ~ Harrison, Heather DO * Houle, Kim NP ~* Obstetrics & Gynecology Family Medicine Family Medicine, Family Nurse Practitioner NPI: 1457469249 NPI: 1477822955 Obstetrics NPI: 1457784944 George C Gourley Do Pc - Integrated Care Clinic - NPI: 1487760138 Revere Health - Provo - Provo Provo Revere Health - Provo - Family Medicine 1055 North 300 West Ste 1134 North 500 West Ste Internal Medicine 1055 North 500 West Ste 108 102 1055 North 500 West Ste 212 Provo, UT 84604 Provo, UT 84604 212, Bldg C Provo, UT 84604 (801) 357-7190 (801) 357-1722 Provo, UT 84604 (801) 812-5033 Portugese, Spanish (801) 374-2362 Graham, Wayne DO ~* Hunter, Judd NP ~* Family Medicine Hamblin, Todd NP ~ Harward, Kory DO ~* Family Nurse Practitioner NPI: 1699781054 Family Nurse Practitioner Obstetrics & Gynecology NPI: 1831428705 Merrill Gappmayer Family NPI: 1093092678 NPI: 1932238250 Revere Health - Provo - Medicine Center Revere Health - Provo - Valley Obstetrics And Family Medicine 475 West 940 North Medical Oncology Gynecology - Provo 1900 N 1055 North 500 West Ste Provo, UT 84604 1055 North 500 West Ste 1900 North State St Ste 103 212 (801) 357-7930 202 Bldg C Provo, UT 84604 Provo, UT 84604 Provo, UT 84604 (801) 404-5588 (801) 812-5033 Grover, Julie MD * (801) 374-2367 Obstetrics & Gynecology Spanish Haslam, Valynn NP ~* Hunter, Judd NP ~* NPI: 1386746659 Family Nurse Practitioner Family Nurse Practitioner Utah Valley Obstetrics & Handley, Amy NP ~ NPI: 1093220386 NPI: 1831428705 Gynecology - Provo Family Nurse Practitioner Revere Health - Provo - Revere Health - Provo - 1055 North 300 West Ste NPI: 1255760773 Internal Medicine Sleep Disorders Center 110 Revere Health - Provo - 1055 North 500 West Ste 3650 North University Ave Provo, UT 84604 Medical Oncology 212, Bldg C Ste 125 (801) 357-7377 1055 North 500 West Ste Provo, UT 84604 Provo, UT 84604 Spanish 202 Bldg C (801) 374-2362 (801) 227-7378 Provo, UT 84604 Gulbrandsen, Erik DO ~ (801) 374-2367 Hawks, Amy APRN ~* Hyatt, Thomas DO ~* Family Medicine Family Nurse Practitioner Family Medicine NPI: 1477822955 Harkness, Gordon MD ~ NPI: 1396958369 NPI: 1346330941 Ihc North Canyon Family Family Medicine Revere Health - Provo - Byu Student Health Center Practice - Provo NPI: 1376557611 Family Medicine - Provo 3200 North Canyon Rd Ste Ihc North Canyon Family 1055 North 500 West Ste 1750 North Wymount D Practice - Provo 212 Terrace Dr Provo, UT 84604 3200 North Canyon Rd Ste Provo, UT 84604 Provo, UT 84604 (801) 373-3300 D (801) 812-5033 (801) 422-2771 Portugese, Spanish Provo, UT 84604 Spanish (801) 373-3300 Jackson, Eileen MD ~* Gulbrandsen, Erik DO ~ French Healey, Michael DO ~ Family Medicine Family Medicine Family Medicine NPI: 1518906320 NPI: 1477822955 Harrison, Heather DO * NPI: 1659577674 Merrill Gappmayer Family Ihc Utah Valley Psychiatry Family Medicine, Ihc North Canyon Family Medicine Center & Counseling - Provo Obstetrics Practice - Provo 475 West 940 North 1157 North 300 West NPI: 1487760138 3200 North Canyon Rd Ste Provo, UT 84604 Provo, UT 84604 Revere Health - Provo - D (801) 357-7930 (801) 357-7525 Family Medicine Provo, UT 84604 Portugese, Spanish 1055 North 500 West Ste (801) 373-3300 212 Provo, UT 84604 (801) 812-5033

86 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Jackson, William MD ~* Jones, Justin MD ~* Lussier, Kayla NP ~* Ogden, Lida MD ~* Family Medicine Family Medicine Family Nurse Practitioner Family Medicine NPI: 1740530302 NPI: 1760547699 NPI: 1497127658 NPI: 1609803980 Byu Student Health Center Revere Health - Provo - Revere Health - Provo - Byu Student Health Center - Provo Internal Medicine Family Medicine - Provo 1750 North Wymount 1055 North 500 West Ste 1055 North 500 West Ste 1750 North Wymount Terrace Dr 212, Bldg C 212 Terrace Dr Provo, UT 84604 Provo, UT 84604 Provo, UT 84604 Provo, UT 84604 (801) 422-2771 (801) 374-2362 (801) 812-5033 (801) 422-2771 Spanish Spanish Juarez, Valerie CNS ~* Martinez, Adriana NP ~* Jensen, Natalie NP ~* Adult Health Nurse Family Nurse Practitioner Oliver, Rosanne NP ~ Family Nurse Practitioner Practitioner NPI: 1295140911 Family Nurse Practitioner NPI: 1477085090 NPI: 1407967979 Revere Health - Provo - NPI: 1073903720 Revere Health - Provo - Revere Health - Provo - Family Medicine Revere Health - Provo - Bldg A Family Medicine 1055 North 500 West Ste Endocrinology 1055 North 500 West Bldg 1055 North 500 West Ste 212 1055 North 500 West Ste A 212 Provo, UT 84604 212 Provo, UT 84604 Provo, UT 84604 (801) 812-5033 Provo, UT 84604 (801) 812-5033 (801) 812-5033 Spanish (801) 429-8095 Johnson, Jeffrey MD ~* Kam, Jared MD ~ Morgan, Melanie NP ~* Olsen, Richard MD * Internal Medicine Family Medicine Family Nurse Practitioner Internal Medicine NPI: 1285692400 NPI: 1508194580 NPI: 1306252366 NPI: 1932157138 Revere Health - Provo - Ihc Utah Valley Sports Revere Health - Provo - Revere Health - Provo - Internal Medicine Medicine - Provo Family Medicine Internal Medicine 1055 North 500 West Ste 1157 North 300 West Ste 1055 North 500 West Ste 1055 North 500 West Ste 212, Bldg C 201 212 212, Bldg C Provo, UT 84604 Provo, UT 84604 Provo, UT 84604 Provo, UT 84604 (801) 374-2362 (801) 357-1200 (801) 812-5033 (801) 374-2362 Jones, Douglas MD ~ Leeflang, Canessa NP ~* Nobuhara, Lawrence Packer, Kraig NP ~ Family Medicine Family Nurse Practitioner MD * Adult Health Nurse NPI: 1952410904 NPI: 1518243187 Internal Medicine Practitioner Merrill Gappmayer Family Pediatric Care - Provo NPI: 1740399385 NPI: 1518959535 Medicine Center 1675 North Freedom Blvd Revere Health - Provo - Revere Health - Provo - 475 West 940 North Bldg 3 Internal Medicine Cardiology Provo, UT 84604 Provo, UT 84604 1055 North 500 West Ste 1055 North 500 West Ste (801) 357-7930 (801) 377-8000 212, Bldg C 101 Bldg C Provo, UT 84604 Provo, UT 84604 Jones, Justin MD ~* Lemke, Katherine NP ~* (801) 374-2362 (801) 373-4366 Family Medicine Family Nurse Practitioner NPI: 1760547699 NPI: 1235473687 Nuttall, Marc MD ~* Pennington, David Revere Health - Provo - Revere Health - Provo - Internal Medicine MD ~* Family Medicine Family Medicine NPI: 1144497322 Obstetrics & Gynecology 1055 North 500 West Ste 1055 North 500 West Ste Revere Health - Provo - NPI: 1609941582 212 212 Medical Oncology Pennington Womens Provo, UT 84604 Provo, UT 84604 1055 North 500 West Ste Center - Provo (801) 812-5033 (801) 812-5033 202 Bldg C 3507 North University Ave Provo, UT 84604 Ste 175 (801) 374-2367 Provo, UT 84604 (801) 719-8395

87 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Pratte, Mitchell DO ~ Ripplinger, Rex MD ~* Staheli, John MD ~* Welsh, Brooke NP ~* Family Medicine Internal Medicine Internal Medicine Women's Health Nurse NPI: 1396782207 NPI: 1083674972 NPI: 1275591620 Practitioner, Nurse Merrill Gappmayer Family Revere Health - Uvrmc Revere Health - Provo - Practitioner Medicine Center 1034 North 500 West Sleep Disorders Center NPI: 1184901068 475 West 940 North Provo, UT 84604 3650 North University Ave Revere Health - Provo - Provo, UT 84604 (801) 357-7850 Ste 125 Family Medicine (801) 357-7930 German Provo, UT 84604 1055 North 500 West Ste (801) 227-7378 212 Renfro, Christine NP ~* Robinson, Aaron DO ~* Portugese Provo, UT 84604 Family Nurse Practitioner Family Medicine (801) 812-5033 NPI: 1316979115 NPI: 1245356922 Swenson, Bryce DO ~* Byu Student Health Center Grandview Family Internal Medicine Willmore, D Keith MD ~* - Provo Medicine - Provo - NPI: 1528329299 Family Medicine 1750 North Wymount Robinson Revere Health - Provo - NPI: 1861676066 Terrace Dr 1900 North State St Internal Medicine Byu Student Health Center Provo, UT 84604 Provo, UT 84604 1055 North 500 West Ste - Provo (801) 422-2771 (801) 373-2001 212, Bldg C 1750 North Wymount Spanish Provo, UT 84604 Terrace Dr Rhodes, Michael MD ~ (801) 374-2362 Provo, UT 84604 Family Medicine Silverstein, Joshua MD ~* Spanish (801) 422-2771 NPI: 1841306503 Internal Medicine Chinese Merrill Gappmayer Family NPI: 1952587743 Tanner, Leslie NP ~* Medicine Center Revere Health - Provo - Family Nurse Practitioner 84606 475 West 940 North Cardiology NPI: 1780868976 Babitz, Marc MD ~* Provo, UT 84604 1055 North 500 West Ste Byu Student Health Center Family Medicine (801) 357-7930 101 Bldg C - Provo NPI: 1619067246 Provo, UT 84604 1750 North Wymount Health Clinics Of Utah - Richards, Spencer MD ~ (801) 373-4366 Terrace Dr Provo Site Family Medicine Provo, UT 84604 150 East Center St Ste NPI: 1609845775 Sorenson, Nathan NP ~* (801) 422-2771 1100 Merrill Gappmayer Family Family Nurse Practitioner Provo, UT 84606 Medicine Center NPI: 1891163010 Taylor, Robert MD ~ (801) 374-7011 475 West 940 North Ihc Utah Valley Hyperbaric Family Medicine Provo, UT 84604 And Wound Care - Provo NPI: 1255347472 Beazer, Blake MD ~* (801) 357-7930 1034 North 500 West Ihc North Canyon Family Family Medicine Provo, UT 84604 Practice - Provo NPI: 1073510012 Ripplinger, Rex MD ~* (801) 357-8156 3200 North Canyon Rd Ste Blake R Beazer Md Inc - Internal Medicine D Provo NPI: 1083674972 Springer, Karyn MD ~ Provo, UT 84604 75 South 200 East Ste 100 Revere Health - Provo - Family Medicine (801) 373-3300 Provo, UT 84606 Internal Medicine NPI: 1225044217 Spanish (801) 877-5801 1055 North 500 West Ste Merrill Gappmayer Family 212, Bldg C Medicine Center Tomco, Abraham MD ~* Bench, Pahl MD * Provo, UT 84604 475 West 940 North Family Medicine Family Medicine (801) 374-2362 Provo, UT 84604 NPI: 1033320791 NPI: 1588877674 German (801) 357-7930 Revere Health - Provo - Mountainlands Family Medicine Community Health Center 1055 North 500 West Ste - Provo 212 589 South State St Provo, UT 84604 Provo, UT 84606 (801) 812-5033 (801) 429-2000

88 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Berry, Judith NP ~ Nelson, John MD ~* Coynor, Seth DO ~* Bott, Wesley DO ~* Family Nurse Practitioner Obstetrics & Gynecology Family Medicine Family Medicine NPI: 1104884253 NPI: 1073776787 NPI: 1073930020 NPI: 1760659130 Health Clinics Of Utah - Health Clinics Of Utah - Revere Health - Salem - Canyon View Family Provo Site Provo Site 555 West Medicine - Santaquin 150 East Center St Ste 150 East Center St Ste 555 West Sr 164 North 94 West Main St 1100 1100 Salem, UT 84653 Santaquin, UT 84655 Provo, UT 84606 Provo, UT 84606 (801) 465-4896 (801) 754-3122 (801) 374-7011 (801) 374-7011 Luthy, Karlen NP ~* Butaud, Wade MD ~* Grover, Bruce MD ~* Scholes, Cheryl NP ~* Family Nurse Practitioner Family Medicine Family Medicine Family Nurse Practitioner NPI: 1831398122 NPI: 1679703094 NPI: 1659391704 NPI: 1184952822 Hillside Medical Clinic Llc Canyon View Family Mountainlands Health Clinics Of Utah - - Salem Medicine - Santaquin Community Health Center Provo Site 118 North Main St Ste B 94 West Main St - Provo 150 East Center St Ste Salem, UT 84653 Santaquin, UT 84655 589 South State St 1100 (801) 477-9007 (801) 754-3122 Provo, UT 84606 Provo, UT 84606 (801) 429-2000 (801) 374-7011 Santaquin Donaldson, Richard Spanish German, Spanish DO ~* 84655 Family Medicine Hooton, Josh NP ~* Vest, Alyssa NP ~* Barclay, Andrew DO ~* NPI: 1841495066 Family Nurse Practitioner Family Nurse Practitioner Family Medicine Canyon View Medical NPI: 1306272471 NPI: 1497104368 NPI: 1033556204 Group - Santaquin Health Clinics Of Utah - Blake R Beazer Md Inc - Canyon View Family 94 West Main Provo Site Provo Medicine - Santaquin Santaquin, UT 84655 150 East Center St Ste 75 South 200 East Ste 100 94 West Main St (801) 754-3122 1100 Provo, UT 84606 Santaquin, UT 84655 Provo, UT 84606 (801) 877-5801 (801) 754-3122 Standring, Jason DO ~* (801) 374-7011 Spanish Family Medicine White, Vernon MD * NPI: 1760893713 Mickelson, Steven NP ~ Family Medicine Beckstead, David MD ~* Nephi Medical Clinic - Family Nurse Practitioner NPI: 1396765376 Family Medicine Santaquin NPI: 1881696466 Mountainlands NPI: 1003107558 210 East Main St Health Clinics Of Utah - Community Health Center Canyon View Family Santaquin, UT 84655 Provo Site - Provo Medicine - Santaquin (801) 754-3600 150 East Center St Ste 589 South State St 94 West Main St Portugese, Spanish 1100 Provo, UT 84606 Santaquin, UT 84655 Provo, UT 84606 (801) 429-2000 (801) 754-3122 Saratoga Springs (801) 374-7011 Spanish Salem Bingham, Jared MD ~* 84045 Family Medicine, Aagard, Robert MD ~* Miner, Joseph MD ~* 84653 Obstetrics Obstetrics & Gynecology Family Medicine Archer, Frank MD ~* NPI: 1932154200 NPI: 1477661379 NPI: 1881652980 Family Medicine, Internal Canyon View Family Valley Obstetrics And Health Clinics Of Utah - Medicine Medicine - Santaquin Gynecology - Saratoga Provo Site NPI: 1093710998 94 West Main St Springs Af Group 150 East Center St Ste Hillside Medical Clinic Llc Santaquin, UT 84655 1228 Commerce Dr 1100 - Salem (801) 754-3122 Saratoga Springs, UT Provo, UT 84606 118 North Main St Ste B 84045 (801) 374-7011 Salem, UT 84653 (801) 756-9635 Spanish (801) 477-9007 Japanese Spanish

89 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Allred, Donald DO ~* Bergeson Barkdull, Jill Cherrington, Steven Crump, Kenneth MD ~* Family Medicine MD ~* DO ~* Family Medicine NPI: 1174510044 Family Medicine Family Medicine NPI: 1891719308 Zenith Family Health NPI: 1043466899 NPI: 1871608893 Crossroads Family Center - Saratoga Springs Premier Family Medical - Premier Family Medical - Medicine - Saratoga 24 West Sergeant Court Dr Saratoga Springs Site Saratoga Springs Site Springs Ste 101 76 East Commerce Dr Ste 76 East Commerce Dr Ste 41 East 1140 North Ste C Saratoga Springs, UT 204 204 Saratoga Springs, UT 84045 Saratoga Springs, UT Saratoga Springs, UT 84045 (801) 407-3048 84045 84045 (801) 766-2121 (801) 766-8427 (801) 766-8427 Anderson, Esme NP ~* Spanish Curtis, Michael MD ~* Family Nurse Practitioner Bingham, Annalee NP ~* Family Medicine NPI: 1508870965 Family Nurse Practitioner Cloward, Tennille MD ~* NPI: 1336280759 Premier Family Medical - NPI: 1346793007 Obstetrics & Gynecology Premier Family Medical - Saratoga Springs Site Utah Valley Pediatrics Llc - NPI: 1790906279 Saratoga Springs Site 76 East Commerce Dr Ste Saratoga Springs Valley Obstetrics And 76 East Commerce Dr Ste 204 41 East 1140 North Ste B Gynecology - Saratoga 204 Saratoga Springs, UT Saratoga Springs, UT Springs Af Group Saratoga Springs, UT 84045 84045 1228 Commerce Dr 84045 (801) 766-8427 (801) 407-6500 Saratoga Springs, UT (801) 766-8427 84045 German Barkdull, Thad MD ~* Brockbank, Roger MD ~* (801) 756-9635 Family Medicine Family Medicine Doyle, Sean DO ~* NPI: 1871524421 NPI: 1669463626 Corry Jr, Elwood MD ~* Family Medicine Premier Family Medical - Premier Family Medical - Family Medicine NPI: 1235138751 Saratoga Springs Site Saratoga Springs Site NPI: 1609984988 Premier Family Medical - 76 East Commerce Dr Ste 76 East Commerce Dr Ste Premier Family Medical - Saratoga Springs Site 204 204 Saratoga Springs Site 76 East Commerce Dr Ste Saratoga Springs, UT Saratoga Springs, UT 76 East Commerce Dr Ste 204 84045 84045 204 Saratoga Springs, UT (801) 766-8427 (801) 766-8427 Saratoga Springs, UT 84045 84045 (801) 766-8427 Bean, Gregory MD ~* Burkinshaw, Sandra (801) 766-8427 Obstetrics & Gynecology NP ~* Graff, Carol NP ~* NPI: 1629069695 Family Nurse Practitioner Crop, Justin DO ~* Family Nurse Practitioner Valley Obstetrics And NPI: 1013464726 Family Medicine NPI: 1174826697 Gynecology - Saratoga Valley Obstetrics And NPI: 1801090659 Premier Family Medical - Springs Af Group Gynecology - Saratoga Premier Family Medical - Saratoga Springs Site 1228 Commerce Dr Springs Af Group Saratoga Springs Site 76 East Commerce Dr Ste Saratoga Springs, UT 1228 Commerce Dr 76 East Commerce Dr Ste 204 84045 Saratoga Springs, UT 204 Saratoga Springs, UT (801) 756-9635 84045 Saratoga Springs, UT 84045 Norwegian, Spanish, (801) 756-9635 84045 (801) 766-8427 Swedish (801) 766-8427 Spanish

90 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Gray, Krista NP ~* Haskett, Sean MD ~* Huggins, Leslie NP ~* Kennedy, Michael MD ~* Family Nurse Practitioner Obstetrics & Gynecology Family Nurse Practitioner Family Medicine NPI: 1508216698 NPI: 1477728343 NPI: 1811442890 NPI: 1417047010 Premier Family Medical - Valley Obstetrics And Premier Family Medical - Premier Family Medical - Pleasant Grove - Saratoga Gynecology - Saratoga Pleasant Grove - Saratoga Saratoga Springs Site Springs Springs Af Group Springs 76 East Commerce Dr Ste 76 East Commerce Dr Ste 1228 Commerce Dr 76 East Commerce Dr Ste 204 204 Saratoga Springs, UT 204 Saratoga Springs, UT Saratoga Springs, UT 84045 Saratoga Springs, UT 84045 84045 (801) 756-9635 84045 (801) 766-8427 (801) 766-8427 (801) 766-8427 Heaston, Sondra NP ~* Lamoreaux, James MD ~* Hafen, David MD ~* Family Nurse Practitioner Jacobs-Peterson, Lu Ann Obstetrics & Gynecology Family Medicine NPI: 1104916956 NP ~* NPI: 1932212503 NPI: 1134238207 Premier Family Medical - Family Nurse Practitioner Valley Obstetrics And Premier Family Medical - Saratoga Springs Site NPI: 1396918462 Gynecology - Saratoga Saratoga Springs Site 76 East Commerce Dr Ste Premier Family Medical - Springs Af Group 76 East Commerce Dr Ste 204 Saratoga Springs Site 1228 Commerce Dr 204 Saratoga Springs, UT 76 East Commerce Dr Ste Saratoga Springs, UT Saratoga Springs, UT 84045 204 84045 84045 (801) 766-8427 Saratoga Springs, UT (801) 756-9635 (801) 766-8427 84045 Portugese Chinese, Mandarin Hess, Camber NP ~* (801) 766-8427 Family Nurse Practitioner Spanish Layton, Miles DO ~* Hafen, Mark DO ~* NPI: 1750786190 Family Medicine Family Medicine Premier Family Medical - Johnson, Cheryl MD ~* NPI: 1790948669 NPI: 1306952056 Saratoga Springs Site Family Medicine Premier Family Medical - Premier Family Medical - 76 East Commerce Dr Ste NPI: 1417066671 Saratoga Springs Site Saratoga Springs Site 204 Premier Family Medical - 76 East Commerce Dr Ste 76 East Commerce Dr Ste Saratoga Springs, UT Saratoga Springs Site 204 204 84045 76 East Commerce Dr Ste Saratoga Springs, UT Saratoga Springs, UT (801) 766-8427 204 84045 84045 Saratoga Springs, UT (801) 766-8427 (801) 766-8427 Hoggard, Timo MD ~* 84045 German Family Medicine (801) 766-8427 Lehnardt, Michael MD ~* NPI: 1639288798 Family Medicine Hardman, Joshua MD ~* Premier Family Medical - Jones, Evan DO ~* NPI: 1497044911 Family Medicine Saratoga Springs Site Obstetrics & Gynecology Premier Family Medical - NPI: 1780914283 76 East Commerce Dr Ste NPI: 1336450832 Saratoga Springs Site Premier Family Medical - 204 Valley Obstetrics And 76 East Commerce Dr Ste Saratoga Springs Site Saratoga Springs, UT Gynecology - Saratoga 204 76 East Commerce Dr Ste 84045 Springs Af Group Saratoga Springs, UT 204 (801) 766-8427 1228 Commerce Dr 84045 Saratoga Springs, UT Saratoga Springs, UT (801) 766-8427 84045 Hooper, Ruth NP ~* 84045 (801) 766-8427 Family Nurse Practitioner (801) 756-9635 Lind, Meridith NP ~* NPI: 1184787566 Family Nurse Practitioner Premier Family Medical - NPI: 1255845665 Saratoga Springs Site Utah Valley Pediatrics Llc - 76 East Commerce Dr Ste Saratoga Springs 204 41 East 1140 North Ste B Saratoga Springs, UT Saratoga Springs, UT 84045 84045 (801) 766-8427 (801) 407-6500

91 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Macarthur, Toran MD ~* Miller, Sandra APRN ~* Nordstrom, Bjorn DO ~* Russon, Sheila NP ~* Family Medicine Family Nurse Practitioner Family Medicine Family Nurse Practitioner NPI: 1063521177 NPI: 1437105269 NPI: 1346474749 NPI: 1265981906 Premier Family Medical - Premier Family Medical - Premier Family Medical - Premier Family Medical - Saratoga Springs Site Saratoga Springs Site Pleasant Grove - Saratoga Pleasant Grove - Saratoga 76 East Commerce Dr Ste 76 East Commerce Dr Ste Springs Springs 204 204 76 East Commerce Dr Ste 76 East Commerce Dr Ste Saratoga Springs, UT Saratoga Springs, UT 204 204 84045 84045 Saratoga Springs, UT Saratoga Springs, UT (801) 766-8427 (801) 766-8427 84045 84045 Portugese (801) 766-8427 (801) 766-8427 Mower, Douglas MD ~* Spanish Mcmanus, Shawn DO * Family Medicine Severn, Ernest DO ~* Family Medicine NPI: 1033228283 Parker, Kelli NP ~* Family Medicine NPI: 1376707323 Premier Family Medical - Obstetrics & Gynecology NPI: 1326080847 Premier Family Medical - Saratoga Springs Site Nurse Practitioner Zenith Family Health Saratoga Springs Site 76 East Commerce Dr Ste NPI: 1861615296 Center - Saratoga Springs 76 East Commerce Dr Ste 204 Valley Obstetrics And 24 West Sergeant Court Dr 204 Saratoga Springs, UT Gynecology - Saratoga Ste 101 Saratoga Springs, UT 84045 Springs Af Group Saratoga Springs, UT 84045 (801) 766-8427 1228 Commerce Dr 84045 (801) 766-8427 Spanish Saratoga Springs, UT (801) 407-3048 84045 Melendez, Terry MD ~* Murdock, Kenneth (801) 756-9635 Smith, Garrett DO ~* Obstetrics & Gynecology MD ~* Family Medicine NPI: 1316050081 Family Medicine Robinson, Janice NP ~* NPI: 1669587630 Valley Obstetrics And NPI: 1053429563 Family Nurse Practitioner Premier Family Medical - Gynecology - Saratoga Premier Family Medical - NPI: 1184800047 Saratoga Springs Site Springs Af Group Saratoga Springs Site Lakeview Family Medicine 76 East Commerce Dr Ste 1228 Commerce Dr 76 East Commerce Dr Ste - Saratoga Springs 204 Saratoga Springs, UT 204 1305 North Commerce Dr Saratoga Springs, UT 84045 Saratoga Springs, UT Ste 120 84045 (801) 756-9635 84045 Saratoga Springs, UT (801) 766-8427 Spanish (801) 766-8427 84045 Spanish (801) 766-2121 Midgley, Melinda MD ~* Ngatuvai, Tauaina MD ~* Smith, Scott MD ~* Family Medicine Family Medicine Ruda, Petr NP ~* Family Medicine NPI: 1760587653 NPI: 1003992470 Family Nurse Practitioner NPI: 1336257617 Premier Family Medical - Premier Family Medical - NPI: 1083081533 Premier Family Medical - Saratoga Springs Site Saratoga Springs Site Premier Family Medical - Saratoga Springs Site 76 East Commerce Dr Ste 76 East Commerce Dr Ste Saratoga Springs Site 76 East Commerce Dr Ste 204 204 76 East Commerce Dr Ste 204 Saratoga Springs, UT Saratoga Springs, UT 204 Saratoga Springs, UT 84045 84045 Saratoga Springs, UT 84045 (801) 766-8427 (801) 766-8427 84045 (801) 766-8427 Spanish, Samoan (801) 766-8427 Spanish Czech

92 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Stansfield-Duvall, Micah Spanish Fork Bott, Wesley DO ~* Gasser, Brian NP ~ NP ~* Family Medicine Family Nurse Practitioner Family Nurse Practitioner 84660 NPI: 1760659130 NPI: 1194744615 NPI: 1730465873 Archer, Frank MD ~* Canyon View Family Aspen Dermatology Pllc - Crossroads Family Family Medicine, Internal Medicine - Spanish Fork Spanish Fork Medicine - Saratoga Medicine 336 West 100 South 114 East 800 North Springs NPI: 1093710998 Spanish Fork, UT 84660 Spanish Fork, UT 84660 41 East 1140 North Ste C Hillside Medical Clinic Llc (801) 798-7301 (801) 794-1490 Saratoga Springs, UT - Spanish Fork 84045 24 North 100 East Burningham, Jana NP ~* Hogenson, Eric MD ~* (801) 766-2121 Spanish Fork, UT 84660 Family Nurse Practitioner Family Medicine, (801) 798-5359 NPI: 1366996910 Obstetrics Thompson, Daniel Spanish Utah Valley Pediatrics Llc - NPI: 1891740163 MD ~* Spanish Fork 701 E Canyon View Family Family Medicine, Archer, Frank MD ~* 701 East 700 North Medicine - Spanish Fork Obstetrics Family Medicine, Internal Spanish Fork, UT 84660 336 West 100 South NPI: 1831186717 Medicine (801) 794-7947 Spanish Fork, UT 84660 Zenith Family Health NPI: 1093710998 Spanish (801) 798-7301 Center - Saratoga Springs Spanish Fork Family 24 West Sergeant Court Dr Medicine Butaud, Wade MD ~* Ludlow, David MD ~* Ste 101 24 North 100 East Family Medicine Obstetrics & Gynecology Saratoga Springs, UT Spanish Fork, UT 84660 NPI: 1679703094 NPI: 1104864412 84045 (801) 798-5359 Canyon View Family Canyon View Family (801) 407-3048 Spanish Medicine - Spanish Fork Medicine - Spanish Fork 336 West 100 South 336 West 100 South Williams, Christopher Barclay, Andrew DO ~* Spanish Fork, UT 84660 Spanish Fork, UT 84660 NP ~* Family Medicine (801) 798-7301 (801) 798-7301 Family Nurse Practitioner NPI: 1033556204 NPI: 1518402841 Canyon View Family Donaldson, Richard Ludlow, David MD ~* Premier Family Medical - Medicine - Spanish Fork DO ~* Obstetrics & Gynecology Pleasant Grove - Saratoga 336 West 100 South Family Medicine NPI: 1104864412 Springs Spanish Fork, UT 84660 NPI: 1841495066 Canyon View Womens 76 East Commerce Dr Ste (801) 798-7301 Canyon View Medical Care - Spanish Fork 204 Spanish Group - Spanish Fork 325 West Center St Saratoga Springs, UT 336 West 100 South Spanish Fork, UT 84660 84045 Barton, Karl NP ~* Spanish Fork, UT 84660 (801) 798-7301 (801) 766-8427 Family Nurse Practitioner (801) 798-7301 NPI: 1306889522 Mohlman, Susan NP * Willis Jr, Marshall MD ~* Express Med Family Care - Frandsen, Tracy MD * Family Nurse Practitioner Family Medicine Spanish Fork Family Medicine, NPI: 1306884614 NPI: 1194833475 415 North Main St Obstetrics Canyon View Family Premier Family Medical - Spanish Fork, UT 84660 NPI: 1003854324 Medicine - Spanish Fork Saratoga Springs Site (801) 798-9715 Canyon View Family 336 West 100 South 76 East Commerce Dr Ste Medicine - Spanish Fork Spanish Fork, UT 84660 204 Beckstead, David MD ~* 336 West 100 South (801) 798-7301 Saratoga Springs, UT Family Medicine Spanish Fork, UT 84660 84045 NPI: 1003107558 (801) 798-7301 Takasaki, Roman MD ~* (801) 766-8427 Canyon View Family Family Medicine Italian Medicine - Spanish Fork NPI: 1669428611 336 West 100 South Canyon View Family Spanish Fork, UT 84660 Medicine - Spanish Fork (801) 798-7301 336 West 100 South Spanish Fork, UT 84660 (801) 798-7301

93 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Walton, Matthew DO ~* Clark, Robert MD ~* Kirby, Anna NP ~* Money, Nolan MD ~* Family Medicine Family Medicine Family Nurse Practitioner Family Medicine NPI: 1497905566 NPI: 1689692071 NPI: 1932154325 NPI: 1194759027 Canyon View Family Revere Health - Springville Canyon View Family Revere Health - Springville Medicine - Spanish Fork Family Medicine Medicine - Springville Family Medicine 336 West 100 South 376 East 400 South 5 East 400 North 376 East 400 South Spanish Fork, UT 84660 Springville, UT 84663 Springville, UT 84663 Springville, UT 84663 (801) 798-7301 (801) 465-4896 (801) 489-8464 (801) 465-4896 Warner, William MD ~* Crouch, Max MD ~* Mainord, Matthew MD ~ Morrill, Kathryn NP ~* Obstetrics & Gynecology Obstetrics & Gynecology Internal Medicine Family Nurse Practitioner NPI: 1508954348 NPI: 1861569261 NPI: 1912194150 NPI: 1568866168 Canyon View Family Revere Health - Springville Ihc Springville Clinic - Canyon View Family Medicine - Spanish Fork Family Medicine Springville Medicine - Springville 336 West 100 South 376 East 400 South 762 West 400 South 5 East 400 North Spanish Fork, UT 84660 Springville, UT 84663 Springville, UT 84663 Springville, UT 84663 (801) 798-7301 (801) 465-4896 (801) 429-1200 (801) 489-8464 French Warner, William MD ~* Mcbride, Brayden MD ~* Nance, Jeff MD ~* Obstetrics & Gynecology Dayton, Elizabeth MD ~* Family Medicine Obstetrics & Gynecology NPI: 1508954348 Family Medicine NPI: 1831363225 NPI: 1700151990 Canyon View Womens NPI: 1598799421 Canyon View Family Valley Obstetrics And Care - Spanish Fork Revere Health - Springville Medicine - Springville Gynecology - Springville 325 West Center St Family Medicine 5 East 400 North 672 West 400 South Ste Spanish Fork, UT 84660 376 East 400 South Springville, UT 84663 100 (801) 798-7301 Springville, UT 84663 (801) 489-8464 Springville, UT 84663 (801) 465-4896 (801) 489-0111 Wright, Kristen NP ~* Mclay, Michael MD ~* Family Nurse Practitioner Dunn, Emily NP ~* Family Medicine Nance, Steven MD ~* NPI: 1376733196 Family Nurse Practitioner NPI: 1063605475 Obstetrics & Gynecology Canyon View Womens NPI: 1609394758 Canyon View Family NPI: 1376645887 Care - Spanish Fork Canyon View Family Medicine - Springville Valley Obstetrics And 325 West Center St Medicine - Springville 5 East 400 North Gynecology - Springville Spanish Fork, UT 84660 5 East 400 North Springville, UT 84663 672 West 400 South Ste (801) 798-7301 Springville, UT 84663 (801) 489-8464 100 (801) 489-8464 French Springville, UT 84663 Springville (801) 489-0111 Gale, Michael MD ~ Mcmaster, Ian MD ~* 84663 Family Medicine Family Medicine, Nordby, Benjamin MD ~ Archer, Frank MD ~* NPI: 1821003138 Obstetrics Family Medicine Family Medicine, Internal Ihc Springville Clinic - NPI: 1598799462 NPI: 1972765402 Medicine Springville Hobble Creek Medical Ihc Springville Clinic - NPI: 1093710998 762 West 400 South Clinic - Springville Springville Revere Health - Springville Springville, UT 84663 672 West 400 South Ste 762 West 400 South Family Medicine (801) 429-1200 101 Springville, UT 84663 376 East 400 South Springville, UT 84663 (801) 429-1200 Springville, UT 84663 Hartle, Aaron NP ~* (801) 491-9883 (801) 465-4896 Family Nurse Practitioner Spanish Spanish NPI: 1578626727 Pace Clinic - Springville 405 South Main St Springville, UT 84663 (801) 491-2238 Portugese, Spanish

94 Primary Care Providers / Médicos de Cuidados Proveedores Utah County continued / Condado seguido

Parker, Jessica NP ~* Taylor, John MD ~* Washington Fisher, Mahana MD ~* Family Nurse Practitioner Family Medicine, Family Medicine NPI: 1972830768 Obstetrics Enterprise NPI: 1700878949 Canyon View Family NPI: 1740228055 84725 Family Healthcare At Medicine - Springville Canyon View Family Hurricane Middle School 5 East 400 North Medicine - Springville Bigham, Thomas DO ~* 391 North 200 West Springville, UT 84663 5 East 400 North Family Medicine Hurricane, UT 84737 (801) 489-8464 Springville, UT 84663 NPI: 1689642332 (435) 986-2565 (801) 489-8464 Enterprise Valley Medical Spanish Penrod, Marc MD ~* Clinic - Enterprise Family Medicine Tipton, David MD ~* 223 South 200 East Gould, Betty NP ~* NPI: 1831137140 Family Medicine Enterprise, UT 84725 Family Nurse Practitioner Canyon View Family NPI: 1811915051 (435) 878-2281 NPI: 1487039996 Medicine - Springville Revere Health - Springville Spanish Family Healthcare At 5 East 400 North Family Medicine Hurricane Middle School Springville, UT 84663 376 East 400 South Radley, Karen MD ~* 391 North 200 West (801) 489-8464 Springville, UT 84663 Family Medicine Hurricane, UT 84737 (801) 465-4896 NPI: 1508868563 (435) 986-2565 Peterson, Neil NP ~* Enterprise Valley Medical Family Nurse Practitioner Tovey, Daniel MD ~ Clinic - Enterprise Hansen, Randall DO ~* NPI: 1003169053 Family Medicine 223 South 200 East Family Medicine Pace Clinic - Springville NPI: 1952316150 Enterprise, UT 84725 NPI: 1831459361 405 South Main St Ihc Springville Clinic - (435) 878-2281 Ihc Hurricane Valley Clinic Springville, UT 84663 Springville - Hurricane (801) 491-2238 762 West 400 South Hurricane 75 North 2260 West Mandarin Springville, UT 84663 84737 Hurricane, UT 84737 (801) 429-1200 (435) 635-6500 Skousen, Gale MD ~* Carter, Melvin MD ~* Thai Family Medicine Vawdrey, Heidi NP ~* Family Medicine NPI: 1053305391 Family Nurse Practitioner NPI: 1043277833 Last, George MD ~* Revere Health - Springville NPI: 1184144594 Hurricane Family Practice Family Medicine Family Medicine Health Plus Clinic - - Hurricane NPI: 1235150731 376 East 400 South Springville 11 South Main St Ihc Hurricane Valley Clinic Springville, UT 84663 376 East 400 South Hurricane, UT 84737 - Hurricane (801) 465-4896 Springville, UT 84663 (435) 635-9444 75 North 2260 West Spanish (801) 491-9355 Spanish Hurricane, UT 84737 (435) 635-6500 Sullivan, Casey NP ~* Voss, William DO ~* Christensen, William Family Nurse Practitioner Family Medicine NP ~* Moon, Sheldon MD ~* NPI: 1578670840 NPI: 1447246244 Family Nurse Practitioner Family Medicine Hobble Creek Medical Health Plus Clinic - NPI: 1043450760 NPI: 1215221817 Clinic - Springville Springville Family Healthcare At Ihc Hurricane Valley Clinic 672 West 400 South Ste 376 East 400 South Hurricane Middle School - Hurricane 101 Springville, UT 84663 391 North 200 West 75 North 2260 West Springville, UT 84663 (801) 491-9355 Hurricane, UT 84737 Hurricane, UT 84737 (801) 491-9883 (435) 986-2565 (435) 635-6500 Portugese, Spanish

95 Primary Care Providers / Médicos de Cuidados Proveedores Washington County continued / Condado seguido

Ogden, Walter MD ~* Worwood, Danny MD ~* Polson, Drew MD ~* Astle, Craig MD ~* Family Medicine Family Medicine Family Medicine Obstetrics & Gynecology NPI: 1174519151 NPI: 1144241647 NPI: 1700084829 NPI: 1033119862 Revere Health - Hurricane Ihc Hurricane Valley Clinic Shivwits Medical Clinic - Southern Utah Womens Family Medicine - Hurricane Ivins Health Center - St George 11 South Main St 75 North 2260 West 6109 West 3700 North 515 South 300 East Ste 206 Hurricane, UT 84737 Hurricane, UT 84737 Ivins, UT 84738 Saint George, UT 84770 (435) 635-9444 (435) 635-6500 (435) 688-8198 (435) 628-1662 Page, Trevor DO ~* Ivins Rasch, Leslie NP ~* Benham, Brady MD ~* Family Medicine Family Nurse Practitioner Obstetrics & Gynecology NPI: 1053603597 84738 NPI: 1962784504 NPI: 1952380685 Family Healthcare At Brooksby, Heather PA ~* Shivwits Medical Clinic - Southern Utah Womens Hurricane Middle School Physician Assistant Ivins Health Center - St George 391 North 200 West NPI: 1447655063 6109 West 3700 North 515 South 300 East Ste 206 Hurricane, UT 84737 Shivwits Medical Clinic - Ivins, UT 84738 Saint George, UT 84770 (435) 986-2565 Ivins (435) 688-8198 (435) 628-1662 Korean 6109 West 3700 North Spanish Ivins, UT 84738 Rogers, Brook PA ~* Parson, Broc DO ~* (435) 688-8198 Physician Assistant Borunda, Lisa NP ~* Family Medicine NPI: 1427308899 Family Nurse Practitioner NPI: 1285857268 Cowley, David NP ~* Shivwits Medical Clinic - NPI: 1912937343 Ihc Hurricane Valley Clinic Family Nurse Practitioner Ivins Lunt And Kvarfordt Llc - - Hurricane NPI: 1720429491 6109 West 3700 North St George 75 North 2260 West Shivwits Medical Clinic - Ivins, UT 84738 515 South 300 East Ste 205 Hurricane, UT 84737 Ivins (435) 688-8198 Saint George, UT 84770 (435) 635-6500 6109 West 3700 North (435) 674-0999 Spanish Ivins, UT 84738 Spangrude, Kimberly (435) 688-8198 NP ~* Brannon, Dawn NP ~* Swank, Luke PA ~* Family Nurse Practitioner Family Nurse Practitioner Physician Assistant, Family Newman, Steven MD ~* NPI: 1013986710 NPI: 1669814489 Medicine Family Medicine Shivwits Medical Clinic - Lunt And Kvarfordt Llc - NPI: 1225432669 NPI: 1134157613 Ivins St George Family Healthcare At Shivwits Medical Clinic - 6109 West 3700 North 515 South 300 East Ste 205 Hurricane Middle School Ivins Ivins, UT 84738 Saint George, UT 84770 391 North 200 West 6109 West 3700 North (435) 688-8198 (435) 674-0999 Hurricane, UT 84737 Ivins, UT 84738 Spanish (435) 986-2565 (435) 688-8198 Brown, Coby MD ~* Spanish Saint George Obstetrics & Gynecology North, Jason DO ~* NPI: 1083907059 Welsh, Stephen MD ~* Family Medicine 84770 Southern Utah Womens Family Medicine NPI: 1285760132 Andersen, Nisha NP ~ Health Center Pc - Saint NPI: 1841516747 Shivwits Medical Clinic - Family Nurse Practitioner George Ihc Hurricane Valley Clinic Ivins NPI: 1679938831 515 South 300 East Ste 206 - Hurricane 6109 West 3700 North Foot And Ankle Institute Saint George, UT 84770 75 North 2260 West Ivins, UT 84738 Inc - St George (435) 628-1662 Hurricane, UT 84737 (435) 688-8198 754 South Main St Ste 3 (435) 635-6500 Saint George, UT 84770 (435) 628-2671

96 Primary Care Providers / Médicos de Cuidados Proveedores Washington County continued / Condado seguido

Carter, Kristine NP ~ Fisher, Mahana MD ~* Johnson, Nicole NP ~* Mcdonald, Kent MD ~ Family Nurse Practitioner Family Medicine Women's Health Nurse Internal Medicine NPI: 1710937826 NPI: 1700878949 Practitioner NPI: 1093794554 Ihc Sunset Family Practice Family Healthcare - St NPI: 1336484286 Kent B Mcdonald Md - - St George George Planned Parenthood Saint George 1739 West Sunset Blvd 25 North 100 East Ste 102 Association - St George 515 South 300 East Ste 105 Saint George, UT 84770 Saint George, UT 84770 595 South Bluff Street Saint George, UT 84770 (435) 634-6000 (435) 986-2565 Saint George, UT 84770 (435) 628-2814 Spanish (435) 674-9933 Christensen, William Mciff, Matthew MD ~* NP ~* Goodger, William MD ~* Kvarfordt, Tracy MD ~* Family Medicine Family Nurse Practitioner Family Medicine Obstetrics & Gynecology NPI: 1437358280 NPI: 1043450760 NPI: 1104833987 NPI: 1053313676 Ihc Sunset Family Practice Family Healthcare - St Ihc Sunset Family Practice Lunt And Kvarfordt Llc - - St George George - St George St George 1739 West Sunset Blvd 25 North 100 East Ste 102 1739 West Sunset Blvd 515 South 300 East Ste 205 Saint George, UT 84770 Saint George, UT 84770 Saint George, UT 84770 Saint George, UT 84770 (435) 634-6000 (435) 986-2565 (435) 634-6000 (435) 674-0999 Spanish Portugese, Spanish Spanish Gould, Betty NP ~* Mcmahan, Helen Codiga, Michael MD ~* Family Nurse Practitioner Lam, Gon NP ~ APRN ~* Internal Medicine NPI: 1487039996 Family Nurse Practitioner Family Nurse Practitioner NPI: 1306888219 Family Healthcare - St NPI: 1891179339 NPI: 1184764995 Pacific Medical Associates George Ihc Bmt Leukemia Family Healthcare - St Pc - St George 25 North 100 East Ste 102 Program Swr - St George George 301 North 200 East Ste 2B Saint George, UT 84770 544 South 400 East 25 North 100 East Ste 102 Saint George, UT 84770 (435) 986-2565 Saint George, UT 84770 Saint George, UT 84770 (435) 628-3651 (435) 688-4900 (435) 986-2565 Hardin, Dana MD ~* Demille, Elizabeth PA ~* Family Medicine Lunt, Chad MD ~* Monson, Dean NP ~ Physician Assistant NPI: 1053381558 Obstetrics & Gynecology Family Nurse Practitioner NPI: 1245501501 Advanced Family Medicine NPI: 1396790309 NPI: 1558796391 Lunt And Kvarfordt Llc - Llc - St George Lunt And Kvarfordt Llc - Southwest Behavioral St George 619 South Bluff St Ste 100 St George Health Center - St George 515 South 300 East Ste 205 Saint George, UT 84770 515 South 300 East Ste 205 474 West 200 North Saint George, UT 84770 (435) 656-0234 Saint George, UT 84770 Saint George, UT 84770 (435) 674-0999 Thai (435) 674-0999 (435) 634-5600 Duckett, Brittany NP ~* Hinkle, Jack DO ~ Mcbride, Shauna PA ~* Muse, Brett MD ~* Family Nurse Practitioner Family Medicine Physician Assistant, Family Family Medicine NPI: 1922435031 NPI: 1144218652 Medicine NPI: 1144254350 Southern Utah Womens Jack Terrell Hinkle Do Pc - NPI: 1457330532 Ihc Sunset Family Practice Health Center - St George Ogden Family Healthcare - St - St George 515 South 300 East Ste 206 595 South Bluff St Ste 6 George 1739 West Sunset Blvd Saint George, UT 84770 Saint George, UT 84770 25 North 100 East Ste 102 Saint George, UT 84770 (435) 628-1662 (435) 628-5851 Saint George, UT 84770 (435) 634-6000 (435) 986-2565 Spanish

97 Primary Care Providers / Médicos de Cuidados Proveedores Washington County continued / Condado seguido

Page, Trevor DO ~* Swank, Luke PA ~* 84790 Busk, Neal MD ~* Family Medicine Physician Assistant, Family Barney, William MD ~* Family Medicine NPI: 1053603597 Medicine Internal Medicine NPI: 1134212954 Family Healthcare - St NPI: 1225432669 NPI: 1194799890 Revere Health - Sg - St George Family Healthcare - St Revere Health - St George - George Family Practice 25 North 100 East Ste 102 George Heart Of Dixie Cardiology 736 South 900 East Ste 203 Saint George, UT 84770 25 North 100 East Ste 102 1380 East Medical Center Saint George, UT 84790 (435) 986-2565 Saint George, UT 84770 Dr Ste 4100 (435) 673-6131 Korean (435) 986-2565 Saint George, UT 84790 Spanish Spanish (435) 251-2900 Pearson, Adon PA ~* Spanish Busk, Neal MD ~* Physician Assistant Temple, Steven MD ~* Family Medicine NPI: 1003998659 Internal Medicine Barton, Deborah NP ~ NPI: 1134212954 Family Healthcare - St NPI: 1841238987 Adult Health Nurse St George Clinic - St George George Ihc Sunset Family Practice Practitioner 736 South 900 East Ste 203 25 North 100 East Ste 102 - St George NPI: 1548234222 Saint George, UT 84790 Saint George, UT 84770 1739 West Sunset Blvd Revere Health - St George - (435) 674-6068 (435) 986-2565 Saint George, UT 84770 Heart Of Dixie Cardiology Spanish Spanish (435) 634-6000 1380 East Medical Center Dr Ste 4100 Cain, Lawrence MD ~* Radley, Karen MD ~* Ward, Cori NP ~ Saint George, UT 84790 Family Medicine Family Medicine Family Nurse Practitioner (435) 251-2900 NPI: 1972521201 NPI: 1508868563 NPI: 1518132216 Ihc River Road Family Intermountain Senior Care Southwest Behavioral Barton, Scott MD ~* Medicine - St George Services - 630 South Health Center - St George Family Medicine, 577 South River Rd 630 South 400 East Ste 101 474 West 200 North Obstetrics Saint George, UT 84790 Saint George, UT 84770 Saint George, UT 84770 NPI: 1376690180 (435) 688-6100 (435) 628-8944 (435) 634-5600 Revere Health - Sg - St Spanish George Family Practice Rignell, Robert MD * Ward, Cori NP ~ 736 South 900 East Ste 203 Callahan, Douglas DO ~* Internal Medicine Family Nurse Practitioner Saint George, UT 84790 Family Medicine NPI: 1326034737 NPI: 1518132216 (435) 673-6131 NPI: 1265540355 Robert Paul Rignell Md - Utah Behavior Services - St Swedish Callahan Clinic Pc - St Saint George George George 515 South 300 East Ste 105 1067 East Tabernacle St Burkett, Rox MD ~* 1240 East 100 South Ste 15 Saint George, UT 84770 Ste 7 General Practice A (435) 628-3651 Saint George, UT 84770 NPI: 1629393509 Saint George, UT 84790 (801) 255-5131 Intermountain Senior Care (435) 656-5323 Sorensen, Pamela PA ~* Services - 230 North Japanese Physician Assistant Winward, Tracy MD ~* 230 North 1680 East Ste E NPI: 1992972616 Obstetrics & Gynecology Saint George, UT 84790 Callahan, Thomas MD ~* Southern Utah Womens NPI: 1922008846 (435) 862-7451 Family Medicine, Health Center - St George Southern Utah Womens Obstetrics & Gynecology 515 South 300 East Ste 206 Health Center - St George Burkett, Rox MD ~* NPI: 1043328123 Saint George, UT 84770 515 South 300 East Ste 206 General Practice Callahan Clinic Pc - St (435) 628-1662 Saint George, UT 84770 NPI: 1629393509 George (435) 628-1662 Intermountain Senior Care 1240 East 100 South Ste 15 Services - St George A 616 South River Rd Ste 200 Saint George, UT 84790 Saint George, UT 84790 (435) 656-5323 (435) 628-8944

98 Primary Care Providers / Médicos de Cuidados Proveedores Washington County continued / Condado seguido

Carter, Curtis MD ~* Davenport, Brian NP ~ Frei, Rhett DO ~ Hubbard, Jonathan Family Medicine Family Nurse Practitioner Family Medicine DO ~* NPI: 1245225325 NPI: 1558703306 NPI: 1528352077 Family Medicine Revere Health - Sg - St Utah Neurosurgery - St Dmrc Live Well Center - St NPI: 1609894922 George Family Practice George George Ihc River Road Family 736 South 900 East Ste 203 1490 East Foremaster Dr 1141 East 3900 South Ste Medicine - St George Saint George, UT 84790 Ste 260 Ll20 577 South River Rd (435) 673-6131 Saint George, UT 84790 Saint George, UT 84790 Saint George, UT 84790 Spanish (435) 688-7131 (435) 251-3793 (435) 688-6100 Russian Spanish Carter, Gayle MD ~* Hubbard, Jonathan Obstetrics & Gynecology Esplin, William DO ~* Golding, Brady NP ~* DO ~* NPI: 1124028956 Family Medicine Family Nurse Practitioner Family Medicine Riverside Medical Arts NPI: 1093923393 NPI: 1205242773 NPI: 1609894922 1068 East Riverside Dr Revere Health - Sg - St Intermountain Senior Care Revere Health - Sg - St Saint George, UT 84790 George Family Practice Services - St George George Family Practice (435) 628-6466 736 South 900 East Ste 203 616 South River Rd Ste 200 736 South 900 East Ste 203 Saint George, UT 84790 Saint George, UT 84790 Saint George, UT 84790 Chamberlain, Howard (435) 673-6131 (435) 628-8944 (435) 673-6131 MD ~* Spanish Family Medicine Gould, Betty NP ~* Hunter, Bart NP ~* NPI: 1306951504 Fischer, Virginia NP ~ Family Nurse Practitioner Family Nurse Practitioner, Revere Health - Sg - St Family Nurse Practitioner NPI: 1487039996 Nurse Practitioner George Family Practice NPI: 1689071060 Family Healthcare At NPI: 1437383932 736 South 900 East Ste 203 Southwest Spine And Pain Millcreek High School Southwest Spine And Pain Saint George, UT 84790 Care Specialists - St George 2140 East Riverside Dr Care Specialists - St George (435) 673-6131 652 South Medical Center Saint George, UT 84790 652 South Medical Center Spanish Dr Ste 110 (435) 879-5117 Dr Ste 110 Saint George, UT 84790 Saint George, UT 84790 Christensen, William (435) 656-2424 Haberle, Tyler MD ~* (435) 656-2424 NP ~* Internal Medicine Family Nurse Practitioner Fisher, Mahana MD ~* NPI: 1952620304 Jones, Thomas MD ~* NPI: 1043450760 Family Medicine Ihc River Road Family Internal Medicine Family Healthcare At NPI: 1700878949 Medicine - St George NPI: 1861410276 Millcreek High School Family Healthcare At 577 South River Rd Ihc River Road Family 2140 East Riverside Dr Millcreek High School Saint George, UT 84790 Medicine - St George Saint George, UT 84790 2140 East Riverside Dr (435) 688-6100 577 South River Rd (435) 879-5117 Saint George, UT 84790 Portugese, Spanish Saint George, UT 84790 Portugese, Spanish (435) 879-5117 (435) 688-6100 Spanish Hansen, Jason MD ~* Clark, Stephen DO ~* Internal Medicine Koldyke, Brian NP ~* Family Medicine Frame, Joshua DO ~* NPI: 1225294853 Family Nurse Practitioner NPI: 1043238363 Internal Medicine Ihc River Road Family NPI: 1609203363 Ihc River Road Family NPI: 1437143443 Medicine - St George Ihc River Road Internal Medicine - St George Southwest Internal 577 South River Rd Medicine - St George 577 South River Rd Medicine - St George Saint George, UT 84790 577 South River Rd Saint George, UT 84790 292 South 1470 East Ste (435) 688-6100 Saint George, UT 84790 (435) 688-6100 100 (435) 688-6200 Saint George, UT 84790 (435) 628-9200 Spanish

99 Primary Care Providers / Médicos de Cuidados Proveedores Washington County continued / Condado seguido

Lunt, Bryce MD ~* Page, Trevor DO ~* Radley, Karen MD ~* Swigert, Jason MD ~* Family Medicine Family Medicine Family Medicine Internal Medicine NPI: 1396127635 NPI: 1053603597 NPI: 1508868563 NPI: 1558550731 Revere Health - Sg - St Family Healthcare At Intermountain Senior Care Southwest Internal George Family Practice Millcreek High School Services - St George Medicine - St George 736 South 900 East Ste 203 2140 East Riverside Dr 616 South River Rd Ste 200 292 South 1470 East Ste Saint George, UT 84790 Saint George, UT 84790 Saint George, UT 84790 100 (435) 673-6131 (435) 879-5117 (435) 628-8944 Saint George, UT 84790 Spanish Korean (435) 628-9200 Smith, Gordon MD ~* Mcmahon, Kristina NP ~ Parkinson, J Scott DO ~* Internal Medicine Taylor, Bruce DO ~* Family Nurse Practitioner Internal Medicine NPI: 1255354718 Family Medicine NPI: 1053600171 NPI: 1316965627 Ihc River Road Family NPI: 1811915135 Utah Surgical Associates - Ihc River Road Family Medicine - St George Ihc River Road Family St George Medicine - St George 577 South River Rd Medicine - St George 1490 East Foremaster Dr 577 South River Rd Saint George, UT 84790 577 South River Rd Ste 200 Saint George, UT 84790 (435) 688-6100 Saint George, UT 84790 Saint George, UT 84790 (435) 688-6100 (435) 688-6100 (435) 628-1641 Swedish Stout, Angela NP ~* Family Nurse Practitioner Thompson, Bradley Miner, Jared MD ~* Pendleton, Gus MD ~* NPI: 1073062659 DO ~* Family Medicine Family Medicine Ihc Redrock Pediatrics - St Family Medicine NPI: 1710115837 NPI: 1649361874 George NPI: 1487672713 Ihc River Road Family Revere Health - Sg - St 1380 East Medical Center Ihc River Road Family Medicine - St George George Family Practice Dr Ste 3100 Medicine - St George 577 South River Rd 736 South 900 East Ste 203 Saint George, UT 84790 577 South River Rd Saint George, UT 84790 Saint George, UT 84790 (435) 251-2740 Saint George, UT 84790 (435) 688-6100 (435) 673-6131 (435) 688-6100 Stratford, C Kerry MD ~* Spanish Obray, Cathleen MD ~* Powell, John PA ~* Family Medicine, Internal Medicine Physician Assistant Obstetrics Warner, Claude MD ~* NPI: 1225191539 NPI: 1972597946 NPI: 1275688228 Internal Medicine Ihc River Road Family Southwest Internal Revere Health - Sg - St NPI: 1376561688 Medicine - St George Medicine - St George George Family Practice Ihc River Road Family 577 South River Rd 292 South 1470 East Ste 736 South 900 East Ste 203 Medicine - St George Saint George, UT 84790 100 Saint George, UT 84790 577 South River Rd (435) 688-6100 Saint George, UT 84790 (435) 673-6131 Saint George, UT 84790 (435) 628-9200 German (435) 688-6100 Ogden, Walter MD ~* Family Medicine Radley, Karen MD ~* Swank, Luke PA ~* Wells, Brenna NP ~ NPI: 1174519151 Family Medicine Physician Assistant, Family Family Nurse Practitioner Intermountain Senior Care NPI: 1508868563 Medicine NPI: 1932508710 Services - 1404 West Intermountain Senior Care NPI: 1225432669 Revere Health - Sg - 1404 West Sun River Pkwy Services - 1404 West Family Healthcare At Oncology Saint George, UT 84790 1404 West Sun River Pkwy Millcreek High School 2019 East Riverside Dr Ste (435) 628-8944 Saint George, UT 84790 2140 East Riverside Dr A200 (435) 628-8944 Saint George, UT 84790 Saint George, UT 84790 (435) 879-5117 (435) 628-9298 Spanish

100 Primary Care Providers / Médicos de Cuidados Proveedores Washington County continued / Condado seguido

Winger, Jeffrey NP ~* Busk, Neal MD ~* Weber Babitz, Marc MD ~* Family Nurse Practitioner Family Medicine Family Medicine NPI: 1154686467 NPI: 1134212954 Farr West NPI: 1619067246 Revere Health - Sg - St Revere Health - 84404 Health Clinics Of Utah - George Family Practice Washington Family Ogden Site 736 South 900 East Ste 203 Medicine & Urgent Care Evans, William MD ~* 2540 Washington Blvd Ste Saint George, UT 84790 195 West Telegraph Rd General Practice 122 (435) 673-6131 Washington, UT 84780 NPI: 1811942964 Ogden, UT 84401 (435) 215-0600 Farr West Urgent Care (801) 395-6499 Woolley, Joseph MD ~* Spanish And Family Medicine - Internal Medicine Farr West Graham, Stanley MD ~* NPI: 1780800813 Carter, Curtis MD ~* 2850 North 2000 West Ste Family Medicine Southwest Internal Family Medicine 101 NPI: 1326230921 Medicine - St George NPI: 1245225325 Farr West, UT 84404 Midtown Community 292 South 1470 East Ste Revere Health - (801) 732-0805 Health Center - Ogden 100 Washington Family Japanese 2240 Adams Ave Saint George, UT 84790 Medicine & Urgent Care Ogden, UT 84401 (435) 628-9200 195 West Telegraph Rd Palfreyman, Kristie (801) 393-5355 Washington, UT 84780 NP ~* Springdale (435) 215-0600 Family Nurse Practitioner Gregoire, Richard MD ~* Spanish NPI: 1477983781 Family Medicine 84767 Farr West Urgent Care NPI: 1528066149 Carter, Melvin MD ~* Chamberlain, Howard And Family Medicine - James Madison Elementary Family Medicine MD ~* Farr West Health Center NPI: 1043277833 Family Medicine 2850 North 2000 West Ste 781 25Th Street Zion Canyon Medical NPI: 1306951504 101 Ogden, UT 84401 Clinic Revere Health - Farr West, UT 84404 (801) 393-5355 120 Lion Blvd Washington Family (801) 732-0805 Spanish Springdale, UT 84767 Medicine & Urgent Care (435) 772-3226 195 West Telegraph Rd Huntsville Gregoire, Richard MD ~* Spanish Washington, UT 84780 84317 Family Medicine (435) 215-0600 NPI: 1528066149 Washington Spanish Ferrin, Tricia DO ~ Midtown Community Family Medicine Health Center - Ogden 84780 Hubbard, Jonathan NPI: 1588736292 2240 Adams Ave Barton, Scott MD ~* DO ~* Ihc Snowbasin Clinic - Ogden, UT 84401 Family Medicine, Family Medicine Huntsville (801) 393-5355 Obstetrics NPI: 1609894922 3925 Snowbasin Dr Spanish NPI: 1376690180 Revere Health - Huntsville, UT 84317 Revere Health - Washington Family (801) 620-1040 Haun, Tiffanie NP ~* Washington Family Medicine & Urgent Care Family Nurse Practitioner Medicine & Urgent Care 195 West Telegraph Rd Ogden NPI: 1659348159 195 West Telegraph Rd Washington, UT 84780 84401 Midtown Community Washington, UT 84780 (435) 215-0600 Health Center - Ogden (435) 215-0600 Arbogast, Richard MD ~* 2240 Adams Ave Swedish Winger, Jeffrey NP ~* Family Medicine Ogden, UT 84401 Family Nurse Practitioner NPI: 1376613141 (801) 393-5355 NPI: 1154686467 Hope Community Health Spanish Revere Health - Center /Midtown Chc Washington Family 269 West 33Rd St Medicine & Urgent Care Ogden, UT 84401 195 West Telegraph Rd (801) 393-2742 Washington, UT 84780 (435) 215-0600

101 Primary Care Providers / Médicos de Cuidados Proveedores Weber County continued / Condado seguido

Housley, Mark MD ~* Nelson, John MD ~* Arbogast, Richard MD ~* Beverly, Steven MD * Family Medicine Obstetrics & Gynecology Family Medicine Obstetrics & Gynecology NPI: 1457358335 NPI: 1073776787 NPI: 1376613141 NPI: 1700878279 James Madison Elementary Health Clinics Of Utah - Ihc Mckay Dee Porter Ogden Clinic Womens Health Center Salt Lake - Ogden Family Practice - Ogden Center Mckay 781 25Th Street 2540 Washington Blvd 4403 Harrison Blvd Ste 4403 Harrison Blvd Ste Ogden, UT 84401 Ogden, UT 84401 A700 4650 (801) 393-5355 (801) 395-6410 Ogden, UT 84403 Ogden, UT 84403 (801) 387-5300 (801) 475-3240 Housley, Mark MD ~* Rifleman, Kurt MD ~* Family Medicine Family Medicine Arbon, Brett NP * Bingham, Matthew MD ~ NPI: 1457358335 NPI: 1780682567 Family Nurse Practitioner Family Medicine Midtown Community Midtown Community NPI: 1578527909 NPI: 1336568666 Health Center - Ogden Health Center - Ogden Ogden Clinic Professional Ihc South Ogden Clinic - 2240 Adams Ave 2240 Adams Ave Center - North South Ogden Ogden, UT 84401 Ogden, UT 84401 4650 Harrison Blvd 975 Chambers St (801) 393-5355 (801) 393-5355 Ogden, UT 84403 Ogden, UT 84403 Spanish (801) 475-3000 (801) 387-6200 Ishaya, Josephine NP ~* Danish Family Nurse Practitioner Tuckett, Darrin NP ~* Bingham, Sheryl NP ~* NPI: 1780057901 Family Nurse Practitioner Baires, Enrique MD * Family Nurse Practitioner Health Clinics Of Utah - NPI: 1447696133 Family Medicine NPI: 1689181018 Ogden Site Midtown Community NPI: 1548373400 Ogden Clinic Professional 2540 Washington Blvd Ste Health Center - Ogden Ogden Clinic Professional Center - North 122 2240 Adams Ave Center - North 4650 Harrison Blvd Ogden, UT 84401 Ogden, UT 84401 4650 Harrison Blvd Ogden, UT 84403 (801) 395-6499 (801) 393-5355 Ogden, UT 84403 (801) 475-3000 Spanish (801) 475-3000 Larsen, Scott MD ~* Portugese, Spanish Bingham, Sheryl NP ~* Family Medicine Volante, Carol NP ~* Family Nurse Practitioner NPI: 1982913679 Family Nurse Practitioner Ballingham, Suzanne NPI: 1689181018 Midtown Community NPI: 1316038391 NP ~* Ogden Clinic Womens Health Center - Ogden Health Clinics Of Utah - Family Nurse Practitioner Center Mckay 2240 Adams Ave Ogden Site NPI: 1962522573 4403 Harrison Blvd Ste Ogden, UT 84401 2540 Washington Blvd Ste Pediatric Care Of Ogden - 4650 (801) 393-5355 122 Ogden Ogden, UT 84403 Ogden, UT 84401 1740 East Combe Rd Ste 5 (801) 475-3240 Monroy, Carissa MD ~* (801) 395-6499 Ogden, UT 84403 Family Medicine (801) 621-1701 Brandley, Carra NP ~ NPI: 1760610349 84403 Family Nurse Practitioner Hope Community Health Arbogast, Richard MD ~* Belfry, Carolyn MD * NPI: 1174539209 Center /Midtown Chc Family Medicine Family Medicine Ihc Mckay Dee Internal 269 West 33Rd St NPI: 1376613141 NPI: 1417944083 Medicine - Ogden Ogden, UT 84401 Ihc Mckay Dee Behavioral Ogden Clinic Professional 4403 Harrison Blvd Ste (801) 393-2742 Health - Ogden Center - North 3875 Spanish 3903 Harrison Blvd Ste 4650 Harrison Blvd Ogden, UT 84403 300 Ogden, UT 84403 (801) 387-7950 Ogden, UT 84403 (801) 475-3000 (801) 387-5600

102 Primary Care Providers / Médicos de Cuidados Proveedores Weber County continued / Condado seguido

Broadbent, Daniel MD * Christensen, Don NP ~* Davis, Christopher Gangwer, Nickolas DO ~ Family Medicine Family Nurse Practitioner DO ~* Internal Medicine NPI: 1699901231 NPI: 1619086501 Family Medicine NPI: 1942610993 Ogden Clinic Professional Ogden Clinic Professional NPI: 1346565561 Ihc Mckay Dee Internal Center - North Center - North Ogden Clinic Professional Medicine - Ogden 4650 Harrison Blvd 4650 Harrison Blvd Center - North 4403 Harrison Blvd Ste Ogden, UT 84403 Ogden, UT 84403 4650 Harrison Blvd 3875 (801) 475-3000 (801) 475-3000 Ogden, UT 84403 Ogden, UT 84403 Spanish (801) 475-3000 (801) 387-7950 Christensen, Lane NP * Chinese, Mandarin Bruce, Stephen MD ~* Family Nurse Practitioner Gochnour, Gregory MD Family Medicine NPI: 1336413939 Drollinger, Brooke MD ~ Family Medicine NPI: 1841269321 Ogden Clinic Professional Family Medicine NPI: 1326118506 Ogden Clinic - 4650 South Center - North NPI: 1538497524 Ihc Mckay Dee Porter Harrison Blvd 4650 Harrison Blvd Ihc South Ogden Clinic - Family Practice - Ogden 4650 Harrison Blvd Ogden, UT 84403 South Ogden 4403 Harrison Blvd Ste Ogden, UT 84403 (801) 475-3000 975 Chambers St A700 (801) 475-3000 Ogden, UT 84403 Ogden, UT 84403 Spanish Christiansen, Van MD * (801) 387-6200 (801) 387-5300 Family Medicine Call, Jeffrey MD ~ NPI: 1093702672 Faucett, Clyde MD ~ Hagemeyer, Matthew Internal Medicine Ogden Clinic Professional Internal Medicine MD * NPI: 1093747743 Center - North NPI: 1689603409 Family Medicine Ihc Mckay Dee Internal 4650 Harrison Blvd Ihc Mckay Dee Internal NPI: 1720209380 Medicine - Ogden Ogden, UT 84403 Medicine - Ogden Ogden Clinic Professional 4403 Harrison Blvd Ste (801) 475-3000 4403 Harrison Blvd Ste Center - North 3875 3875 4650 Harrison Blvd Ogden, UT 84403 Cook, Emily DO ~ Ogden, UT 84403 Ogden, UT 84403 (801) 387-7950 Family Medicine (801) 387-7950 (801) 475-3000 NPI: 1508124264 Campbell, Bryan MD Ihc South Ogden Clinic - Ferguson, Cory MD ~ Haider, Zehra MD ~ Family Medicine South Ogden Internal Medicine Internal Medicine NPI: 1386719227 975 Chambers St NPI: 1235349192 NPI: 1285844019 Ihc Mckay Dee Porter Ogden, UT 84403 Ihc Mckay Dee Internal Ihc Mckay Dee Internal Family Practice - Ogden (801) 387-6200 Medicine - Ogden Medicine - Ogden 4403 Harrison Blvd Ste 4403 Harrison Blvd Ste 4403 Harrison Blvd Ste A700 Cook, Johnnie MD ~* 3875 3875 Ogden, UT 84403 Family Medicine Ogden, UT 84403 Ogden, UT 84403 (801) 387-5300 NPI: 1104934280 (801) 387-7950 (801) 387-7950 Ihc Mckay Dee Porter Urdu Chappell, Daniel DO ~* Family Practice - Ogden Fischer, Roxina NP * Family Medicine 4403 Harrison Blvd Ste Family Nurse Practitioner Hall, Richard MD NPI: 1235440157 A700 NPI: 1932197084 Family Medicine Ogden Clinic - 4650 South Ogden, UT 84403 Ogden Clinic - Skyline NPI: 1366462913 4650 Harrison Blvd (801) 387-5300 6112 South 1550 East Ste Ihc South Ogden Clinic - Ogden, UT 84403 Spanish 101 South Ogden (801) 475-3100 Ogden, UT 84403 975 Chambers St French (801) 475-3800 Ogden, UT 84403 (801) 387-6200 Spanish

103 Primary Care Providers / Médicos de Cuidados Proveedores Weber County continued / Condado seguido

Hartman, Albert MD ~* Kammeyer, Steven MD * Lofgran, Brian MD ~* Obrien, Grace DO * Obstetrics & Gynecology Obstetrics & Gynecology Family Medicine Family Medicine NPI: 1659474757 NPI: 1851374920 NPI: 1558518845 NPI: 1093702003 Albert R Hartman Md Pc - Ogden Clinic Womens Ihc Mckay Dee Porter Ogden Clinic Professional Ogden Center Mckay Family Practice - Ogden Center - North 4403 Harrison Blvd Ste 4403 Harrison Blvd Ste 4403 Harrison Blvd Ste 4650 Harrison Blvd 4625 4650 A700 Ogden, UT 84403 Ogden, UT 84403 Ogden, UT 84403 Ogden, UT 84403 (801) 475-3000 (801) 387-4800 (801) 475-3240 (801) 387-5300 Portugese Palmer, Bryan MD * Hemmersmeier, John Lammi, Kirk DO * Obstetrics & Gynecology MD ~* Obstetrics & Gynecology Miconi Correa, Lisa NPI: 1730338161 Family Medicine NPI: 1851575344 NP ~* Ogden Clinic Womens NPI: 1073582995 Ogden Clinic Womens Family Nurse Practitioner Center Mckay Ogden Clinic - 4650 South Center Mckay NPI: 1376830414 4403 Harrison Blvd Ste Harrison Blvd 4403 Harrison Blvd Ste Ogden Clinic - 4650 South 4650 4650 Harrison Blvd 4650 Harrison Blvd Ogden, UT 84403 Ogden, UT 84403 Ogden, UT 84403 4650 Harrison Blvd (801) 475-3240 (801) 475-3000 (801) 475-3240 Ogden, UT 84403 (801) 475-3000 Porter, Joel MD ~ Higgins, Kimberly MD ~ Larson, Alexander MD * Family Medicine Internal Medicine Obstetrics & Gynecology Neville, Roark MD * NPI: 1417977075 NPI: 1962637538 NPI: 1265695019 Family Medicine Ihc Mckay Dee Porter Ihc Mckay Dee Internal Ogden Clinic Professional NPI: 1396854253 Family Practice - Ogden Medicine - Ogden Center - North Ogden Clinic Professional 4403 Harrison Blvd Ste 4403 Harrison Blvd Ste 4650 Harrison Blvd Center - North A700 3875 Ogden, UT 84403 4650 Harrison Blvd Ogden, UT 84403 Ogden, UT 84403 (801) 475-3000 Ogden, UT 84403 (801) 387-5300 (801) 387-7950 Portugese, Spanish (801) 475-3000 Thai Rigby, Rohn MD ~* Hutchinson, Anne MD ~ Lesser, Rosemary MD * Family Medicine Family Medicine Obstetrics & Gynecology Nielsen, Michael MD ~ NPI: 1437283553 NPI: 1861461824 NPI: 1407824667 Family Medicine Ogden Clinic Professional Ihc Mckay Dee Porter Ogden Clinic Professional NPI: 1326061920 Center - North Family Practice - Ogden Center - North Ihc Mckay Dee Porter 4650 Harrison Blvd 4403 Harrison Blvd Ste 4650 Harrison Blvd Family Practice - Ogden Ogden, UT 84403 A700 Ogden, UT 84403 4403 Harrison Blvd Ste (801) 475-3000 Ogden, UT 84403 (801) 475-3000 A700 Korean (801) 387-5300 Ogden, UT 84403 Lesser, Rosemary MD * (801) 387-5300 Robert, Mindy NP ~* Johnson, Nicole NP ~* Obstetrics & Gynecology Spanish Nurse Practitioner Women's Health Nurse NPI: 1407824667 NPI: 1245630078 Practitioner Ogden Clinic Womens Obrien, Grace DO * Ogden Clinic - 4650 South NPI: 1336484286 Center Mckay Family Medicine Harrison Blvd Planned Parenthood 4403 Harrison Blvd Ste NPI: 1093702003 4650 Harrison Blvd Association - Ogden 4650 Ogden Clinic - Skyline Ogden, UT 84403 4387 Harrison Blvd Ste Ogden, UT 84403 6112 South 1550 East Ste (801) 475-3000 D-8 (801) 475-3240 101 Ogden, UT 84403 Ogden, UT 84403 (801) 479-7721 (801) 475-3800

104 Primary Care Providers / Médicos de Cuidados Proveedores Weber County continued / Condado seguido

Scharmann, Stephen MD Tensmeyer, David MD ~ Winn, Darin MD ~* Hagemeyer, Matthew Family Medicine Family Medicine Family Medicine MD * NPI: 1295805117 NPI: 1336169176 NPI: 1437351723 Family Medicine Ihc Mckay Dee Porter Ihc Mckay Dee Porter Ogden Clinic - 4650 South NPI: 1720209380 Family Practice - Ogden Family Practice - Ogden Harrison Blvd Ogden Clinic - Canyon 4403 Harrison Blvd Ste 4403 Harrison Blvd Ste 4650 Harrison Blvd View A700 A700 Ogden, UT 84403 1159 East 12Th St Ogden, UT 84403 Ogden, UT 84403 (801) 475-3000 Ogden, UT 84404 (801) 387-5300 (801) 387-5300 Tagalog (801) 475-3000 Spanish Seale Iv, Fred MD * Woolf, Kurtis MD ~ Schmitz, J David MD * Obstetrics & Gynecology West, Renee MD * Family Medicine Family Medicine NPI: 1518962794 Family Medicine NPI: 1528140878 NPI: 1891782819 Ogden Clinic Womens NPI: 1609864412 Ihc Mckay Dee Porter Ogden Clinic - Canyon Center Mckay Ogden Clinic Professional Family Practice - Ogden View 4403 Harrison Blvd Ste Center - North 4403 Harrison Blvd Ste 1159 East 12Th St 4650 4650 Harrison Blvd A700 Ogden, UT 84404 Ogden, UT 84403 Ogden, UT 84403 Ogden, UT 84403 (801) 475-3000 (801) 475-3240 (801) 475-3000 (801) 387-5300 Spanish Stelter, Casey MD ~* Shanafelt, Emily NP ~* Westbroek, Ryan NP * Family Medicine Family Nurse Practitioner Family Nurse Practitioner Woolman, Michael NPI: 1073607222 NPI: 1437694080 NPI: 1144608050 MD ~* Farr West Family Medicine Ogden Clinic - 4650 South Ogden Clinic - Skyline Family Medicine 2850 North 2000 West Ste Harrison Blvd 6112 South 1550 East Ste NPI: 1508833450 101 4650 Harrison Blvd 101 Ogden Clinic - 4650 South Ogden, UT 84404 Ogden, UT 84403 Ogden, UT 84403 Harrison Blvd (801) 731-1222 (801) 475-3000 (801) 475-3800 4650 Harrison Blvd German Ogden, UT 84403 Spencer, Matthew MD ~ Whitear, Amber MD ~* (801) 475-3000 White, Justin DO ~* Family Medicine Obstetrics & Gynecology Family Medicine NPI: 1245496397 NPI: 1659589737 84404 NPI: 1205028784 Ihc Mckay Dee Porter Ogden Clinic - 4650 South Arbon, Brett NP * Summit Medical Llc - Family Practice - Ogden 4650 Harrison Blvd Family Nurse Practitioner Ogden 4403 Harrison Blvd Ste Ogden, UT 84403 NPI: 1578527909 150 North Washington A700 (801) 475-3100 Ogden Clinic - Canyon Blvd Ste H Ogden, UT 84403 View Ogden, UT 84404 (801) 387-5300 Williams, Nevin MD ~ 1159 East 12Th St (801) 782-0123 Spanish Family Medicine Ogden, UT 84404 Spanish, Tagalog NPI: 1740377225 (801) 475-3000 Sutherland, Travis MD ~ Ihc South Ogden Clinic - Danish 84405 Family Medicine South Ogden Amann, Kelly DO * NPI: 1750315966 975 Chambers St Christiansen, Van MD * Family Medicine Ihc South Ogden Clinic - Ogden, UT 84403 Family Medicine NPI: 1134116783 South Ogden (801) 387-6200 NPI: 1093702672 Ogden Clinic - Adams Ave 975 Chambers St Ogden Clinic - Canyon 5275 South 500 East Ogden, UT 84403 Wilson, Kayleen NP * View Adams Ave Ste A (801) 387-6200 Family Nurse Practitioner 1159 East 12Th St Ogden, UT 84405 NPI: 1790088797 Ogden, UT 84404 (801) 475-3000 Ogden Clinic Professional (801) 475-3000 Center - North 4650 Harrison Blvd Ogden, UT 84403 (801) 475-3000

105 Primary Care Providers / Médicos de Cuidados Proveedores Weber County continued / Condado seguido

Baires, Enrique MD * Bruce, Stephen MD ~* Davis, Wesley MD ~* Herold, Richard MD ~* Family Medicine Family Medicine Obstetrics & Gynecology Internal Medicine NPI: 1548373400 NPI: 1841269321 NPI: 1003892480 NPI: 1891799318 Ogden Clinic - Adams Ave Ogden Clinic - South Circle Of Life Womens Ogden Internal Medicine & 5275 South 500 East Ogden Center - Ogden Urology Llc - Ogden Adams Ave Ste A 5740 Crestwood Dr 1525 East 6000 South Ste 5405 South 500 East Ste Ogden, UT 84405 Ogden, UT 84405 A 100 (801) 475-3000 (801) 479-7771 Ogden, UT 84405 Ogden, UT 84405 Portugese, Spanish Spanish (801) 337-5800 (801) 476-7500 Bentley, Melissa MD ~* Bruce, Stephen MD ~* Deremer, Kathleen Herold, Richard MD ~* Internal Medicine Family Medicine MD ~* Internal Medicine NPI: 1639354897 NPI: 1841269321 Internal Medicine NPI: 1891799318 Ogden Internal Medicine & South Ogden Center For NPI: 1437267192 Ogden Internal Medicine - Urology Llc - Ogden Family Medicine - Ogden Kathleen Rose Deremer Md Ogden 5405 South 500 East Ste 5740 Crestwood Dr - Ogden 5405 South 500 East Ste 100 Ogden, UT 84405 5405 South 500 East Ste 203 Ogden, UT 84405 (801) 479-7771 203 Ogden, UT 84405 (801) 476-7500 Spanish Ogden, UT 84405 (801) 475-8600 (801) 475-8600 Bierer, David MD ~* Christiansen, Van MD * Herold, Richard MD ~* Obstetrics & Gynecology Family Medicine Deremer, Kathleen Internal Medicine NPI: 1447273024 NPI: 1093702672 MD ~* NPI: 1891799318 Circle Of Life Womens Ogden Clinic - Adams Ave Internal Medicine Richard J Herold Md - Center - Ogden 5275 South 500 East NPI: 1437267192 Ogden 1525 East 6000 South Ste Adams Ave Ste A Ogden Internal Medicine & 5405 South 500 East Ste A Ogden, UT 84405 Urology Llc - Ogden 203 Ogden, UT 84405 (801) 475-3000 5405 South 500 East Ste Ogden, UT 84405 (801) 337-5800 100 (801) 475-8100 Spanish Clemens, Peter DO ~* Ogden, UT 84405 Family Medicine (801) 476-7500 Hess, Jessica NP ~* Bledsoe, James DO ~* NPI: 1487858940 Family Nurse Practitioner Family Medicine Paramount Medical Care Hemmersmeier, John NPI: 1982836441 NPI: 1669467544 Llc - Ogden MD ~* Circle Of Life Womens South Ogden Center For 434 East 5350 South Ste B Family Medicine Center - Ogden Family Medicine - Ogden Ogden, UT 84405 NPI: 1073582995 1525 East 6000 South Ste 5740 Crestwood Dr (801) 475-7100 Ogden Clinic - South A Ogden, UT 84405 German Ogden Ogden, UT 84405 (801) 479-7771 5740 Crestwood Dr (801) 337-5800 Spanish Craner, Adam NP ~* Ogden, UT 84405 Family Nurse Practitioner (801) 479-7771 Houpe, Robin MD ~* Brennan, Shannon NP ~* NPI: 1952326357 Obstetrics & Gynecology Family Nurse Practitioner Mountainstar Primary Hemmersmeier, John NPI: 1285843607 NPI: 1962869552 Care - Ogden MD ~* Circle Of Life Womens Circle Of Life Womens 5405 South 500 East Ste Family Medicine Center - Ogden Center - Ogden 100 NPI: 1073582995 1525 East 6000 South Ste 1525 East 6000 South Ste Ogden, UT 84405 South Ogden Center For A A (801) 475-7966 Family Medicine - Ogden Ogden, UT 84405 Ogden, UT 84405 5740 Crestwood Dr (801) 337-5800 (801) 337-5800 Ogden, UT 84405 (801) 479-7771

106 Primary Care Providers / Médicos de Cuidados Proveedores Weber County continued / Condado seguido

Housel, Darren MD ~* Merrill, Rodney DO ~* Saeed, Musab MD ~* Wilson, Kayleen NP * Obstetrics & Gynecology Obstetrics & Gynecology Internal Medicine Family Nurse Practitioner NPI: 1023031507 NPI: 1265591697 NPI: 1427192384 NPI: 1790088797 Circle Of Life Womens Rodney S Merrill Ogden Internal Medicine & Ogden Clinic - Adams Ave Center - Ogden 434 East 5350 South Ste A Urology - Ogden 203 5275 South 500 East 1525 East 6000 South Ste Ogden, UT 84405 5405 South 500 East Suite Adams Ave Ste A A (801) 479-1641 203 Ogden, UT 84405 Ogden, UT 84405 Ogden, UT 84405 (801) 475-3000 (801) 337-5800 Miconi Correa, Lisa (801) 475-8600 NP ~* Urdu Woolman, Michael Jenkins, Hans DO ~* Family Nurse Practitioner MD ~* Family Medicine NPI: 1376830414 Salmon, Cheryl NP ~* Family Medicine NPI: 1316932866 Ogden Clinic - South Family Nurse Practitioner NPI: 1508833450 Mountainstar Primary Ogden NPI: 1316497555 Ogden Clinic - South Care - Ogden 5740 Crestwood Dr Paramount Medical Care Ogden 5405 South 500 East Ste Ogden, UT 84405 Llc - Ogden 5740 Crestwood Dr 100 (801) 479-7771 434 East 5350 South Ste B Ogden, UT 84405 Ogden, UT 84405 Ogden, UT 84405 (801) 479-7771 (801) 475-7966 Mohr, Robert MD ~* (801) 475-7100 Internal Medicine 84414 Johansson, Julia MD ~* NPI: 1750314480 Ward, Cori NP ~ Allen, Carl MD ~ Obstetrics & Gynecology Mountainstar Primary Family Nurse Practitioner Family Medicine NPI: 1174546998 Care - Ogden NPI: 1518132216 NPI: 1376651448 Circle Of Life Womens 5405 South 500 East Ste Utah Behavior Services - Ihc North Ogden Clinic - Center - Ogden 100 Riverdale Ogden 1525 East 6000 South Ste Ogden, UT 84405 5202 South Freeway Park 2400 North Washington A (801) 475-7966 Dr Blvd Ogden, UT 84405 Ogden, UT 84405 Ogden, UT 84414 (801) 337-5800 Moulton, Scott DO ~* (801) 255-5131 (801) 786-7500 Internal Medicine Swedish Lammi, Kirk DO * NPI: 1811141211 Wayment, Nadya MD ~* Obstetrics & Gynecology Ogden Internal Medicine - Family Medicine Alsup Jr, Daniel MD ~ NPI: 1851575344 Ogden NPI: 1821274655 Family Medicine Ogden Clinic - South 5405 South 500 East Ste Mountainstar Primary NPI: 1770658684 Ogden 203 Care - Ogden Ihc North Ogden Clinic - 5740 Crestwood Dr Ogden, UT 84405 5405 South 500 East Ste Ogden Ogden, UT 84405 (801) 475-8600 100 2400 North Washington (801) 479-7771 Ogden, UT 84405 Blvd Naisbitt, Jed MD ~* (801) 475-7966 Ogden, UT 84414 Larson, Alexander MD * Obstetrics & Gynecology (801) 786-7500 Obstetrics & Gynecology NPI: 1487677613 Whitear, Amber MD ~* NPI: 1265695019 Circle Of Life Womens Obstetrics & Gynecology Anderson, Bryant MD ~ Ogden Clinic - Ormc/Ob Center - Ogden NPI: 1659589737 Family Medicine 5495 South 500 East Ste 1525 East 6000 South Ste Ogden Clinic - Ormc/Ob NPI: 1255626503 310 A 5495 South 500 East Ste Ihc North Ogden Clinic - Ogden, UT 84405 Ogden, UT 84405 310 Ogden (801) 475-3100 (801) 337-5800 Ogden, UT 84405 2400 North Washington Portugese, Spanish (801) 475-3100 Blvd Ogden, UT 84414 (801) 786-7500

107 Primary Care Providers / Médicos de Cuidados Proveedores Weber County continued / Condado seguido

Arbon, Brett NP * Eggleston, Darek DO ~* Schmitt, Scott DO ~ Riverdale Family Nurse Practitioner Family Medicine Family Medicine NPI: 1578527909 NPI: 1518302850 NPI: 1508128323 84405 Ogden Clinic - Mountain Ogden Clinic - Pleasant Ihc North Ogden Clinic - Harmston, Catherine View View Ogden NP ~* 1100 West 2700 North 1100 West 2700 North 2400 North Washington Family Nurse Practitioner Ogden, UT 84414 Ogden, UT 84414 Blvd NPI: 1639283302 (801) 475-3000 (801) 475-3600 Ogden, UT 84414 Signature Transitions Danish Spanish (801) 786-7500 Primary & Palliative Care - Riverdale Belfry, Carolyn MD * Flinders, Kurt MD ~* Steinfeldt, Randall MD ~ 4933 South 1500 West Ste Family Medicine Family Medicine Family Medicine 200 NPI: 1417944083 NPI: 1780830612 NPI: 1578598298 Riverdale, UT 84405 Ogden Clinic - Mountain Ihc North Ogden Clinic - Ihc North Ogden Clinic - (801) 475-7500 View Ogden Ogden 1100 West 2700 North 2400 North Washington 2400 North Washington Roy Ogden, UT 84414 Blvd Blvd (801) 475-3000 Ogden, UT 84414 Ogden, UT 84414 84067 (801) 786-7500 (801) 786-7500 Aardema, Critt MD ~* Beverly, Steven MD * Spanish Family Medicine Obstetrics & Gynecology Weeks, Matthew MD ~ NPI: 1891003265 NPI: 1700878279 Jackman, Kyle DO ~ Family Medicine Tanner Memorial Clinic - Ogden Clinic - Mountain Family Medicine NPI: 1053346734 Roy View NPI: 1659782969 Ihc North Ogden Clinic - 3443 West 5600 South Ste 1100 West 2700 North Ihc North Ogden Clinic - Ogden 100 Ogden, UT 84414 Ogden 2400 North Washington Roy, UT 84067 (801) 475-3000 2400 North Washington Blvd (801) 773-4840 Blvd Ogden, UT 84414 Portugese, Spanish Biggs, Sean MD ~ Ogden, UT 84414 (801) 786-7500 Family Medicine (801) 786-7500 Spanish Amann, Kelly DO * NPI: 1841233558 Family Medicine Ihc North Ogden Clinic - Larsen, Bruce MD ~ White, Justin DO ~* NPI: 1134116783 Ogden Family Medicine Family Medicine Ogden Clinic - Roy 2400 North Washington NPI: 1922189372 NPI: 1205028784 3485 West 5200 South Blvd Ihc North Ogden Clinic - Ihc North Ogden Clinic - Roy, UT 84067 Ogden, UT 84414 Ogden Ogden (801) 475-3000 (801) 786-7500 2400 North Washington 2400 North Washington Spanish Blvd Blvd Bailey, Chase NP ~* Ogden, UT 84414 Ogden, UT 84414 Family Nurse Practitioner Christiansen, Van MD * (801) 786-7500 (801) 786-7500 NPI: 1790047157 Family Medicine Spanish, Tagalog Ogden Clinic - Grand View NPI: 1093702672 Mcguire, Jean DO ~ 3485 West 5200 South Ogden Clinic - Mountain Family Medicine Wynn, Steven MD ~ Roy, UT 84067 View NPI: 1235574583 Family Medicine (801) 475-3900 1100 West 2700 North Ihc North Ogden Clinic - NPI: 1962510040 Ogden, UT 84414 Ogden Ihc North Ogden Clinic - Baires, Enrique MD * (801) 475-3000 2400 North Washington Ogden Family Medicine Blvd 2400 North Washington NPI: 1548373400 Ogden, UT 84414 Blvd Ogden Clinic - Roy (801) 786-7500 Ogden, UT 84414 3485 West 5200 South (801) 786-7500 Roy, UT 84067 (801) 475-3000 Portugese, Spanish

108 Primary Care Providers / Médicos de Cuidados Proveedores Weber County continued / Condado seguido

Belfry, Carolyn MD * Pennington, David Subbiah, Archana DO ~ Family Medicine MD ~* Family Medicine NPI: 1417944083 Obstetrics & Gynecology NPI: 1336687763 Ogden Clinic - Roy NPI: 1609941582 Ihc Herefordshire Clinic - 3485 West 5200 South Tanner Memorial Clinic - Roy Roy, UT 84067 Roy 1915 West 5950 South (801) 475-3000 3443 West 5600 South Ste Roy, UT 84067 100 (801) 387-8100 Campbell, Zachary MD ~ Roy, UT 84067 Family Medicine (801) 773-4840 West, Wyatt MD ~* NPI: 1326068974 Family Medicine Ihc Herefordshire Clinic - Petersen, Darlene MD ~* NPI: 1730497108 Roy Family Medicine Tanner Memorial Clinic - 1915 West 5950 South NPI: 1376744433 Roy Roy, UT 84067 Revere Health - Roy - Rock 3443 West 5600 South Ste (801) 387-8100 Run Medical 100 Spanish 5640 South 3500 West Roy, UT 84067 Roy, UT 84067 (801) 773-4840 Christiansen, Van MD * (801) 773-2838 Portugese, Spanish Family Medicine NPI: 1093702672 Schmitz, J David MD * Wilson, Kayleen NP * Ogden Clinic - Roy Family Medicine Family Nurse Practitioner 3485 West 5200 South NPI: 1891782819 NPI: 1790088797 Roy, UT 84067 Ogden Clinic - Roy Ogden Clinic - Grand View (801) 475-3000 3485 West 5200 South 3485 West 5200 South Roy, UT 84067 Roy, UT 84067 Ellis, Kurtis MD ~ (801) 475-3000 (801) 475-3900 Family Medicine NPI: 1013150218 Shanafelt, Emily NP ~* Wintle, Brandon MD ~ Ihc Herefordshire Clinic - Family Nurse Practitioner Family Medicine Roy NPI: 1437694080 NPI: 1932122520 1915 West 5950 South Ogden Clinic - Roy Ihc Herefordshire Clinic - Roy, UT 84067 3485 West 5200 South Roy (801) 387-8100 Roy, UT 84067 1915 West 5950 South (801) 475-3000 Roy, UT 84067 Hiatt, Jared DO ~ (801) 387-8100 Family Medicine Sparks, Isaac DO ~ NPI: 1093155988 Family Medicine Woolf, Kurtis MD ~ Ihc Herefordshire Clinic - NPI: 1205276086 Family Medicine Roy Ihc Herefordshire Clinic - NPI: 1528140878 1915 West 5950 South Roy Ihc Herefordshire Clinic - Roy, UT 84067 1915 West 5950 South Roy (801) 387-8100 Roy, UT 84067 1915 West 5950 South (801) 387-8100 Roy, UT 84067 Obayashi, Mikio MD ~ (801) 387-8100 Family Medicine Stoddard, Jerrica Spanish NPI: 1912923541 APRN ~* Ihc Herefordshire Clinic - Family Nurse Practitioner Roy NPI: 1144584228 1915 West 5950 South Revere Health - Roy - Rock Roy, UT 84067 Run Medical (801) 387-8100 5640 South 3500 West Japanese Roy, UT 84067 (801) 773-2838

109 Specialty Providers / Proveedores Especializados Total count / Cuenta total: 5354

Adult Health Nurse Weber Garland Sorensen, Jennifer CNM ~* Practitioner Ogden 84312 NPI: 1891708319 84403 Sorensen, Jennifer Ihc Bountiful Clinic - Salt Lake CNM ~* Bountiful Bojanower, Deanna NP ~ NPI: 1891708319 390 North Main St Salt Lake City NPI: 1780886945 Bear River Medical Arts Pc Bountiful, UT 84010 Intermountain Cancer 84105 - Garland (801) 294-1000 Center - Ogden 300 West 1400 South Navarro, Bennett NP ~ 4403 Harrison Blvd Ste Garland, UT 84312 Stanger, Cynthia CNM ~ NPI: 1841267309 2855 (435) 257-2469 NPI: 1447552955 Psychiatric And Behavioral Ogden, UT 84403 Ihc Bountiful Clinic - Solutions - Salt Lake (801) 387-7150 Cache Bountiful 1522 South 1100 East 390 North Main St Salt Lake City, UT 84105 84405 Logan Bountiful, UT 84010 (801) 467-1200 Terry, Kayleen NP ~ 84341 (801) 294-1000 NPI: 1992828958 84107 Flansburg, Deborah Zaugg, Laura CNM ~* Ihc Mckay Dee Vascular CNM ~* Terry, Kayleen NP ~ And Vein - South Ogden NPI: 1598831604 NPI: 1538231808 Lakeview Obgyn - NPI: 1992828958 1486 East Skyline Dr Ihc Budge Clinic Ob/Gyn - Ihc Murray Vascular And Ogden, UT 84405 Bountiful Logan 620 East Medical Dr Ste Vein - Murray (801) 476-8346 1400 North 500 East 5323 South Woodrow St 340 Logan, UT 84341 Bountiful, UT 84010 Ste 101 Advanced Practice (435) 716-1920 Salt Lake City, UT 84107 (801) 299-2229 Midwife (801) 261-8346 Powell, Justine CNM ~* NPI: 1821542127 Clearfield South Jordan Box Elder Ihc Budge Clinic Ob/Gyn - 84015 84095 Brigham City Logan Carter, Stacie CNM ~* 1400 North 500 East Brown, Kelleen NP ~ 84302 NPI: 1710180591 Logan, UT 84341 Legacy Point Womens NPI: 1205191483 (435) 716-1920 Palliative Care - Clinical - Overson, Christy CNM ~* Center - Clearfield Medical Group - South NPI: 1053732297 3110 West 300 North Ste B Jordan Brigham Center For Davis Clearfield, UT 84015 11520 South Redwood Rd Womens Health - Brigham Bountiful (801) 614-5270 South Jordan, UT 84095 City (385) 887-6000 984 South Medical Dr Ste 84010 Carter, Stacie CNM ~* 4 Damery, Teresa CNM ~* NPI: 1710180591 Utah Brigham City, UT 84302 NPI: 1881753952 Rocky Mountain Womens (435) 723-0329 Ihc Bountiful Clinic - Health Center - West Provo Bountiful Point- West Point 84601 Overson, Christy CNM ~* 390 North Main St 3110 West 300 North Ste B NPI: 1053732297 Bountiful, UT 84010 Clearfield, UT 84015 Brown, Kelleen NP ~ Mountainstar Brigham (801) 294-1000 (801) 614-5270 NPI: 1205191483 Obgyn - Brigham City Spanish Ihc Utah Valley Palliative 970 South Medical Dr Ste Care Clinic - Provo 202 Faucett, Gretchen CNM ~ 1034 West 500 North Brigham City, UT 84302 NPI: 1477647741 Provo, UT 84601 (435) 695-2273 Ihc Bountiful Clinic - (801) 357-8586 Bountiful 390 North Main St Bountiful, UT 84010 (801) 294-1000 ~ Accepting new patients/Aceptando a nuevos pacientes * Accepts Medicaid/Acepta Medicaid ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

110 Specialty Providers / Proveedores Especializados Advanced Practice Midwife continued/seguido

Layton Blair, Veronica CNM ~* Jensen, Jennifer CNM ~ Thacker, Paula CNM ~* NPI: 1174774301 NPI: 1962643858 NPI: 1205867553 84041 St Marks Gynecology Ihc Southridge Clinic Riverton Healthcare For Carter, Stacie CNM ~* Oncology Care Llc - Draper Ob/Gyn - Riverton Women - Riverton NPI: 1710180591 96 Kimballs Ln Ste 202 3723 West 12600 South Ste 3409 West 12600 South Ste Rocky Mountain Womens Draper, UT 84020 360 110 Health Center - Layton (801) 523-3053 Riverton, UT 84065 Riverton, UT 84065 1580 West Antelope Dr Ste (801) 285-4700 (801) 302-5777 290 Grubb, Michelle CNM ~* Layton, UT 84041 NPI: 1467708487 Jensen, Jennifer CNM ~ Yearsley, Carlie CNM ~ (801) 776-0880 St Marks Gynecology NPI: 1962643858 NPI: 1215285614 Oncology Care Llc - Draper Ihc Southridge Clinic Ihc Southridge Clinic Dearden, Vivian CNM ~* 96 Kimballs Ln Ste 202 Surgical Specialties - Ob/Gyn - Riverton NPI: 1437260510 Draper, UT 84020 Riverton 3723 West 12600 South Ste Rocky Mountain Womens (801) 523-3053 3723 West 12600 South Ste 360 Health Center - Layton 270 Riverton, UT 84065 1580 West Antelope Dr Ste Holladay Riverton, UT 84065 (801) 285-4700 290 (801) 285-4600 Layton, UT 84041 84124 Yearsley, Carlie CNM ~ (801) 776-0880 Barnard, Peter CNM ~* Oneal, Andrea CNM ~ NPI: 1215285614 NPI: 1710993753 NPI: 1639326119 Ihc Southridge Clinic Scott, Heather CNM ~* Ob Gyn Associates Llc - Ihc Southridge Clinic Surgical Specialties - NPI: 1144685603 Salt Lake City Ob/Gyn - Riverton Riverton Rocky Mountain Womens 1151 East 3900 South Ste 3723 West 12600 South Ste 3723 West 12600 South Ste Health Center - Layton B299 360 270 1580 West Antelope Dr Ste Holladay, UT 84124 Riverton, UT 84065 Riverton, UT 84065 290 (801) 268-6811 (801) 285-4700 (801) 285-4600 Layton, UT 84041 (801) 776-0880 Riverton Oneal, Andrea CNM ~ Zeer, Jennifer CNM ~ NPI: 1639326119 NPI: 1659603579 Vance, Rebecca CNM ~* 84065 Ihc Southridge Clinic Ihc Southridge Clinic NPI: 1942242458 Chaney, Chelsea CNM ~* Surgical Specialties - Ob/Gyn - Riverton Center For Womens NPI: 1366827503 Riverton 3723 West 12600 South Ste Oncology - Pgu - Layton Ihc Southridge Clinic 3723 West 12600 South Ste 360 1580 West Antelope Dr Ste Ob/Gyn - Riverton 270 Riverton, UT 84065 290 3723 West 12600 South Ste Riverton, UT 84065 (801) 285-4700 Layton, UT 84041 360 (801) 285-4600 (801) 601-2270 Riverton, UT 84065 Zeer, Jennifer CNM ~ (801) 285-4700 Summerhays, Haley NP ~ NPI: 1659603579 Salt Lake NPI: 1275842783 Ihc Southridge Clinic Damery, Teresa CNM ~* Ihc Southridge Clinic Surgical Specialties - Draper NPI: 1881753952 Surgical Specialties - Riverton 84020 Ihc Southridge Clinic Riverton 3723 West 12600 South Ste Ob/Gyn - Riverton 3723 West 12600 South Ste 270 Blair, Veronica CNM ~* 3723 West 12600 South Ste 270 Riverton, UT 84065 NPI: 1174774301 360 Riverton, UT 84065 (801) 285-4600 Carrie Leigh Sloan Md - Riverton, UT 84065 (801) 285-4600 Draper (801) 285-4700 74 Kimballs Lane Ste 330 Spanish Draper, UT 84020 (801) 523-3053

111 Specialty Providers / Proveedores Especializados Advanced Practice Midwife continued/seguido

Salt Lake City Frenette, Julie CNM * Scott, Heather CNM ~* 84104 84102 NPI: 1518190628 NPI: 1144685603 Anderson, Angela CNM ~ Planned Parenthood Rocky Mountain Womens NPI: 1376657692 Anderson, Angela CNM ~ Association - Salt Lake Health Center - Salt Lake Sorenson Nurse Midwifery NPI: 1376657692 654 South 900 East 82 South 1100 East Ste 305 - Salt Lake Ihc Salt Lake Clinic - Salt Lake City, UT 84102 Salt Lake City, UT 84102 855 West 1300 South Ob/Gyn (801) 322-5571 (801) 214-7650 Salt Lake City, UT 84104 389 South 900 East Spanish (801) 507-7070 Salt Lake City, UT 84102 84103 (385) 282-2800 Johnson, Cyndia CNM * Boll, Melissa CNM ~ Damery, Teresa CNM ~* NPI: 1255542171 NPI: 1124080775 NPI: 1881753952 Anderson, Laura CNM ~* Planned Parenthood Ihc Avenues Womens Sorenson Nurse Midwifery NPI: 1861894123 Association - Salt Lake Center - Salt Lake - Salt Lake Planned Parenthood 654 South 900 East 370 9Th Ave Ste 205 855 West 1300 South Association - Metro Clinic Salt Lake City, UT 84102 Salt Lake City, UT 84103 Salt Lake City, UT 84104 160 South 1000 East Ste (801) 322-5571 (801) 408-6100 (801) 507-7070 120 Spanish Salt Lake City, UT 84102 Kimberly, Megan (801) 257-6789 Damery, Teresa CNM ~* CNM ~* NPI: 1881753952 Fedorchak, Diane CNM ~ NPI: 1932645256 Intermountain Avenues NPI: 1295748705 Anderson, Laura CNM ~* Rocky Mountain Womens Midwifery & Womens Sorenson Nurse Midwifery NPI: 1861894123 Health Center - Salt Lake Health - Salt Lake Planned Parenthood 82 South 1100 East Ste 305 324 10Th Avenue Ste 184 855 West 1300 South Association - Salt Lake Salt Lake City, UT 84102 Salt Lake City, UT 84103 Salt Lake City, UT 84104 654 South 900 East (801) 214-7650 Salt Lake City, UT 84102 (801) 408-1440 (801) 507-7070 (801) 322-5571 Spanish Meidell, Emily CNM ~* Johnson, Annette CNM ~ NPI: 1841749215 Faucett, Gretchen CNM ~ NPI: 1871821496 Batson, Margaret Rocky Mountain Womens NPI: 1477647741 Sorenson Nurse Midwifery CNM ~* Health Center - Salt Lake Ihc Avenues Womens - Salt Lake NPI: 1437127735 82 South 1100 East Ste 305 Center - Salt Lake 855 West 1300 South Margaret Batson - Salt Salt Lake City, UT 84102 370 9Th Ave Ste 205 Salt Lake City, UT 84104 Lake City (801) 214-7650 Salt Lake City, UT 84103 (801) 507-7070 24 South 1100 East Ste 209 (801) 408-6100 Salt Lake City, UT 84102 Reynolds, Mary CNM ~ (801) 355-2229 Reynolds, Mary CNM ~ NPI: 1447263959 Sorensen, Jennifer NPI: 1447263959 Ihc Salt Lake Clinic - CNM ~* Sorenson Nurse Midwifery Batson, Margaret Ob/Gyn NPI: 1891708319 - Salt Lake CNM ~* 389 South 900 East Ihc Avenues Womens 855 West 1300 South NPI: 1437127735 Salt Lake City, UT 84102 Center - Salt Lake Salt Lake City, UT 84104 Obstetrics & Gynecology (385) 282-2800 370 9Th Ave Ste 205 (801) 507-7070 Clinic - Salt Lake Spanish Salt Lake City, UT 84103 Spanish 850 East 300 South Ste 1 (801) 408-6100 Salt Lake City, UT 84102 Rolley, Jennifer CNM ~ (801) 322-1214 NPI: 1568552172 84107 Stanger, Cynthia CNM ~ Anderson, Angela CNM ~ Ihc Salt Lake Clinic - NPI: 1447552955 Chaney, Chelsea CNM ~* Ob/Gyn NPI: 1376657692 Ihc Avenues Womens Ihc Intermountain Nurse NPI: 1366827503 389 South 900 East Center - Salt Lake Rocky Mountain Womens Salt Lake City, UT 84102 Midwives - Murray 370 9Th Ave Ste 205 5121 South Cottonwood St Health Center - Salt Lake (385) 282-2800 Salt Lake City, UT 84103 82 South 1100 East Ste 305 Spanish Ste 170 Salt Lake City, UT 84102 (801) 408-6100 Salt Lake City, UT 84107 (801) 214-7650 (801) 507-7070

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Boll, Melissa CNM ~ Johnson, Annette CNM ~ 84124 Miller, Kathleen CNM ~* NPI: 1124080775 NPI: 1871821496 Barnard, Peter CNM ~* NPI: 1740221738 Ihc Intermountain Nurse Ihc Intermountain Nurse NPI: 1710993753 Mt Olympus Obstetrics Midwives - Murray Midwives - Murray Monarch Womens Cancer And Gynecology - Salt Lake 5121 South Cottonwood St 5121 South Cottonwood St Center - Holladay 1151 East 3900 South Ste Ste 170 Ste 170 1140 East 3900 South Ste B299 Salt Lake City, UT 84107 Salt Lake City, UT 84107 340 Salt Lake City, UT 84124 (801) 507-7070 (801) 507-7070 Salt Lake City, UT 84124 (801) 685-7188 (801) 743-4730 Brooks, Brandy CNM ~ Reynolds, Mary CNM ~ 84129 NPI: 1952706848 NPI: 1447263959 Frenette, Julie CNM ~* Reynolds, Mary CNM ~ Ihc Intermountain Nurse Ihc Intermountain Nurse NPI: 1518190628 NPI: 1447263959 Midwives - Murray Midwives - Murray Mt Olympus Obstetrics Ihc Taylorsville Clinic - 5121 South Cottonwood St 5121 South Cottonwood St And Gynecology - Salt Lake Taylorsville Ste 170 Ste 170 1151 East 3900 South Ste 3845 West 4700 South Salt Lake City, UT 84107 Salt Lake City, UT 84107 B299 Salt Lake City, UT 84129 (801) 507-7070 (801) 507-7070 Salt Lake City, UT 84124 (801) 840-2000 Spanish (801) 685-7188 Spanish Damery, Teresa CNM ~* Spanish NPI: 1881753952 Richardson, Jill CNM ~ Richardson, Jill CNM ~ Ihc Intermountain Nurse NPI: 1942390562 Harward, Marnae NPI: 1942390562 Midwives - Murray Ihc Intermountain Nurse CNM ~* Ihc Taylorsville Clinic - 5121 South Cottonwood St Midwives - Murray NPI: 1295166809 Taylorsville Ste 170 5121 South Cottonwood St St Marks Gynecology 3845 West 4700 South Salt Lake City, UT 84107 Ste 170 Oncology Care Llc - Salt Lake City, UT 84129 (801) 507-7070 Salt Lake City, UT 84107 Holladay (801) 840-2000 Spanish (801) 507-7070 1140 East 3900 South Ste 340 Rolley, Jennifer CNM ~ Fullmer, Che'lyn CNM ~ Shifrar, Jacolin CNM ~* Salt Lake City, UT 84124 NPI: 1568552172 NPI: 1740656453 NPI: 1134261209 (801) 743-4730 Ihc Taylorsville Clinic - Ihc Intermountain Nurse Granger Medical - Murray Taylorsville Midwives - Murray Womens Health Lamalfa, Toni CNM ~* 3845 West 4700 South 5121 South Cottonwood St 348 East 4500 South Ste NPI: 1154424950 Salt Lake City, UT 84129 Ste 170 200 Millcreek Womens Center - (801) 840-2000 Salt Lake City, UT 84107 Salt Lake City, UT 84107 Salt Lake Spanish (801) 507-7070 (801) 268-8222 1140 East 3900 South Ste 410 84143 Gerard, Claudia CNM ~ 84119 Salt Lake City, UT 84124 NPI: 1750471355 Anderson, Angela CNM ~ Anderson, Laura CNM ~* (801) 268-6811 NPI: 1376657692 Ihc Intermountain Nurse NPI: 1861894123 Midwives - Murray Lds Hospital - Service Planned Parenthood Miller, Kathleen CNM ~* 8Th Ave C St 5121 South Cottonwood St Association - West Valley NPI: 1740221738 Ste 170 Salt Lake City, UT 84143 1906 West 3600 South Monarch Womens Cancer (801) 408-1100 Salt Lake City, UT 84107 Salt Lake City, UT 84119 Center - Holladay (801) 507-7070 (801) 973-9675 1140 East 3900 South Ste 340 German, Lindsey CNM ~ Salt Lake City, UT 84124 NPI: 1427497296 (801) 743-4730 Ihc Intermountain Nurse Midwives - Murray 5121 South Cottonwood St Ste 170 Salt Lake City, UT 84107 (801) 507-7070

113 Specialty Providers / Proveedores Especializados Advanced Practice Midwife continued/seguido

Sandy Oneal, Andrea CNM ~ West Jordan Gerard, Claudia CNM ~ NPI: 1639326119 NPI: 1750471355 84070 Ihc Sandy Ob/Gyn - Sandy 84088 Ihc West Valley Specialty Jones, Julie CNM ~* 9600 South 1300 East Ste Vance, Rebecca CNM ~* Clinic - West Valley NPI: 1124006457 308 NPI: 1942242458 5373 West Lake Park Blvd The Health Spot - Sandy Sandy, UT 84094 Jordan Valley Internal West Valley City, UT 10011 South Centennial (801) 501-2160 Medicine - Ste 140 84120 Pkwy Ste 350 3570 West 9000 South Ste (801) 902-7960 Sandy, UT 84070 Yearsley, Carlie CNM ~ 140 (801) 566-5350 NPI: 1215285614 West Jordan, UT 84088 Johnson, Annette CNM ~ Portugese, Spanish Ihc Alta View Nurse (801) 964-3865 NPI: 1871821496 Midwives - Sandy Ihc West Valley Specialty 84094 9600 South 1300 East Ste West Valley City Clinic - West Valley Fedorchak, Diane CNM ~ 310 84120 5373 West Lake Park Blvd NPI: 1295748705 Sandy, UT 84094 West Valley City, UT Ihc Alta View Nurse (801) 501-3300 Anderson, Angela CNM ~ 84120 Midwives - Sandy NPI: 1376657692 (801) 902-7960 9600 South 1300 East Ste Yearsley, Carlie CNM ~ Ihc West Valley Specialty 310 NPI: 1215285614 Clinic - West Valley Reynolds, Mary CNM ~ Sandy, UT 84094 Ihc Sandy Ob/Gyn - Sandy 5373 West Lake Park Blvd NPI: 1447263959 (801) 501-3300 9600 South 1300 East Ste West Valley City, UT Ihc West Valley Specialty 308 84120 Clinic - West Valley (801) 902-7960 Jensen, Jennifer CNM ~ Sandy, UT 84094 5373 West Lake Park Blvd NPI: 1962643858 (801) 501-2160 West Valley City, UT Ihc Alta View Nurse Boll, Melissa CNM ~ 84120 Midwives - Sandy Zeer, Jennifer CNM ~ NPI: 1124080775 (801) 902-7960 9600 South 1300 East Ste NPI: 1659603579 Ihc West Valley Specialty Spanish 310 Ihc Alta View Nurse Clinic - West Valley Sandy, UT 84094 Midwives - Sandy 5373 West Lake Park Blvd Richardson, Jill CNM ~ (801) 501-3300 9600 South 1300 East Ste West Valley City, UT NPI: 1942390562 310 84120 Ihc West Valley Specialty (801) 902-7960 Jensen, Jennifer CNM ~ Sandy, UT 84094 Clinic - West Valley NPI: 1962643858 (801) 501-3300 5373 West Lake Park Blvd Ihc Sandy Ob/Gyn - 9450 Brooks, Brandy CNM ~ West Valley City, UT South Zeer, Jennifer CNM ~ NPI: 1952706848 84120 9450 South 1300 East NPI: 1659603579 Ihc West Valley Specialty (801) 902-7960 Sandy, UT 84094 Ihc Sandy Ob/Gyn - 9450 Clinic - West Valley (801) 501-2160 South 5373 West Lake Park Blvd Rinne, Kirsti CNM ~ 9450 South 1300 East West Valley City, UT NPI: 1033410394 Sandy, UT 84094 84120 Ihc West Valley Specialty Oneal, Andrea CNM ~ (801) 902-7960 NPI: 1639326119 (801) 501-2160 Clinic - West Valley 5373 West Lake Park Blvd Ihc Alta View Nurse Fullmer, Che'lyn CNM ~ Midwives - Sandy South Jordan West Valley City, UT NPI: 1740656453 84120 9600 South 1300 East Ste 84095 Ihc West Valley Specialty 310 (801) 902-7960 Anderson, Laura CNM ~* Clinic - West Valley Sandy, UT 84094 5373 West Lake Park Blvd (801) 501-3300 NPI: 1861894123 Planned Parenthood West Valley City, UT Association - South Jordan 84120 1091 West South Jordan (801) 902-7960 Pkwy Ste 100 South Jordan, UT 84095 (801) 254-2052

114 Specialty Providers / Proveedores Especializados Advanced Practice Midwife continued/seguido

Rolley, Jennifer CNM ~ Elliott, Stevie CNM ~* Krebs, Jennifer CNM ~* Nackos, Tina CNM ~* NPI: 1568552172 NPI: 1871003467 NPI: 1952615205 NPI: 1770021123 Ihc West Valley Specialty Valley Obstetrics And Valley Obstetrics And Valley Obstetrics And Clinic - West Valley Gynecology - American Gynecology - American Gynecology - Provo Cnm 5373 West Lake Park Blvd Fork Fork Group - Orem527 West Valley City, UT 1248 East 90 North Ste 300 1248 East 90 North Ste 300 527 West 400 North Ste 4 84120 American Fork, UT 84003 American Fork, UT 84003 Bonnie, UT 84057 (801) 902-7960 (801) 756-1577 (801) 756-1577 (801) 404-5588 Spanish German, Japanese, Spanish Grubb, Michelle CNM ~* Schlegelmilch, Sue Utah NPI: 1467708487 Nelson, Erica CNM ~* CNM ~* Valley Obstetrics And NPI: 1386974525 NPI: 1366580714 Am Fork Gynecology - American Valley Obstetrics And Valley Obstetrics And 84003 Fork Gynecology - American Gynecology - Provo Cnm 1248 East 90 North Ste 300 Fork Group - Orem527 Seamons, Kathryn American Fork, UT 84003 1248 East 90 North Ste 300 527 West 400 North Ste 4 CNM ~* (801) 756-1577 American Fork, UT 84003 Bonnie, UT 84057 NPI: 1710940952 (801) 756-1577 (801) 404-5588 Valley Obstetrics And Harmer, Elizabeth Spanish Gynecology - American CNM ~* Stuck, Kimberly CNM ~ Fork NPI: 1992736342 Seamons, Kathryn NPI: 1295281921 41 East Commerce Dr Valley Obstetrics And CNM ~* Valley Obstetrics And Am Fork, UT 84003 Gynecology - American NPI: 1710940952 Gynecology - Provo Cnm (801) 756-1577 Fork Valley Obstetrics And Group - Orem527 1248 East 90 North Ste 300 Gynecology - American 527 West 400 North Ste 4 American Fork American Fork, UT 84003 Fork Bonnie, UT 84057 84003 (801) 756-1577 1248 East 90 North Ste 300 (801) 404-5588 Spanish American Fork, UT 84003 Bedell, Leanne CNM ~* (801) 756-1577 Eagle Mountain NPI: 1790780161 Jensen, Josi CNM ~* Valley Obstetrics And NPI: 1417359548 Bonnie 84005 Gynecology - American Valley Obstetrics And Lee, Diana CNM ~* Fork Gynecology - American 84057 NPI: 1093112914 1248 East 90 North Ste 300 Fork Cook, Jennifer CNM ~* Revere Health - Eagle American Fork, UT 84003 1248 East 90 North Ste 300 NPI: 1679667315 Mountain (801) 756-1577 American Fork, UT 84003 Valley Obstetrics And 8121 North Porters German, Japanese, Spanish (801) 756-1577 Gynecology - Provo Cnm Crossing Ste 1 Group - Orem527 Eagle Mountain, UT 84005 Christensen, Amanda Killebrew, Claudia 527 West 400 North Ste 4 (801) 756-5288 CNM ~* CNM ~* Bonnie, UT 84057 NPI: 1598138737 NPI: 1497717052 (801) 404-5588 Lee, Diana CNM ~* Valley Obstetrics And Valley Obstetrics And NPI: 1093112914 Gynecology - American Gynecology - American Morris, Rebecca CNM ~* Revere Health - Eagle Fork Fork NPI: 1740680925 Mountain - Ob/Gyn 2 1248 East 90 North Ste 300 1248 East 90 North Ste 300 Valley Obstetrics And 3943 Pony Express American Fork, UT 84003 American Fork, UT 84003 Gynecology - Provo Cnm Parkway Ste 110 A (801) 756-1577 (801) 756-1577 Group - Orem527 Eagle Mountain, UT 84005 German, Japanese, Spanish 527 West 400 North Ste 4 (801) 756-5288 Bonnie, UT 84057 (801) 404-5588

115 Specialty Providers / Proveedores Especializados Advanced Practice Midwife continued/seguido

Lee, Diana CNM ~* Blair, Veronica CNM ~* Harmer, Elizabeth Nelson, Erica CNM ~* NPI: 1093112914 NPI: 1174774301 CNM ~* NPI: 1386974525 Revere Health - Eagle Timpanogos Womens NPI: 1992736342 Valley Obstetrics And Mountain Family Medicine Center - Lehi Valley Obstetrics And Gynecology - Lehi 4095 East Pony Express 3401 North Center St Ste Gynecology - Lehi 3000 North Triumph Blvd Pkwy Ste 1 150 3000 North Triumph Blvd Ste 210 Eagle Mountain, UT 84005 Lehi, UT 84043 Ste 210 Lehi, UT 84043 (801) 756-5288 (801) 653-2757 Lehi, UT 84043 (801) 756-1577 (801) 756-1577 Spanish Morris, Rebecca CNM ~* Christensen, Amanda Spanish NPI: 1740680925 CNM ~* Orem Revere Health - Eagle NPI: 1598138737 Harward, Marnae Mountain - Ob/Gyn 2 Valley Obstetrics And CNM ~* 84057 3943 Pony Express Gynecology - Lehi NPI: 1295166809 Bedell, Leanne CNM ~* Parkway Ste 110 A 3000 North Triumph Blvd Timpanogos Womens NPI: 1790780161 Eagle Mountain, UT 84005 Ste 210 Center - Lehi Valley Obstetrics And (801) 756-5288 Lehi, UT 84043 3401 North Center St Ste Gynecology - Orem Af (801) 756-1577 150 Group Morris, Rebecca CNM ~* Lehi, UT 84043 700 West 800 North Ste NPI: 1740680925 Elliott, Stevie CNM ~* (801) 653-2757 200 Revere Health - Eagle NPI: 1871003467 Orem, UT 84057 Mountain Family Medicine Valley Obstetrics And Jensen, Josi CNM ~* (801) 404-5588 4095 East Pony Express Gynecology - Lehi NPI: 1417359548 German, Japanese, Spanish Pkwy Ste 1 3000 North Triumph Blvd Valley Obstetrics And Eagle Mountain, UT 84005 Ste 210 Gynecology - Lehi Cook, Jennifer CNM ~* (801) 756-5288 Lehi, UT 84043 3000 North Triumph Blvd NPI: 1679667315 (801) 756-1577 Ste 210 Valley Obstetrics And Udodong, Ekaete Lehi, UT 84043 Gynecology, Provo Cnm APRN ~* Greenlee, Carol CNM ~* (801) 756-1577 Group - Orem NPI: 1083676647 NPI: 1033294681 700 West 800 North Ste Revere Health - Eagle Birthing Your Way Llc - Killebrew, Claudia 200 Mountain - Ob/Gyn 2 Lehi CNM ~* Orem, UT 84057 3943 Pony Express 394 West Main St Ste 206 NPI: 1497717052 (801) 374-1801 Parkway Ste 110 A Lehi, UT 84043 Valley Obstetrics And Eagle Mountain, UT 84005 (801) 796-2229 Gynecology - Lehi Morris, Rebecca CNM ~* (801) 756-5288 3000 North Triumph Blvd NPI: 1740680925 Grubb, Michelle CNM ~* Ste 210 Valley Obstetrics And Lehi NPI: 1467708487 Lehi, UT 84043 Gynecology, Provo Cnm Timpanogos Womens (801) 756-1577 Group - Orem 84043 Center - Lehi German, Japanese, Spanish 700 West 800 North Ste Barnard, Peter CNM ~* 3401 North Center St Ste 200 NPI: 1710993753 150 Krebs, Jennifer CNM ~* Orem, UT 84057 Timpanogos Womens Lehi, UT 84043 NPI: 1952615205 (801) 374-1801 Center - Lehi (801) 653-2757 Valley Obstetrics And 3401 North Center St Ste Gynecology - Lehi Nackos, Tina CNM ~* 150 3000 North Triumph Blvd NPI: 1770021123 Lehi, UT 84043 Ste 210 Valley Obstetrics And (801) 653-2757 Lehi, UT 84043 Gynecology, Provo Cnm (801) 756-1577 Group - Orem German, Japanese, Spanish 700 West 800 North Ste 200 Orem, UT 84057 (801) 374-1801

116 Specialty Providers / Proveedores Especializados Advanced Practice Midwife continued/seguido

Schlegelmilch, Sue Krebs, Jennifer CNM ~* Provo Saratoga Springs CNM ~* NPI: 1952615205 NPI: 1366580714 Revere Health - Pleasant 84601 84045 Valley Obstetrics And Grove - Womens Health Cook, Jennifer CNM ~* Bedell, Leanne CNM ~* Gynecology, Provo Cnm 1886 West 800 North NPI: 1679667315 NPI: 1790780161 Group - Orem Pleasant Grove, UT 84062 Valley Obstetrics And Valley Obstetrics And 700 West 800 North Ste (801) 756-5288 Gynecology - Provo Gynecology - Saratoga 200 German, Japanese, Spanish 585 North 500 West Springs Af Group Orem, UT 84057 Provo, UT 84601 1228 Commerce Dr (801) 374-1801 Lee, Diana CNM ~* (801) 374-1801 Saratoga Springs, UT NPI: 1093112914 84045 Seamons, Kathryn Revere Health - Pleasant Morris, Rebecca CNM ~* (801) 756-9635 CNM ~* Grove - Womens Health NPI: 1740680925 German, Japanese, Spanish NPI: 1710940952 1886 West 800 North Valley Obstetrics And Valley Obstetrics And Pleasant Grove, UT 84062 Gynecology - Provo Christensen, Amanda Gynecology, Provo Cnm (801) 756-5288 585 North 500 West CNM ~* Group - Orem Provo, UT 84601 NPI: 1598138737 700 West 800 North Ste Morris, Rebecca CNM ~* (801) 374-1801 Valley Obstetrics And 200 NPI: 1740680925 Gynecology - Saratoga Orem, UT 84057 Revere Health - Pleasant Nackos, Tina CNM ~* Springs Af Cnm G (801) 374-1801 Grove - Womens Health NPI: 1770021123 1228 Commerce Dr 1886 West 800 North Valley Obstetrics And Saratoga Springs, UT Stuck, Kimberly CNM ~ Pleasant Grove, UT 84062 Gynecology - Provo 84045 NPI: 1295281921 (801) 756-5288 585 North 500 West (801) 756-1577 Valley Obstetrics And Provo, UT 84601 Gynecology - Orem Af Nelson, Erica CNM ~* (801) 374-1801 Elliott, Stevie CNM ~* Group NPI: 1386974525 NPI: 1871003467 700 West 800 North Ste Revere Health - Pleasant Schlegelmilch, Sue Valley Obstetrics And 200 Grove - Womens Health CNM ~* Gynecology - Saratoga Orem, UT 84057 1886 West 800 North NPI: 1366580714 Springs Af Cnm G (801) 404-5588 Pleasant Grove, UT 84062 Valley Obstetrics And 1228 Commerce Dr (801) 756-5288 Gynecology - Provo Saratoga Springs, UT Pleasant Grove Spanish 585 North 500 West 84045 Provo, UT 84601 (801) 756-1577 84062 Seamons, Kathryn (801) 374-1801 Grubb, Michelle CNM ~* CNM ~* Grubb, Michelle CNM ~* NPI: 1467708487 NPI: 1710940952 Stuck, Kimberly CNM ~ NPI: 1467708487 Revere Health - Pleasant Revere Health - Pleasant NPI: 1295281921 Valley Obstetrics And Grove - Womens Health Grove - Womens Health Valley Obstetrics And Gynecology - Saratoga 1886 West 800 North 1886 West 800 North Gynecology - Provo Springs Af Group Pleasant Grove, UT 84062 Pleasant Grove, UT 84062 585 North 500 West 1228 Commerce Dr (801) 756-5288 (801) 756-5288 Provo, UT 84601 Saratoga Springs, UT (801) 374-1801 84045 Killebrew, Claudia Udodong, Ekaete (801) 756-9635 CNM ~* APRN ~* NPI: 1497717052 NPI: 1083676647 Revere Health - Pleasant Revere Health - Pleasant Grove - Womens Health Grove - Womens Health 1886 West 800 North 1886 West 800 North Pleasant Grove, UT 84062 Pleasant Grove, UT 84062 (801) 756-5288 (801) 756-5288 German, Japanese, Spanish

117 Specialty Providers / Proveedores Especializados Advanced Practice Midwife continued/seguido

Harmer, Elizabeth Krebs, Jennifer CNM ~* Washington Dickson, Scott DO ~* CNM ~* NPI: 1952615205 NPI: 1467576322 NPI: 1992736342 Valley Obstetrics And Saint George Ihc Bear River Specialists - Valley Obstetrics And Gynecology - Saratoga 84770 Tremonton Gynecology - Saratoga Springs Af Cnm G 935 North 1000 West Springs Af Cnm G 1228 Commerce Dr Gubler, Katrina CNM ~* Tremonton, UT 84337 1228 Commerce Dr Saratoga Springs, UT NPI: 1740574433 (435) 207-4800 Saratoga Springs, UT 84045 Lunt And Kvarfordt Llc - 84045 (801) 756-1577 St George Cache (801) 756-1577 German, Japanese, Spanish 515 South 300 East Ste 205 Spanish Saint George, UT 84770 Logan (435) 674-0999 Krebs, Jennifer CNM ~* 84341 Jensen, Josi CNM ~* NPI: 1952615205 Spanish NPI: 1417359548 Valley Obstetrics And Dickson, Scott DO ~* Valley Obstetrics And Gynecology - Saratoga Johnson, Cyndia CNM ~* NPI: 1467576322 Gynecology - Saratoga Springs Af Group NPI: 1255542171 Ihc Budge Clinic Surgical Springs Af Cnm G 1228 Commerce Dr Family Birth & Women's Specialists - Logan 1228 Commerce Dr Saratoga Springs, UT Center - St George 1350 North 500 East Saratoga Springs, UT 84045 375 East Tabernacle St Logan, UT 84341 84045 (801) 756-9635 Saint George, UT 84770 (435) 752-1693 (801) 756-1577 German, Japanese, Spanish (435) 817-7696 Davis Killebrew, Claudia Nelson, Erica CNM ~* Allergy & Bountiful CNM ~* NPI: 1386974525 NPI: 1497717052 Valley Obstetrics And Immunology 84010 Valley Obstetrics And Gynecology - Saratoga Bitner, Alan MD ~ Gynecology - Saratoga Springs Af Cnm G Box Elder NPI: 1972505212 Springs Af Cnm G 1228 Commerce Dr Brigham City Ihc Bountiful Clinic - 1228 Commerce Dr Saratoga Springs, UT Bountiful Saratoga Springs, UT 84045 84302 390 North Main St 84045 (801) 756-1577 Dickson, Scott DO ~* Bountiful, UT 84010 (801) 756-1577 Spanish NPI: 1467576322 (801) 294-1000 German, Japanese, Spanish Ihc Box Elder Clinic - Nelson, Erica CNM ~* Brigham City Jones, Douglas MD ~* Killebrew, Claudia NPI: 1386974525 1050 South 500 West NPI: 1346324761 CNM ~* Valley Obstetrics And Brigham City, UT 84302 Rocky Mountain Allergy NPI: 1497717052 Gynecology - Saratoga (435) 695-2700 Asthma And Immunology - Valley Obstetrics And Springs Af Group Bountiful Gynecology - Saratoga 1228 Commerce Dr Tremonton 620 East Medical Dr Ste Springs Af Group Saratoga Springs, UT 150 1228 Commerce Dr 84045 84337 Bountiful, UT 84010 Saratoga Springs, UT (801) 756-9635 Dickson, Scott DO ~* (801) 775-9800 84045 Spanish NPI: 1467576322 Korean (801) 756-9635 Ihc Bear River Family German, Japanese, Spanish Seamons, Kathryn Medicine - Tremonton CNM ~* 935 North 1000 West NPI: 1710940952 Tremonton, UT 84337 Valley Obstetrics And (435) 207-4800 Gynecology - Saratoga Springs Af Cnm G 1228 Commerce Dr Saratoga Springs, UT 84045 (801) 756-1577

118 Specialty Providers / Proveedores Especializados Allergy & Immunology continued/seguido

Layton Salt Lake Chenworth, Eric DO ~* Jones, Douglas MD ~* NPI: 1700859907 NPI: 1346324761 84041 Draper Wasatch Allergy And Rocky Mountain Allergy Firszt, Rafael MD ~* 84020 Asthma - Salt Lake Asthma And Immunology - NPI: 1659533669 24 South 1100 East Ste 201 Murray Tanner Memorial Clinic - Olsen, Jonathan DO ~* Salt Lake City, UT 84102 6065 South Fashion Blvd Layton NPI: 1518287846 (385) 290-1289 Ste 225 2121 North 1700 West Granger Medical Clinic - Spanish Salt Lake City, UT 84107 Layton, UT 84041 Draper - 11724 (801) 266-4115 (801) 773-4840 11724 South State St Hendershot, Richard Korean French Draper, UT 84020 MD ~* (801) 576-2000 NPI: 1518916782 Jones, Douglas MD ~* Jones, Douglas MD ~* Ihc Salt Lake Clinic - NPI: 1346324761 NPI: 1346324761 Riverton Allergy Rocky Mountain Allergy Rocky Mountain Allergy 84065 389 South 900 East Asthma And Immunology - Asthma And Immunology - Salt Lake City, UT 84102 Murray 2 Ste 310 Chenworth, Eric DO ~* (385) 282-2750 5296 South Commerce Dr 1660 West Antelope Dr Ste NPI: 1700859907 Ste 104 310 Wasatch Allergy And Hendershot, Richard Salt Lake City, UT 84107 Layton, UT 84041 Asthma - Riverton MD ~* (801) 773-4840 (801) 775-9800 13348 S Market Center Dr NPI: 1518916782 Korean Korean Ste 220 Ihc Salt Lake Clinic - Riverton, UT 84065 Infusion Olsen, Jonathan DO ~* Jones, Douglas MD ~* (385) 831-1861 389 South 900 East NPI: 1518287846 NPI: 1346324761 Spanish Salt Lake City, UT 84102 Granger Medical - Asthma Tanner Memorial Clinic - (385) 282-2750 And Allergy - Murray Layton Nguyen, Huyen-Tran 5323 Woodrow St Ste 201 2121 North 1700 West MD ~ 84107 Salt Lake City, UT 84107 Layton, UT 84041 NPI: 1841586278 (385) 722-9140 (801) 773-4840 Ihc Southridge Clinic Broadbent, Jan MD ~* Korean Medical Specialties - NPI: 1265487300 Riverton Granger Medical - Asthma 84121 Iron 3723 West 12600 South And Allergy - Murray Kelly, Elizabeth MD ~ Riverton, UT 84065 5323 Woodrow St Ste 201 NPI: 1851587653 Cedar City (801) 285-4200 Salt Lake City, UT 84107 Ihc Holladay Allergy And (385) 722-9140 Dermatology - Holladay 84720 Salt Lake City 6272 South Highland Dr Pinna, Kenneth MD ~* Firszt, Rafael MD ~* Salt Lake City, UT 84121 NPI: 1568423879 84102 NPI: 1659533669 (801) 871-6300 Southwest Allergy & Bitner, Alan MD ~ Tanner Memorial Clinic - Asthma Clinic Pc - Cedar NPI: 1972505212 Murray 84124 City Ihc Salt Lake Clinic - 5296 South Commerce Dr Broadbent, Jan MD ~* 1303 North Main St Ste B Allergy Salt Lake City, UT 84107 NPI: 1265487300 Cedar City, UT 84720 389 South 900 East (801) 773-4840 Granger Medical - Asthma (435) 688-1128 Salt Lake City, UT 84102 French And Allergy - Millcreek (385) 282-2750 1121 East 3900 South Ste Gourley, David MD ~* 130 Bitner, Alan MD ~ NPI: 1477555712 Salt Lake City, UT 84124 NPI: 1972505212 Gourley Allergy & Asthma (801) 281-1300 Ihc Salt Lake Clinic - Pc - Murray Infusion 6065 South Fashion Blvd 389 South 900 East Ste 255 Salt Lake City, UT 84102 Salt Lake City, UT 84107 (385) 282-2750 (801) 266-4115

119 Specialty Providers / Proveedores Especializados Allergy & Immunology continued/seguido

Olsen, Jonathan DO ~* West Jordan Orem Abbott, Jaron MD ~ NPI: 1518287846 NPI: 1053565978 Granger Medical - Asthma 84088 84057 Ihc Utah Valley Ent Provo And Allergy - Millcreek Olsen, Jonathan DO ~* Jacobs, Tammy MD * - Provo 1121 East 3900 South Ste NPI: 1518287846 NPI: 1538397518 1157 North 300 West Ste 130 Granger Medical - West Revere Health - Orem - 302 Salt Lake City, UT 84124 Jordan Allergy & Immunology Provo, UT 84604 (801) 281-1300 3181 West 9000 South 159 North 400 West Ste B8 (801) 357-7323 West Jordan, UT 84088 Orem, UT 84057 Korean 84129 (801) 352-5600 (801) 226-3600 Chinese, Mandarin Washington Hendershot, Richard Utah MD ~* Yeates, Henry MD ~ Saint George NPI: 1518916782 American Fork NPI: 1649204033 Ihc Taylorsville Clinic - 84770 84003 Revere Health - Orem - Taylorsville Allergy & Immunology Pinna, Kenneth MD ~* 3845 West 4700 South Abbott, Jaron MD ~ 159 North 400 West Ste B8 NPI: 1568423879 Salt Lake City, UT 84129 NPI: 1053565978 Orem, UT 84057 Southwest Allergy & (801) 840-2000 Ihc Highland Clinic - (801) 226-3600 Asthma Clinic Pc - St Highland German George Silge, Robert MD ~ 10968 North Alpine Hwy 515 South 300 East Ste 101 NPI: 1902080237 American Fork, UT 84003 Saint George, UT 84770 Ihc Taylorsville Allergy (801) 763-2900 Payson (435) 688-4800 And Dermatology - Korean 84651 Taylorsville Jacobs, Tammy MD * 84790 3845 West 4700 South Lehi NPI: 1538397518 Stevens, Mark MD ~* Salt Lake City, UT 84129 Revere Health - Payson - (801) 840-8444 84043 NPI: 1629399001 Ent Ihc Southwest Abbott, Jaron MD ~ 39 North Professional Way NPI: 1053565978 Rheumatology Associates - Sandy Ste 1 St George Ihc Saratoga Springs Payson, UT 84651 84094 Family Practice - Saratoga 577 South River Rd (801) 465-4805 Saint George, UT 84790 Moffat, Craig MD ~ Springs Chinese, Mandarin NPI: 1134159965 354 West State Rd 73 (435) 688-6262 Ihc Sandy Clinic - Sandy Lehi, UT 84043 9500 South 1300 East (801) 766-4567 Provo Weber Sandy, UT 84094 Korean 84604 Ogden (801) 501-2100 Abbott, Jaron MD ~ Abbott, Jaron MD ~ NPI: 1053565978 84403 Willits, Erin MD ~ NPI: 1053565978 Ihc Summit Womens Lyons, Vickie MD ~* NPI: 1962766402 Lehi Clinic - Site Center - Provo NPI: 1326013574 Ihc Sandy Clinic - 9450 3249 North 1200 West 1157 North 300 West Ste Advanced Allergy And South Lehi, UT 84043 301 Asthma - Ogden 9450 South 1300 East (801) 234-5880 Provo, UT 84604 4403 Harrison Blvd Ste Sandy, UT 84094 Korean (801) 357-7009 4640 (801) 501-2100 Korean Ogden, UT 84403 (801) 387-4850 Willits, Erin MD ~ NPI: 1962766402 Ihc Sandy Clinic - Sandy 9500 South 1300 East Sandy, UT 84094 (801) 501-2100

120 Specialty Providers / Proveedores Especializados

Ambulatory Millcreek Tooele Weber Surgical Center 84124 Tooele Ogden St Marks Outpatient 84074 84403 Cache Surgery Center ~* NPI: 1174587984 Northpointe Surgical Mckay Dee Surgical Providence St Marks Outpatient Center Llc ~* Center ~ NPI: 1255676920 NPI: 1346420882 84332 Surgery Center - Site 1250 East 3900 South Ste Northpointe Surgical Mckay Dee Surgical Center Spring Creek Surgical 100 Center Llc - Tooele - Ogden Center, Llc ~* Millcreek, UT 84124 2326 North 400 East Bldg 3895 Harrison Blvd Ste NPI: 1033503420 (801) 262-0358 C, Ste 100 200 Spring Creek Surgical Tooele, UT 84074 Ogden, UT 84403 Center - Providence Salt Lake City (435) 843-0180 (801) 386-3600 65 North Gateway Dr Ste 3 Providence, UT 84332 84120 Utah Mt Ogden Surgical (435) 535-3257 Utah Surgery Center ~* Center ~* NPI: 1063720365 American Fork NPI: 1720324296 Davis Utah Surgery Center - Salt 84003 Mt Ogden Surgical Center - Lake City Site Bountiful Revere Health Surgery 4364 Washington Blvd 3715 West 4100 South Center ~* 84010 Salt Lake City, UT 84120 Ogden, UT 84403 NPI: 1437205028 (801) 479-4470 Lakeview Endoscopy (801) 957-0200 Revere Health Surgery Center ~* Center - American Fork NPI: 1669415451 84121 1175 East 50 South Ste 101 84405 Lakeview Endoscopy Mountain West American Fork, UT 84003 Ridgeline Endoscopy Center - Bountiful Endoscopy Center ~ (801) 492-5994 Center ~* 620 East Medical Dr Ste NPI: 1679545784 NPI: 1710315619 200 Mountain West Endoscopy Washington Ridgeline Endoscopy Bountiful, UT 84010 Center - Site Center - Ogden (801) 299-6760 6360 South 3000 East Ste Saint George 6028 South Ridgeline Dr 320 84770 Ste 100 Mountain West Surgical Salt Lake City, UT 84121 Ogden, UT 84405 Center ~* (801) 944-3166 South Main Surgery (801) 409-1031 NPI: 1003119470 Center Inc ~* Mountain West Surgical Mountain West NPI: 1972528537 Audiologist Center - Bountiful South Main Surgery Center Endoscopy Center ~* Inc - Saint George 1551 South Renaissance NPI: 1952720674 Cache Towne Dr Ste 200 Mountain West Endoscopy 754 South Main St Ste 3 Bountiful, UT 84010 Saint George, UT 84770 Logan Center - Site (435) 628-2671 (801) 383-1111 6360 South 3000 East Ste 84322 320 Salt Lake Salt Lake City, UT 84121 84790 Shelton, Tiffany AUD ~* (801) 944-3166 St George Endoscopy NPI: 1073998365 Draper Center ~* Speech Language Hearing 84070 84124 NPI: 1457325573 Center - Logan St George Endoscopy 6410 Old Main Hill Lone Peak Surgery Wasatch Endoscopy Center - St George Logan, UT 84322 Center ~* Center Llc ~* 368 East Riverside Dr Ste B (435) 797-1346 NPI: 1598772634 NPI: 1881701290 Saint George, UT 84790 Lone Peak Surgery Center - Wasatch Endoscopy Center (435) 674-3109 Site Llc - Salt Lake City 96 East Kimballs Ln Ste 1220 East 3900 South Ste 100 1B Draper, UT 84070 Salt Lake City, UT 84124 (801) 233-9300 (801) 281-3657

121 Specialty Providers / Proveedores Especializados Audiologist continued/seguido

Davis Hogge, Jennifer AUD ~* 84109 Lehi NPI: 1780892364 Bountiful Young, Alan CCC-A ~* 84043 Tanner Memorial Clinic - NPI: 1588691380 84010 Layton Dansie, Joseph CCC-A ~* 2121 North 1700 West Foothill Family Clinic - NPI: 1972818185 Hendriksen, Nathan Layton, UT 84041 Salt Lake Peak Ent Associates Llc - AUD ~* (801) 773-4840 2295 Foothill Dr Lehi NPI: 1386075752 Salt Lake City, UT 84109 (801) 486-3021 3000 North Triumph Blvd Ogden Clinic - Bountiful 3 Reder, Kelli AUD ~* Ste 260 1551 S Renaissance Towne NPI: 1346776127 Lehi, UT 84043 Dr Ste 310 Ogden Clinic - Layton 2 84113 (801) 768-3500 Bountiful, UT 84010 2255 North 1700 West Ste Norman, Leanne AUD ~* Spanish (801) 295-5581 200 NPI: 1972806651 Layton, UT 84041 Pediatric Otolaryngology - Turner, Jay CCC-A ~* Luekenga, Joshua (801) 776-2180 Pcos NPI: 1811962541 AUD ~* 81 North Mario Capecchi Fyzical Spine, Orthopedic, NPI: 1053609370 Sacco, Robert AUD ~* Dr Sports Therapy & Balance Mountaintop Audiology NPI: 1861545410 Salt Lake City, UT 84113 Ctr - Lehi Llc - Bountiful Tanner Memorial Clinic - (801) 213-3599 3401 Center St Ste 200 415 South Medical Dr Ste Layton Lehi, UT 84043 202A 2121 North 1700 West 84120 (801) 370-9981 Bountiful, UT 84010 Layton, UT 84041 (801) 298-4327 Young, Alan CCC-A ~* (801) 773-4840 NPI: 1588691380 Worthington, Douglas Spanish AUD ~* Reder, Kelli AUD ~* Granger Medical - West Valley NPI: 1467460246 NPI: 1346776127 Salt Lake Peak Ent Associates Llc - Ogden Clinic - Bountiful 3 3725 West 4100 South Lehi 1551 S Renaissance Towne Riverton Salt Lake City, UT 84120 3000 North Triumph Blvd Dr Ste 310 (801) 965-3600 84065 Ste 260 Bountiful, UT 84010 Lehi, UT 84043 (801) 295-5581 Middleton, Brad AUD ~ Utah (801) 768-3500 NPI: 1003928086 American Fork Layton Ihc Southridge Clinic Orem 84041 Surgical Specialties - 84003 Riverton Sacco, Robert AUD ~* 84057 Chipman, Sarah AUD ~* 3723 West 12600 South Ste NPI: 1861545410 Sacco, Robert AUD ~* NPI: 1881722122 270 Revere Health - American NPI: 1861545410 Tanner Memorial Clinic - Riverton, UT 84065 Fork - Ent Revere Health - Orem - Ent Layton (801) 285-4600 1175 East 50 South Ste 211 700 West 800 North Ste 2121 North 1700 West American Fork, UT 84003 400 Layton, UT 84041 Salt Lake City Orem, UT 84057 (801) 773-4840 (801) 418-0870 84108 Spanish (801) 465-4805 American Sign Language Spanish Norman, Leanne AUD ~* Young, Jared CCC-A ~* Hendriksen, Nathan NPI: 1972806651 84058 AUD ~* Speech-Language-Hearing NPI: 1346230745 NPI: 1386075752 Clinic - U Of U Ihc Utah Valley Ent - Turner, Jay CCC-A ~* Ogden Clinic - Layton 2 417 South Wakara Way North Valley - American NPI: 1811962541 2255 North 1700 West Ste Ste 1112 Fork Fyzical Spine, Orthopedic, 200 Salt Lake City, UT 84108 98 North 1100 East Ste 203 Sports Therapy & Balance Layton, UT 84041 (801) 587-9447 American Fork, UT 84003 Ctr - Orem (801) 776-2180 (801) 492-2245 360 South State Ste 110 American Sign Language Orem, UT 84058 (801) 373-7438

122 Specialty Providers / Proveedores Especializados Audiologist continued/seguido

Payson Forsey, Steven AUD ~* Washington Tremonton NPI: 1053691246 84651 Peak Ent Associates Llc - Saint George 84337 Sacco, Robert AUD ~* Ste 211 84790 Collado, Sergio MD ~* NPI: 1861545410 1055 North 300 West Ste NPI: 1326064973 Revere Health - Payson - 211 Garcia, Brittany AUD ~* Ihc Bear River Specialists - Ent Provo, UT 84604 NPI: 1033662705 Tremonton 39 North Professional Way (801) 852-9696 Advanced Hearing And 935 North 1000 West Ste 1 Balance Specialists - St Tremonton, UT 84337 Payson, UT 84651 Sacco, Robert AUD ~* George (435) 207-4800 (801) 465-4805 NPI: 1861545410 1490 East Foremaster Dr Spanish Spanish Revere Health - Provo - Ent Ste 360 2230 North University Ave Saint George, UT 84790 Otrusinik, Rudolf MD ~* Provo Ste 9B (435) 688-8866 NPI: 1003922394 Provo, UT 84604 Ihc Bear River Family 84604 (801) 375-3175 Stirland, Spencer AUD ~* Medicine - Tremonton Cordingley, Sarah Spanish NPI: 1114155769 935 North 1000 West AUD ~* Advanced Hearing And Tremonton, UT 84337 NPI: 1619383494 Thomas, Curtis CCC- Balance Specialists - St (435) 207-4800 Peak Ent Associates Llc - A ~* George Czech, Slovac Provo NPI: 1184761736 1490 East Foremaster Dr 1055 North 300 West Ste Peak Ent Associates Llc - Ste 360 Otrusinik, Rudolf MD ~* 401 Provo Saint George, UT 84790 NPI: 1003922394 Provo, UT 84604 1055 North 300 West Ste (435) 688-8866 Ihc Bear River Specialists - (801) 357-7499 401 Tremonton Provo, UT 84604 Cardiovascular 935 North 1000 West Dansie, Joseph CCC-A ~* (801) 357-7499 Tremonton, UT 84337 NPI: 1972818185 Disease (435) 207-4800 Hearing And Balance Turner, Jay CCC-A ~* Czech, Slovac Institute - Provo NPI: 1811962541 Box Elder 1055 North 300 West Ste Fyzical Spine, Orthopedic, Brigham City Tom, Cindy MD ~* 303 Sports Therapy & Balance NPI: 1811104433 Provo, UT 84604 Ctr-Provo 84302 Bear River Hospital (801) 852-9696 3303 North University Ave Aijaz, Bilal MD ~* Physicians Group - Spanish Provo, UT 84604 NPI: 1205957198 Tremonton (801) 373-7438 Ihc Box Elder Clinic - 905 North 1000 West Dansie, Joseph CCC-A ~* Brigham City Tremonton, UT 84337 NPI: 1972818185 Worthington, Douglas 1050 South 500 West (435) 207-4500 Peak Ent Associates Llc - AUD ~* Brigham City, UT 84302 Provo NPI: 1467460246 (435) 695-2700 Cache 1055 North 300 West Ste Peak Ent Associates Llc - 401 Provo Collado, Sergio MD ~* Logan Provo, UT 84604 1055 North 300 West Ste NPI: 1326064973 84341 (801) 357-7499 401 Ihc Box Elder Clinic - Almony, Gregory MD ~* Spanish Provo, UT 84604 Brigham City (801) 357-7499 NPI: 1023003142 1050 South 500 West Northern Utah Forsey, Steven AUD ~* Brigham City, UT 84302 NPI: 1053691246 Cardiovascular Associates - (435) 695-2700 North Logan Peak Ent Associates Llc - Spanish Provo 2380 North 400 East Ste G 1055 North 300 West Ste Logan, UT 84341 401 (801) 476-6900 Provo, UT 84604 (801) 357-7499

123 Specialty Providers / Proveedores Especializados Cardiovascular Disease continued/seguido

Ansari, Julia MD ~* Otrusinik, Rudolf MD ~* West, Scott MD ~* Zebrack, James MD ~* NPI: 1780846881 NPI: 1003922394 NPI: 1225023328 NPI: 1003808940 Northern Utah Ihc Cache Valley Heart Utah Cardiology Pc - Northern Utah Cardiovascular Associates - Clinic - Logan Farmington 2 Cardiovascular Associates - North Logan 1300 North 500 East Ste 444 West Bourne Cir Ste Layton 2380 North 400 East Ste G 320 200 2132 North 1700 West Ste Logan, UT 84341 Logan, UT 84341 Farmington, UT 84025 200 (801) 476-6900 (435) 716-2200 (801) 776-0174 Layton, UT 84041 Czech, Slovac (801) 776-0171 Crawford, Michael MD ~ Layton NPI: 1699760397 Otrusinik, Rudolf MD ~* Iron Northern Utah NPI: 1003922394 84041 Cardiovascular Associates - Logan Regional Hospital - Aggarwala, Gaurav MD ~ Cedar City North Logan Service NPI: 1629098413 84720 2380 North 400 East Ste G 1400 North 500 East Utah Cardiology Pc - Logan, UT 84341 Logan, UT 84341 Farmington Covington Atwood, (801) 476-6900 (435) 716-5320 2132 North 1700 West Ste Melony MD ~* Czech, Slovac 200 NPI: 1316983588 Forstall, Peter MD ~* Layton, UT 84041 Ihc Cedar City Heart Clinic NPI: 1982844098 Polukoff, Gerald MD ~* (801) 776-0174 - Cedar City Northern Utah NPI: 1215020045 1303 North Main St Ste H Cardiovascular Associates - Ihc Cache Valley Heart Brown, Ronald MD ~* Cedar City, UT 84720 North Logan Clinic - Logan NPI: 1447242060 (435) 868-5500 2380 North 400 East Ste G 1300 North 500 East Ste Northern Utah Logan, UT 84341 320 Cardiovascular Associates - Laffely, Nicholas MD ~* (801) 476-6900 Logan, UT 84341 Layton NPI: 1801981410 (435) 716-2200 2132 North 1700 West Ste Revere Health - Cedar City Garr, Robert DO ~* 200 1320 NPI: 1225023088 Tom, Cindy MD ~* Layton, UT 84041 1320 North Main St Ihc Cache Valley Heart NPI: 1811104433 (801) 776-0171 Cedar City, UT 84720 Clinic - Logan Ihc Cache Valley Heart (435) 251-2900 1300 North 500 East Ste Clinic - Logan Rokeach, Steven MD ~* 320 1300 North 500 East Ste NPI: 1740290212 84721 Logan, UT 84341 320 Northern Utah Covington Atwood, (435) 716-2200 Logan, UT 84341 Cardiovascular Associates - Melony MD ~* Spanish (435) 716-2200 Layton NPI: 1316983588 2132 North 1700 West Ste Cedar City Hospital - Site Otrusinik, Rudolf MD ~* Davis 200 1303 North Main St NPI: 1003922394 Layton, UT 84041 Cedar City, UT 84721 Cache Valley Cardiology - Farmington (801) 776-0171 (435) 868-5000 Logan 84025 1300 North 500 East Ste Sharma, Pawan MD ~* Jensen, Ralph MD ~* 320 Anding, Eric MD ~ NPI: 1114919073 NPI: 1750351029 Logan, UT 84341 NPI: 1487649521 Northern Utah Ihc Southwest Cardiology - (435) 716-2200 Utah Cardiology Pc - Cardiovascular Associates - Cedar City Czech, Slovac Farmington 2 Layton 110 West 1325 North Ste 444 West Bourne Cir Ste 2132 North 1700 West Ste 100 200 200 Cedar City, UT 84721 Farmington, UT 84025 Layton, UT 84041 (435) 251-2500 (801) 776-0174 (801) 776-0171 Hindi

124 Specialty Providers / Proveedores Especializados Cardiovascular Disease continued/seguido

Salt Lake Lapine, Armond MD ~* Outtrim, Rex MD ~* Salt Lake City NPI: 1457331365 NPI: 1558355313 Magna Ihc Int Heart Cardiology - Ihc Int Heart Cardiology - 84101 84044 Riverton Riverton Bekwelem, Wobo MD ~* 3741 West 12600 South Ste 3741 West 12600 South Ste NPI: 1962720136 Miller, Stephen MD ~* 160A 160A The Heart & Lung Institute NPI: 1578514477 Riverton, UT 84065 Riverton, UT 84065 Of Utah - Salt Lake Intermountain Heart (801) 507-3500 (801) 507-3500 82 South 1100 East Ste 103 Center - Magna Spanish Salt Lake City, UT 84101 3665 South 8400 West Ste Lappe, Donald MD ~ (801) 263-2370 240 NPI: 1669440277 Raasch, Hannah MD ~ Magna, UT 84044 Ihc Int Heart Cardiology - NPI: 1326249657 Brann, William MD ~* (801) 382-6800 Riverton Ihc Int Heart Cardiology - NPI: 1912087826 3741 West 12600 South Ste Riverton The Heart & Lung Institute Riverton 160A 3741 West 12600 South Ste Of Utah - Salt Lake 84065 Riverton, UT 84065 160A 82 South 1100 East Ste 103 (801) 507-3500 Riverton, UT 84065 Salt Lake City, UT 84101 Biswas, Santanu MD ~ (801) 507-3500 (801) 263-2370 NPI: 1639138944 Min, David MD ~ Spanish French Ihc Int Heart Cardiology - NPI: 1205946126 Riverton Ihc Int Heart Cardiology - Revenaugh, James MD ~ Kenwood, Bruce DO ~* 3741 West 12600 South Ste Riverton NPI: 1316915952 NPI: 1144279019 160A 3741 West 12600 South Ste Ihc Int Heart Cardiology - The Heart & Lung Institute Riverton, UT 84065 160A Riverton Of Utah - Salt Lake (801) 507-3500 Riverton, UT 84065 3741 West 12600 South Ste 82 South 1100 East Ste 103 (801) 507-3500 160A Salt Lake City, UT 84101 Burke, James MD ~* Korean Riverton, UT 84065 (801) 263-2370 NPI: 1154399459 (801) 507-3500 Ihc Int Heart Cardiology - Oneal Iii, Kelly MD ~* German Massinople, David MD ~* Riverton NPI: 1053401240 NPI: 1255541785 3741 West 12600 South Ste Ihc Int Heart Cardiology - Sekaran, Nishant MD ~ The Heart & Lung Institute 160A Riverton NPI: 1902988546 Of Utah - Salt Lake Riverton, UT 84065 3741 West 12600 South Ste Ihc Int Heart Cardiology - 82 South 1100 East Ste 103 (801) 507-3500 160A Riverton Salt Lake City, UT 84101 Riverton, UT 84065 3741 West 12600 South Ste (801) 263-2370 Dhar, Ritesh MD ~* (801) 507-3500 160A NPI: 1144310939 Riverton, UT 84065 Szwajkun, Konstantyn Ihc Int Heart Cardiology - Orford, James MD ~* (801) 507-3500 MD ~* Riverton NPI: 1902843931 NPI: 1508849191 3741 West 12600 South Ste Ihc Int Heart Cardiology - Walsh, Kevin MD ~* The Heart & Lung Institute 160A Riverton NPI: 1609845734 Of Utah - Salt Lake Riverton, UT 84065 3741 West 12600 South Ste Ihc Int Heart Cardiology - 82 South 1100 East Ste 103 (801) 507-3500 160A Riverton Salt Lake City, UT 84101 Riverton, UT 84065 3741 West 12600 South Ste (801) 263-2370 Harkness, James MD ~ (801) 507-3500 160A NPI: 1912057894 Riverton, UT 84065 Williams, Eric MD ~ Ihc Int Heart Cardiology - (801) 507-3500 NPI: 1265480800 Riverton Healthfair Plus - Salt Lake 3741 West 12600 South Ste City 160A 222 South Main St 5Th Riverton, UT 84065 Floor (801) 507-3500 Salt Lake City, UT 84101 (407) 673-4074

125 Specialty Providers / Proveedores Especializados Cardiovascular Disease continued/seguido

84102 Oneal Iii, Kelly MD ~* Bunch, Thomas MD ~* Harkness, James MD ~ Burke, James MD ~* NPI: 1053401240 NPI: 1790757516 NPI: 1912057894 NPI: 1154399459 Ihc Salt Lake Clinic - Ihc Int Heart Rhythm Ihc Int Heart Institute Ihc Salt Lake Clinic - Cardiology Genetic Heart - Murray Cardiology - Murray Cardiology 389 South 900 East Cottonwood St 5169 South Cottonwood St 389 South 900 East Salt Lake City, UT 84102 5169 South Cottonwood St Ste 520 Salt Lake City, UT 84102 (385) 282-2600 Ste 510A Salt Lake City, UT 84107 (385) 282-2600 Salt Lake City, UT 84107 (801) 507-3500 Raasch, Hannah MD ~ (801) 507-3513 NPI: 1326249657 Spanish Kenwood, Bruce DO ~* Calame, Thomas MD ~* Ihc Int Heart Cardiology - NPI: 1144279019 NPI: 1801888748 Salt Lake Clinic Burke, James MD ~* The Heart & Lung Institute The Cardiovascular Center 389 South 900 East NPI: 1154399459 Of Utah - Main Office At Salt Lake Regional Salt Lake City, UT 84102 Ihc Int Heart Institute 5979 South Fashion Blvd 82 South 1100 East Ste 103 (801) 507-3500 Cardiology - Murray Salt Lake City, UT 84107 Salt Lake City, UT 84102 Spanish 5169 South Cottonwood St (801) 263-2370 (801) 505-5370 Ste 520 Raasch, Hannah MD ~ Salt Lake City, UT 84107 Lapine, Armond MD ~* Fowles, Robert MD ~ NPI: 1326249657 (801) 507-3500 NPI: 1457331365 NPI: 1811927965 Ihc Salt Lake Clinic - Ihc Int Heart Institute Ihc Salt Lake Clinic - Cardiology Crandall, Brian MD ~* Cardiology - Murray Cardiology 389 South 900 East NPI: 1669440269 5169 South Cottonwood St 389 South 900 East Salt Lake City, UT 84102 Ihc Int Heart Rhythm - Ste 520 Salt Lake City, UT 84102 (385) 282-2600 Murray Fashion Blvd Salt Lake City, UT 84107 (385) 282-2600 Spanish 5979 Fashion Blvd (801) 507-3500 Salt Lake City, UT 84107 Harkness, James MD ~ 84107 (801) 507-3513 Lappe, Donald MD ~ NPI: 1912057894 NPI: 1669440277 Ihc Int Heart Cardiology - Bekwelem, Wobo MD ~* Crandall, Brian MD ~* Ihc Int Heart Institute Salt Lake Clinic NPI: 1962720136 NPI: 1669440269 Cardiology - Murray 389 South 900 East The Heart & Lung Institute Ihc Int Heart Rhythm 5169 South Cottonwood St Salt Lake City, UT 84102 Of Utah - Main Office Genetic Heart - Murray Ste 520 (801) 507-3500 5979 South Fashion Blvd Cottonwood St Salt Lake City, UT 84107 Salt Lake City, UT 84107 5169 South Cottonwood St (801) 507-3500 Mackie, Robert MD ~ (801) 263-2370 Ste 510A NPI: 1972595833 Salt Lake City, UT 84107 Massinople, David MD ~* Salt Lake Regional Biswas, Santanu MD ~ (801) 507-3513 NPI: 1255541785 Physicians Inc - Salt Lake NPI: 1639138944 The Heart & Lung Institute 1050 East South Temple Ihc Int Heart Institute Crandall, Brian MD ~* Of Utah - Main Office Salt Lake City, UT 84102 Cardiology - Murray NPI: 1669440269 5979 South Fashion Blvd (801) 352-9500 5169 South Cottonwood St The Heart & Lung Institute Salt Lake City, UT 84107 Ste 520 Of Utah - Main Office (801) 263-2370 Oneal Iii, Kelly MD ~* Salt Lake City, UT 84107 (801) 507-3500 5979 South Fashion Blvd NPI: 1053401240 Salt Lake City, UT 84107 Min, David MD ~ Ihc Int Heart Cardiology - (801) 263-2370 NPI: 1205946126 Salt Lake Clinic Brann, William MD ~* Ihc Int Heart Institute 389 South 900 East NPI: 1912087826 Dhar, Ritesh MD ~* Cardiology - Murray Salt Lake City, UT 84102 The Heart & Lung Institute NPI: 1144310939 5169 South Cottonwood St (801) 507-3500 Of Utah - Main Office Ihc Int Heart Institute Ste 520 5979 South Fashion Blvd Cardiology - Murray Salt Lake City, UT 84107 Salt Lake City, UT 84107 5169 South Cottonwood St (801) 507-3500 (801) 263-2370 Ste 520 Korean French Salt Lake City, UT 84107 (801) 507-3500

126 Specialty Providers / Proveedores Especializados Cardiovascular Disease continued/seguido

Oneal Iii, Kelly MD ~* Raasch, Hannah MD ~ Whisenant, Brian MD ~ Hacking, Scott MD ~* NPI: 1053401240 NPI: 1326249657 NPI: 1750359253 NPI: 1992712285 Ihc Int Heart Institute Ihc Int Heart Institute Ihc Int Heart Institute Mountainstar Cardiology Cardiology - Murray Cardiology - Murray Cardiology - Murray St Marks - West Valley - 5169 South Cottonwood St 5169 South Cottonwood St 5169 South Cottonwood St Ste 340 Ste 520 Ste 520 Ste 520 3540 South 4000 West Ste Salt Lake City, UT 84107 Salt Lake City, UT 84107 Salt Lake City, UT 84107 340 (801) 507-3500 (801) 507-3500 (801) 507-3500 Salt Lake City, UT 84120 Spanish (801) 676-3776 Orford, James MD ~* 84113 NPI: 1902843931 Revenaugh, James MD ~ Freedman, Roger MD ~* Haws, Charles MD ~* Ihc Int Heart Institute NPI: 1316915952 NPI: 1790866580 NPI: 1396739983 Cardiology - Murray Ihc Int Heart Institute Department Of Pediatrics - Granger Medical - West 5169 South Cottonwood St Cardiology - Murray Pch Valley Ste 520 5169 South Cottonwood St 100 North Mario Capecchi 3725 West 4100 South Salt Lake City, UT 84107 Ste 520 Dr Salt Lake City, UT 84120 (801) 507-3500 Salt Lake City, UT 84107 Salt Lake City, UT 84113 (801) 965-3600 (801) 507-3500 (801) 662-1000 Spanish, Other, Osborn, Jeffrey MD ~* German Non-English NPI: 1043288368 Whitehead, Kevin MD ~* Ihc Int Heart Institute Sekaran, Nishant MD ~ NPI: 1255421848 Nielson, Kenneth MD ~* Cardiology - Murray NPI: 1902988546 Department Of Pediatrics - NPI: 1063404929 5169 South Cottonwood St Ihc Int Heart Institute Pch Mountainstar Cardiology Ste 520 Cardiology - Murray 100 North Mario Capecchi St Marks - West Valley - Salt Lake City, UT 84107 5169 South Cottonwood St Dr 4000 West (801) 507-3500 Ste 520 Salt Lake City, UT 84113 3540 South 4000 West Ste Salt Lake City, UT 84107 (801) 662-1000 201 Osborn, Jeffrey MD ~* (801) 507-3500 Norwegian Salt Lake City, UT 84120 NPI: 1043288368 (801) 676-3776 Ihc Int Heart Rhythm Szwajkun, Konstantyn German Genetic Heart - Murray MD ~* 84120 Cottonwood St NPI: 1508849191 Brown, Ronald MD ~* Nielson, Kenneth MD ~* 5169 South Cottonwood St The Heart & Lung Institute NPI: 1447242060 NPI: 1063404929 Ste 510A Of Utah - Main Office Granger Medical - West Mountainstar Cardiology Salt Lake City, UT 84107 5979 South Fashion Blvd Valley St Marks - West Valley - (801) 507-3513 Salt Lake City, UT 84107 3725 West 4100 South Ste 340 (801) 263-2370 Salt Lake City, UT 84120 3540 South 4000 West Ste Outtrim, Rex MD ~* (801) 965-3600 340 NPI: 1558355313 Walsh, Kevin MD ~* Salt Lake City, UT 84120 Ihc Int Heart Institute NPI: 1609845734 Brown, Ronald MD ~* (801) 676-3776 Cardiology - Murray Ihc Int Heart Institute NPI: 1447242060 German 5169 South Cottonwood St Cardiology - Murray Mountainstar Cardiology Ste 520 5169 South Cottonwood St St Marks - West Valley - Rokeach, Steven MD ~* Salt Lake City, UT 84107 Ste 520 4000 West NPI: 1740290212 (801) 507-3500 Salt Lake City, UT 84107 3540 South 4000 West Ste Mountainstar Cardiology Spanish (801) 507-3500 201 St Marks - West Valley - Salt Lake City, UT 84120 Ste 340 (801) 676-3776 3540 South 4000 West Ste 340 Salt Lake City, UT 84120 (801) 676-3776

127 Specialty Providers / Proveedores Especializados Cardiovascular Disease continued/seguido

Sharp, Sally MD ~* 84124 Nielson, Kenneth MD ~* Burke, James MD ~* NPI: 1841282787 Behunin, Andrew DO ~* NPI: 1063404929 NPI: 1154399459 Mountainstar Cardiology NPI: 1356634869 The Heart Center At St Ihc Int Heart Cardiology - St Marks - West Valley - The Heart Center At St Marks - Millcreek Lds Hosp Ste 340 Marks - Millcreek 1160 East 3900 South Ste 8Th Ave & C St 3540 South 4000 West Ste 1160 East 3900 South Ste 2000 Salt Lake City, UT 84143 340 2000 Salt Lake City, UT 84124 (801) 507-3500 Salt Lake City, UT 84120 Salt Lake City, UT 84124 (801) 226-3418 (801) 676-3776 (801) 226-3418 German Dhar, Ritesh MD ~* NPI: 1144310939 Zebrack, James MD ~* Brown, Ronald MD ~* Rokeach, Steven MD ~* Ihc Int Heart Cardiology - NPI: 1003808940 NPI: 1447242060 NPI: 1740290212 Lds Hosp Mountainstar Cardiology Granger Medical - The Heart Center At St 8Th Ave & C St St Marks - West Valley - Wasatch Marks - Millcreek Salt Lake City, UT 84143 Ste 340 1160 East 3900 South Ste 1160 East 3900 South Ste (801) 507-3500 3540 South 4000 West Ste 1000 2000 340 Salt Lake City, UT 84124 Salt Lake City, UT 84124 Harkness, James MD ~ Salt Lake City, UT 84120 (801) 262-1771 (801) 226-3418 NPI: 1912057894 (801) 676-3776 Ihc Int Heart Cardiology - Brown, Ronald MD ~* Sharma, Pawan MD ~* Lds Hosp 84121 NPI: 1447242060 NPI: 1114919073 8Th Ave & C St Sharp, Sally MD ~* The Heart Center At St The Heart Center At St Salt Lake City, UT 84143 NPI: 1841282787 Marks - Millcreek Marks - Millcreek (801) 507-3500 Heart Center At St Marks - 1160 East 3900 South Ste 1160 East 3900 South Ste West Valley 2000 2000 Kfoury, Abdallah MD ~ 3725 West 4100 South Ste Salt Lake City, UT 84124 Salt Lake City, UT 84124 NPI: 1134132681 201 (801) 226-3418 (801) 226-3418 Imc Heart & Lung Salt Lake City, UT 84121 Hindi Specialty Clinic (801) 266-3418 Hacking, Scott MD ~* 5121 Cottonwood St Ste NPI: 1992712285 Sharp, Sally MD ~* L1 84123 The Heart Center At St NPI: 1841282787 Salt Lake City, UT 84143 Marks - Millcreek St Marks Professional (801) 507-4000 Miller, Stephen MD ~* 1160 East 3900 South Ste Services Llc - Holladay French NPI: 1578514477 2000 1200 East 3900 South Intermountain Heart Salt Lake City, UT 84124 Salt Lake City, UT 84124 Lappe, Donald MD ~ Center Inc - Murray (801) 226-3418 (801) 268-7766 NPI: 1669440277 5292 South College Dr Ste Ihc Int Heart Cardiology - 201 Zebrack, James MD ~* Lds Hosp Salt Lake City, UT 84123 Haws, Charles MD ~* NPI: 1003808940 8Th Ave & C St (801) 281-4278 NPI: 1396739983 Granger Medical - The Heart Center At St Salt Lake City, UT 84143 Wasatch Marks - Millcreek (801) 507-3500 Symkoviak, Gary MD ~* 1160 East 3900 South Ste 1160 East 3900 South Ste NPI: 1841273844 1000 2000 Min, David MD ~ Intermountain Heart Salt Lake City, UT 84124 Salt Lake City, UT 84124 NPI: 1205946126 Center Inc - Murray (801) 262-1771 (801) 226-3418 Ihc Int Heart Cardiology - 5292 South College Dr Ste Spanish, Other, Lds Hosp 201 Non-English 84143 8Th Ave & C St Salt Lake City, UT 84123 Salt Lake City, UT 84143 (801) 281-4278 Biswas, Santanu MD ~ NPI: 1639138944 (801) 507-3500 Ihc Int Heart Cardiology - Korean Lds Hosp 8Th Ave & C St Salt Lake City, UT 84143 (801) 507-3500 ~ Accepting new patients/Aceptando a nuevos pacientes * Accepts Medicaid/Acepta Medicaid ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

128 Specialty Providers / Proveedores Especializados Cardiovascular Disease continued/seguido

Oneal Iii, Kelly MD ~* Sandy Min, David MD ~ Sekaran, Nishant MD ~ NPI: 1053401240 NPI: 1205946126 NPI: 1902988546 Ihc Int Heart Cardiology - 84094 Ihc Int Heart Cardiology - Ihc Int Heart Cardiology - Lds Hosp Biswas, Santanu MD ~ Alta View Alta View 8Th Ave & C St NPI: 1639138944 9690 South 1300 East Ste 9690 South 1300 East Ste Salt Lake City, UT 84143 Ihc Int Heart Cardiology - 200 200 (801) 507-3500 Alta View Sandy, UT 84094 Sandy, UT 84094 9690 South 1300 East Ste (801) 507-3500 (801) 507-3500 Orford, James MD ~* 200 Korean NPI: 1902843931 Sandy, UT 84094 Walsh, Kevin MD ~* Ihc Int Heart Cardiology - (801) 507-3500 Oneal Iii, Kelly MD ~* NPI: 1609845734 Lds Hosp NPI: 1053401240 Ihc Int Heart Cardiology - 8Th Ave & C St Burke, James MD ~* Ihc Int Heart Cardiology - Alta View Salt Lake City, UT 84143 NPI: 1154399459 Alta View 9690 South 1300 East Ste (801) 507-3500 Ihc Int Heart Cardiology - 9690 South 1300 East Ste 200 Alta View 200 Sandy, UT 84094 Outtrim, Rex MD ~* 9690 South 1300 East Ste Sandy, UT 84094 (801) 507-3500 NPI: 1558355313 200 (801) 507-3500 Lds Hospital - Hyperbaric Sandy, UT 84094 West Jordan 8Th Avenue & C Street (801) 507-3500 Orford, James MD ~* Salt Lake City, UT 84143 NPI: 1902843931 84084 (801) 408-3623 Dhar, Ritesh MD ~* Ihc Int Heart Cardiology - Bekwelem, Wobo MD ~* Spanish NPI: 1144310939 Alta View NPI: 1962720136 Ihc Int Heart Cardiology - 9690 South 1300 East Ste The Heart & Lung Institute Raasch, Hannah MD ~ Alta View 200 Of Utah - Jordan Valley NPI: 1326249657 9690 South 1300 East Ste Sandy, UT 84094 3570 West 9000 South Ste Ihc Int Heart Cardiology - 200 (801) 507-3500 100 Lds Hosp Sandy, UT 84094 West Jordan, UT 84084 8Th Ave & C St (801) 507-3500 Outtrim, Rex MD ~* (801) 263-2370 Salt Lake City, UT 84143 NPI: 1558355313 (801) 507-3500 Harkness, James MD ~ Alta View Hospital - Kenwood, Bruce DO ~* Spanish NPI: 1912057894 Service NPI: 1144279019 Ihc Int Heart Cardiology - 9660 South 1300 East The Heart & Lung Institute Revenaugh, James MD ~ Alta View Sandy, UT 84094 Of Utah - Jordan Valley NPI: 1316915952 9690 South 1300 East Ste (801) 501-2600 3570 West 9000 South Ste Ihc Int Heart Cardiology - 200 Spanish 100 Lds Hosp Sandy, UT 84094 West Jordan, UT 84084 8Th Ave & C St (801) 507-3500 Raasch, Hannah MD ~ (801) 263-2370 Salt Lake City, UT 84143 NPI: 1326249657 (801) 507-3500 Lapine, Armond MD ~* Ihc Int Heart Cardiology - Massinople, David MD ~* German NPI: 1457331365 Alta View NPI: 1255541785 Ihc Int Heart Cardiology - 9690 South 1300 East Ste The Heart & Lung Institute Walsh, Kevin MD ~* Alta View 200 Of Utah - Jordan Valley NPI: 1609845734 9690 South 1300 East Ste Sandy, UT 84094 3570 West 9000 South Ste Ihc Int Heart Cardiology - 200 (801) 507-3500 100 Lds Hosp Sandy, UT 84094 Spanish West Jordan, UT 84084 8Th Ave & C St (801) 507-3500 (801) 263-2370 Salt Lake City, UT 84143 (801) 507-3500

129 Specialty Providers / Proveedores Especializados Cardiovascular Disease continued/seguido

84088 Szwajkun, Konstantyn Hwang, Chun MD ~* Dahl, Charles MD ~* Massinople, David MD ~* MD ~* NPI: 1649238080 NPI: 1912965344 NPI: 1255541785 NPI: 1508849191 Revere Health - Af - Revere Health - Orem - The Heart & Lung Institute The Heart & Lung Institute Cardiology Allergy & Immunology Of Utah - West Jordan Of Utah - West Valley 1175 East 50 South Ste 251 159 North 400 West Ste B8 3584 West 9000 South Ste 3336 South 4155 West Ste American Fork, UT 84003 Orem, UT 84057 209 203 (801) 492-2815 (801) 226-3600 West Jordan, UT 84088 West Valley City, UT Korean, Portugese, (801) 263-2370 84120 Spanish Hwang, Chun MD ~* (801) 263-2370 NPI: 1649238080 Paulson, Toby DO ~* Revere Health - Orem - West Valley City Tooele NPI: 1235264169 Cardiology 84120 Revere Health - Af - 700 West 800 North Ste Tooele Bekwelem, Wobo MD ~* Cardiology 230 NPI: 1962720136 84074 1175 East 50 South Ste 251 Orem, UT 84057 The Heart & Lung Institute American Fork, UT 84003 (801) 429-0620 Bekwelem, Wobo MD ~* (801) 492-2815 Korean, Portugese, Of Utah - West Valley NPI: 1962720136 3336 South 4155 West Ste Spanish The Heart & Lung Institute Weaver, Aaron MD ~* 203 Of Utah - Tooele West Valley City, UT NPI: 1750594222 Paulson, Toby DO ~* 2326 North 400 East Bldg American Fork Hospital - NPI: 1235264169 84120 C Ste 202 (801) 263-2370 Service Revere Health - Orem - Tooele, UT 84074 170 North 1100 East Cardiology (801) 263-2370 Brann, William MD ~* American Fork, UT 84003 700 West 800 North Ste (801) 855-3300 230 NPI: 1912087826 Szwajkun, Konstantyn The Heart & Lung Institute Russian Orem, UT 84057 MD ~* (801) 429-0620 Of Utah - West Valley NPI: 1508849191 3336 South 4155 West Ste The Heart & Lung Institute Lehi 203 Weaver, Aaron MD ~* Of Utah - Tooele 84043 NPI: 1750594222 West Valley City, UT 2326 North 400 East Bldg 84120 Borchardt, Roger MD ~* Orem Community Hospital C Ste 202 NPI: 1386637833 - Service (801) 263-2370 Tooele, UT 84074 French Wasatch Cardiovascular 331 North 400 West (801) 263-2370 Services - Lehi Orem, UT 84057 3000 North Triumph Blvd (801) 224-4080 Kenwood, Bruce DO ~* Utah NPI: 1144279019 Ste 330 Russian The Heart & Lung Institute American Fork Lehi, UT 84043 (801) 463-7411 Provo Of Utah - West Valley 84003 Spanish 3336 South 4155 West Ste 84604 203 Carter, Melvin MD ~* West Valley City, UT NPI: 1700815834 Orem Allen, Marvin MD ~* 84120 Revere Health - Af - 84057 NPI: 1831154566 (801) 263-2370 Cardiology Revere Health - Provo - 1175 East 50 South Ste 251 Carter, Melvin MD ~* Cardiology Massinople, David MD ~* American Fork, UT 84003 NPI: 1700815834 1055 North 500 West Ste NPI: 1255541785 (801) 492-2815 Revere Health - Orem - 101 Bldg C The Heart & Lung Institute Cardiology Provo, UT 84604 Of Utah - West Valley Carter, Melvin MD ~* 700 West 800 North Ste (801) 373-4366 3336 South 4155 West Ste NPI: 1700815834 230 203 Revere Health - Af - Orem, UT 84057 West Valley City, UT Infectious Disease (801) 429-0620 84120 1175 East 50 South Ste 251 (801) 263-2370 American Fork, UT 84003 (801) 492-2815 ~ Accepting new patients/Aceptando a nuevos pacientes * Accepts Medicaid/Acepta Medicaid ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

130 Specialty Providers / Proveedores Especializados Cardiovascular Disease continued/seguido

Allen, Marvin MD ~* Hwang, Chun MD ~* Weaver, Aaron MD ~* Laffely, Nicholas MD ~* NPI: 1831154566 NPI: 1649238080 NPI: 1750594222 NPI: 1801981410 Revere Health - Provo Revere Health - Provo - Revere Health - Provo - Revere Health - St George - Clinic Cardiology Cardiology Heart Of Dixie Cardiology 1055 North 500 West 1055 North 500 West Ste 1055 North 500 West Ste 1380 East Medical Center Provo, UT 84604 101 Bldg C 101 Bldg C Dr Ste 4100 (801) 802-7373 Provo, UT 84604 Provo, UT 84604 Saint George, UT 84790 (801) 373-4366 (801) 373-4366 (435) 251-2900 Bingham, Scott MD ~* Korean, Portugese, Russian NPI: 1487612214 Spanish Nimer, Lynn MD ~* Revere Health - Provo - Washington NPI: 1689635922 Cardiology Paulson, Toby DO ~* Lynn Roy Nimer Md - St 1055 North 500 West Ste NPI: 1235264169 Saint George George 101 Bldg C Revere Health - Provo - 84790 1380 East Medical Center Provo, UT 84604 Cardiology Dr Ste 3500 (801) 373-4366 1055 North 500 West Ste Boorman, David MD ~* Saint George, UT 84790 101 Bldg C NPI: 1659344471 (435) 251-2150 Carter, Melvin MD ~* Provo, UT 84604 Revere Health - St George - Spanish NPI: 1700815834 (801) 373-4366 Heart Of Dixie Cardiology Revere Health - Provo - 1380 East Medical Center Williams, Zachary MD ~* Cardiology Perry, David DO ~* Dr Ste 4100 NPI: 1134372584 1055 North 500 West Ste NPI: 1295029528 Saint George, UT 84790 Ihc Southwest Cardiology - 101 Bldg C Revere Health - Provo - (435) 251-2900 St George Provo, UT 84604 Cardiology 1380 East Medical Center (801) 373-4366 1055 North 500 West Ste Gardner, Blake MD ~* Dr Ste 1500 101 Bldg C NPI: 1134301997 Saint George, UT 84790 Cragun, David Turley Provo, UT 84604 Cardiovascular & Thoracic (435) 251-2500 MD ~* (801) 373-4366 Surgery - St George NPI: 1821005349 1380 East Medical Center Willis, Carrie MD ~* Revere Health - Provo - Wang, David MD ~* Dr Ste 2600 NPI: 1811151020 Cardiology NPI: 1649491440 Saint George, UT 84790 Ihc Southwest Cardiology - 1055 North 500 West Ste Revere Health - Provo - (435) 251-2700 St George 101 Bldg C Cardiology Spanish 1380 East Medical Center Provo, UT 84604 1055 North 500 West Ste Dr Ste 1500 (801) 373-4366 101 Bldg C Gardner, Blake MD ~* Saint George, UT 84790 Italian Provo, UT 84604 NPI: 1134301997 (435) 251-2500 (801) 373-4366 Ihc Southwest Cardiology - Dahl, Charles MD ~* St George Weber NPI: 1912965344 Wang, David MD ~* 1380 East Medical Center Revere Health - Provo - NPI: 1649491440 Dr Ste 1500 Ogden Saint George, UT 84790 Cardiology Revere Health - Provo 84403 1055 North 500 West Ste Clinic (435) 251-2500 101 Bldg C 1055 North 500 West Spanish Aijaz, Bilal MD ~* Provo, UT 84604 Provo, UT 84604 NPI: 1205957198 (801) 373-4366 (801) 802-7373 Jensen, Ralph MD ~* Ihc Mckay Dee Cardiology NPI: 1750351029 - Ogden Ihc Southwest Cardiology - 4403 Harrison Blvd Ste St George 3490 1380 East Medical Center Ogden, UT 84403 Dr Ste 1500 (801) 387-2650 Saint George, UT 84790 (435) 251-2500

131 Specialty Providers / Proveedores Especializados Cardiovascular Disease continued/seguido

Aijaz, Bilal MD ~* Crawford, Michael MD ~ Husain, Saima MD ~ Lund, John MD ~ NPI: 1205957198 NPI: 1699760397 NPI: 1427237007 NPI: 1477578557 Ihc Mckay Dee Cardiology Ihc Mckay Dee Heart Ihc Mckay Dee Heart Ihc Mckay Dee Cardiology South - Ogden Rhythm Specialists - Ogden Rhythm Specialists - Ogden - Ogden 4403 Harrison Blvd Ste 4403 Harrison Blvd Ste 4403 Harrison Blvd Ste 4403 Harrison Blvd Ste 3400 3450 3450 3490 Ogden, UT 84403 Ogden, UT 84403 Ogden, UT 84403 Ogden, UT 84403 (801) 387-3400 (801) 387-3850 (801) 387-3850 (801) 387-2650 Hindi, Russian Spanish Aijaz, Bilal MD ~* Holland, Grant MD ~ NPI: 1205957198 NPI: 1669467791 John, Jerry MD ~ Lund, John MD ~ Ihc Mckay Dee Heart Ihc Mckay Dee Cardiology NPI: 1659440543 NPI: 1477578557 Rhythm Specialists - Ogden South - Ogden Ihc Mckay Dee Cardiology Ihc Mckay Dee Cardiology 4403 Harrison Blvd Ste 4403 Harrison Blvd Ste - Ogden South - Ogden 3450 3400 4403 Harrison Blvd Ste 4403 Harrison Blvd Ste Ogden, UT 84403 Ogden, UT 84403 3490 3400 (801) 387-3850 (801) 387-3400 Ogden, UT 84403 Ogden, UT 84403 (801) 387-2650 (801) 387-3400 Collado, Sergio MD ~* Husain, Saima MD ~ Spanish NPI: 1326064973 NPI: 1427237007 John, Jerry MD ~ Ihc Mckay Dee Cardiology Ihc Mckay Dee Cardiology NPI: 1659440543 Lund, John MD ~ - Ogden - Ogden Ihc Mckay Dee Cardiology NPI: 1477578557 4403 Harrison Blvd Ste 4403 Harrison Blvd Ste South - Ogden Ihc Mckay Dee Heart 3490 3490 4403 Harrison Blvd Ste Rhythm Specialists - Ogden Ogden, UT 84403 Ogden, UT 84403 3400 4403 Harrison Blvd Ste (801) 387-2650 (801) 387-2650 Ogden, UT 84403 3450 Spanish Hindi, Russian (801) 387-3400 Ogden, UT 84403 (801) 387-3850 Collado, Sergio MD ~* Husain, Saima MD ~ John, Jerry MD ~ Spanish NPI: 1326064973 NPI: 1427237007 NPI: 1659440543 Ihc Mckay Dee Heart Ihc Mckay Dee Cardiology Ihc Mckay Dee Heart Nassif, Mariam MD ~ Rhythm Specialists - Ogden South - Ogden Failure - Ogden NPI: 1326043209 4403 Harrison Blvd Ste 4403 Harrison Blvd Ste 4403 Harrison Blvd Ste Ihc Mckay Dee Cardiology 3450 3400 3430 - Ogden Ogden, UT 84403 Ogden, UT 84403 Ogden, UT 84403 4403 Harrison Blvd Ste (801) 387-3850 (801) 387-3400 (801) 387-3880 3490 Spanish Hindi, Russian Ogden, UT 84403 John, Jerry MD ~ (801) 387-2650 Crawford, Michael MD ~ Husain, Saima MD ~ NPI: 1659440543 Arabic NPI: 1699760397 NPI: 1427237007 Ihc Mckay Dee Heart Ihc Mckay Dee Cardiology Ihc Mckay Dee Heart Rhythm Specialists - Ogden Nassif, Mariam MD ~ South - Ogden Failure - Ogden 4403 Harrison Blvd Ste NPI: 1326043209 4403 Harrison Blvd Ste 4403 Harrison Blvd Ste 3450 Ihc Mckay Dee Cardiology 3400 3430 Ogden, UT 84403 South - Ogden Ogden, UT 84403 Ogden, UT 84403 (801) 387-3850 4403 Harrison Blvd Ste (801) 387-3400 (801) 387-3880 3400 Hindi, Russian John, Jerry MD ~ Ogden, UT 84403 NPI: 1659440543 (801) 387-3400 Mckay Dee Hospital - Arabic Service 4401 Harrison Blvd Ogden, UT 84403 (801) 627-2800

132 Specialty Providers / Proveedores Especializados Cardiovascular Disease continued/seguido

Nassif, Mariam MD ~ Ansari, Julia MD ~* Smithfield Clearfield NPI: 1326043209 NPI: 1780846881 Ihc Mckay Dee Heart Northern Utah 84335 84015 Rhythm Specialists - Ogden Cardiovascular Associates - Crawford, Ira DC ~ Burgess, James DC ~ 4403 Harrison Blvd Ste Ogden NPI: 1225119837 NPI: 1720263718 3450 5405 South 500 East Ste Smithfield Chiropractic James L Burgess Dc - Ogden, UT 84403 204 1177 South Main St Clearfield (801) 387-3850 Ogden, UT 84405 Smithfield, UT 84335 525 South State St Ste 12 Arabic (801) 479-0184 (435) 563-6887 Clearfield, UT 84015 (801) 825-0134 Rigby, Dwight MD ~ Crawford, Michael MD ~ Gibbons, Jeremy DC ~ NPI: 1508851635 NPI: 1699760397 NPI: 1306927991 Hales, Daryl DC ~ Ihc Mckay Dee Cardiology Northern Utah Gibbons Chiropractic - NPI: 1972504892 - Ogden Cardiovascular Associates - Smithfield Hales Chiropractic Center - 4403 Harrison Blvd Ste Ogden 1177 South Main St Clearfield 3490 5405 South 500 East Ste Smithfield, UT 84335 360 South State St Ste A Ogden, UT 84403 204 (435) 563-2514 Clearfield, UT 84015 (801) 387-2650 Ogden, UT 84405 (801) 773-1821 (801) 479-0184 Davis Rigby, Dwight MD ~ Kaysville Bountiful NPI: 1508851635 Forstall, Peter MD ~* 84037 Ihc Mckay Dee Cardiology NPI: 1982844098 84010 South - Ogden Northern Utah Grant, Todd DC ~ 4403 Harrison Blvd Ste Cardiovascular Associates - George, Dallas DC ~ NPI: 1265516165 3400 Ogden NPI: 1861639163 Grant Chiropractic - Ogden, UT 84403 5405 South 500 East Ste Community Chiropractic - Kaysville (801) 387-3400 204 Bountiful 280 West 200 North Ste A Ogden, UT 84405 395 North 200 West Kaysville, UT 84037 Rigby, Dwight MD ~ (801) 479-0184 Bountiful, UT 84010 (801) 546-2273 NPI: 1508851635 (801) 295-6667 Ihc Mckay Dee Heart Chiropractor Layton Rhythm Specialists - Ogden George, Dan DC ~ NPI: 1134186182 84040 4403 Harrison Blvd Ste Cache 3450 Community Chiropractic - Bowden, Joseph DC ~ Ogden, UT 84403 Providence Bountiful NPI: 1275627754 (801) 387-3850 395 North 200 West Stayfit Wellness Clinic - 84332 Bountiful, UT 84010 Layton 84405 Lyman, Brian DC ~ (801) 295-6667 116 North Adamswood Rd NPI: 1073694816 Ste 2 Almony, Gregory MD ~* Brian T Lyman Dc Inc - Neumann, Roger DC ~ Layton, UT 84040 NPI: 1023003142 Providence NPI: 1831202282 (801) 888-2134 Northern Utah 585 West 100 North Ste E Roger Max Neumann Dc - Cardiovascular Associates - Providence, UT 84332 Bountiful Jeffery, Ryan DC ~ Ogden (435) 750-6909 1480 Orchard Dr NPI: 1336291012 5405 South 500 East Ste Italian Bountiful, UT 84010 In House Chiropractic Inc - 204 (801) 292-5611 Layton Ogden, UT 84405 1037 Kimberly Dr (801) 479-0184 Layton, UT 84040 (801) 593-0999

133 Specialty Providers / Proveedores Especializados Chiropractor continued/seguido

Robb, Brandon DC ~ Salt Lake Salt Lake City Tooele NPI: 1629383989 Bowden Chiropractic Midvale 84121 Tooele Clinic - Layton 84047 Kesler, Christopher DC ~ 84074 116 North Adamswood Rd NPI: 1720103435 Ste 1 Harbrecht, Chris DC ~ Christopher S Kesler Dc - Brown, Devron DC ~ Layton, UT 84040 NPI: 1336351444 Salt Lake City NPI: 1942368345 (801) 547-9974 Elite Chiropractic And 1760 East Fort Union Blvd Health Source Of Utah - Performance Center Salt Lake City, UT 84121 Tooele 84041 6717 South 900 East Ste (801) 942-7272 352 North Main St 101 Spanish Tooele, UT 84074 Bowden, Corey DC ~ Midvale, UT 84047 (435) 882-7200 NPI: 1063639359 (801) 432-7511 Smithers, Michael DC ~ Advanced Spinal NPI: 1457312720 Thompson, Glenn DC ~ Rehabilitation Pc - Layton Layton, Monte DC ~ The Back Clinic - NPI: 1407830953 1649 West Antelope Dr Ste NPI: 1598773863 Cottonwood Tooele Valley Spine Center 180 Elite Chiropractic And 7084 South 2300 East Ste - Tooele Layton, UT 84041 Performance Center 110 1244 North Main St Ste (801) 444-1230 6717 South 900 East Ste Salt Lake City, UT 84121 100 101 (801) 942-5814 Tooele, UT 84074 Johnson, Wayne DC ~ Midvale, UT 84047 Spanish (435) 833-9200 NPI: 1558342105 (801) 432-7511 Spanish Johnson Chiropractic - Sandy Layton Wimmer, Jeremy DC ~ Utah 471 West Heritage Park NPI: 1659318632 84070 Blvd Ste 3 Jeremy P Wimmer Roller, Matthew DC ~ Alpine Layton, UT 84041 Chiropractic Llc - Salt Lake NPI: 1740287408 84004 (801) 444-1002 6717 South 900 East Ste Upzen Health - Sandy 101 Hayes, Randall DC ~ 9055 South 255 West NPI: 1467568576 Iron Midvale, UT 84047 Sandy, UT 84070 (801) 432-7511 Hayes Chiropractic Llc - Cedar City (801) 572-2272 Alpine 12 East Red Pine Dr 84720 Riverton West Jordan Alpine, UT 84004 Romney, J Christopher 84065 84084 (801) 763-5991 DC ~ Rosquist, Gary DC ~ Egbert, Patrick DC ~ NPI: 1982640454 NPI: 1427078666 Pleasant Grove Romney Chiropractic - NPI: 1750388765 The Rosquist Group Pc - Physical Medicine Clinic - 84062 Cedar City Riverton 965 South Main St Ste A West Jordan Barrus, James DC ~ 3409 West 12600 South Ste 7669 South 1700 West Cedar City, UT 84720 200 NPI: 1538242714 (435) 586-9904 West Jordan, UT 84084 Barrus Chiropractic Center Riverton, UT 84065 (801) 566-2449 (801) 676-8770 - Pleasant Grove Sheldon, Dean DC ~ Spanish 912 North 2000 West NPI: 1659608032 Pleasant Grove, UT 84062 Stokes, Harold DC ~ Gunn, Harold DC ~ Sheldon Family NPI: 1669527040 (801) 756-2861 Chiropractic NPI: 1497744692 Spanish Stokes Chiropractic - Chiropractic Associates Inc 96 North Main St Ste 103 Riverton Cedar City, UT 84720 - West Jordan 2332 West 12600 South Ste 7669 South Redwood Rd (435) 867-8986 2A German West Jordan, UT 84084 Riverton, UT 84065 (801) 566-2465 (801) 254-5808

~ Accepting new patients/Aceptando a nuevos pacientes ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

134 Specialty Providers / Proveedores Especializados Chiropractor continued/seguido

Provo Springville Weber Doxey, Greg DC ~ NPI: 1083633077 84601 84663 Ogden Doxey Chiropractic Inc - Bowers, Marc DC ~ Olson, Richard DC ~ 84403 Ogden NPI: 1851480362 NPI: 1265460778 690 12Th St Chiropractic Care And Springville Chiropractic - Wheeler, Stephen DC ~ Ogden, UT 84404 Massage - Provo Springville NPI: 1619953254 (801) 399-9805 777 North 500 West Ste 485 South Main St Ste 101 Healthsource Chiropractic 205 Springville, UT 84663 Of South Ogden Llc - Doxey, Thomas DC ~ Provo, UT 84601 (801) 489-4990 Ogden NPI: 1942377619 (801) 377-0898 Spanish 1893 Skyline Dr Ste 204 Doxey Family Chiropractic Ogden, UT 84403 - Ogden Mcclean, Matthew DC ~ Washington (801) 621-1667 876 East 12Th St NPI: 1922195817 Ogden, UT 84404 Mcclean Chiropractic Hurricane Wooden, Wesley DC ~ (801) 399-9802 Clinic Llc - Provo 84737 NPI: 1912984725 385 North 500 West Healthsource Chiropractic Skaggs, Daniel DC ~ Provo, UT 84601 Carr, Joshua DC ~ Of South Ogden Llc - NPI: 1477684884 (801) 373-1035 NPI: 1538235221 Ogden Skaggs Chiropractic - Finnish, French Coral Canyon Chiropractic 1893 Skyline Dr Ste 204 Pleasant View - Hurricane Ogden, UT 84403 2721 North Hwy 89 Ste Mcclean Jr, Gordon DC ~ 83 South 2600 West Ste (801) 621-1667 100 NPI: 1053408955 102 Ogden, UT 84404 Mcclean Chiropractic Hurricane, UT 84737 84404 (801) 782-4454 Clinic Llc - Provo (435) 635-7771 Portugese Doxey, Adam DC ~ 385 North 500 West NPI: 1740357409 Clinical Cardiac Provo, UT 84601 Adam Doxey Inc - Ogden (801) 373-1035 Saint George 876 12Th St Electrophysiology 84770 Ogden, UT 84404 Saratoga Springs Boyer, Ronald DC ~ (801) 399-9802 Box Elder Spanish 84043 NPI: 1609092030 Brigham City Goodman, Kenneth DC ~ Advanced Care Chiropractic Doxey, Adam DC ~ 84302 NPI: 1700971587 NPI: 1740357409 Goodman Chiropratic - 47 North 100 East Dan, Dan MD ~* Saint George, UT 84770 Doxey Family Chiropractic Saratoga Springs - Ogden NPI: 1326043472 85 East State Road Ste 75 (435) 275-4015 Ihc Box Elder Clinic - Spanish 876 East 12Th St Saratoga Springs, UT Ogden, UT 84404 Brigham City 84043 1050 South 500 West Sorenson, John DC ~ (801) 399-9802 (801) 766-0507 Spanish Brigham City, UT 84302 Italian, Spanish NPI: 1396918686 (435) 695-2700 Sorenson Chiropractic Llc - Doxey, Amy DC ~ St George Davis Spanish Fork 47 North 100 East NPI: 1205378759 84660 Saint George, UT 84770 Doxey Chiropractic Inc - Farmington Ogden Anderson, Jay DC ~ (435) 275-4015 Japanese 690 12Th St 84025 NPI: 1558360362 Ogden, UT 84404 Talwar, Sandeep MD ~* Anderson Chiropractic - (801) 399-9805 NPI: 1922290915 Spanish Fork Spanish Utah Cardiology Pc - 642 East Kirby Ln Farmington 2 Spanish Fork, UT 84660 444 West Bourne Cir Ste (801) 798-6558 200 Farmington, UT 84025 (801) 776-0174 ~ Accepting new patients/Aceptando a nuevos pacientes * Accepts Medicaid/Acepta Medicaid ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

135 Specialty Providers / Proveedores Especializados Clinical Cardiac Electrophysiology continued/seguido

Iron Utah Washington Dan, Dan MD ~* NPI: 1326043472 Cedar City American Fork Saint George Ihc Mckay Dee Heart 84721 84003 84790 Rhythm Specialists - Ogden 4403 Harrison Blvd Ste Otto, Janet MD ~* Hwang, Chun MD ~* Gleed, Kent MD ~* 3450 NPI: 1063510220 NPI: 1649238080 NPI: 1669449997 Ogden, UT 84403 Ihc Southwest Cardiology - Revere Health - Af - Revere Health - St George - (801) 387-3850 Cedar City Cardiology Heart Of Dixie Cardiology 110 West 1325 North Ste 1175 East 50 South Ste 251 1380 East Medical Center Eifling, Michael MD ~ 100 American Fork, UT 84003 Dr Ste 4100 NPI: 1295921989 Cedar City, UT 84721 (801) 492-2815 Saint George, UT 84790 Mckay Dee Hospital - (435) 251-2500 Korean, Portugese, (435) 251-2900 Service Spanish Spanish 4401 Harrison Blvd Otto, Janet MD ~* Ogden, UT 84403 Tate Iii, Charles MD * Orem NPI: 1063510220 (801) 627-2800 NPI: 1376583526 84057 Ihc Southwest Cardiology - Ihc Southwest Cardiology - St George Melman, Yonathan MD ~ Cedar City Hwang, Chun MD ~* 1380 East Medical Center NPI: 1952569931 110 West 1325 North Ste NPI: 1649238080 Dr Ste 1500 Ihc Mckay Dee Heart 100 Revere Health - Orem - Saint George, UT 84790 Rhythm Specialists - Ogden Cedar City, UT 84721 Cardiology (435) 251-2500 4403 Harrison Blvd Ste (435) 251-2500 700 West 800 North Ste Spanish 3450 230 Ogden, UT 84403 Salt Lake Orem, UT 84057 Tate Iii, Charles MD * (801) 387-3850 (801) 429-0620 NPI: 1376583526 Salt Lake City Korean, Portugese, Ihc Southwest Cardiology - 84107 Spanish St George Clinical Genetics 1380 East Medical Center Dan, Dan MD ~* Provo Dr Ste 1500 Salt Lake NPI: 1326043472 Saint George, UT 84790 Ihc Int Heart Rhythm - 84604 (435) 251-2500 Salt Lake City Murray Cottonwood St Hwang, Chun MD ~* 84103 5169 South Cottonwood St NPI: 1649238080 Weber St 510 Revere Health - Provo - Botto, Lorenzo MD ~* Salt Lake City, UT 84107 Cardiology Ogden NPI: 1982819645 (801) 507-3513 Udac - Child Development 1055 North 500 West Ste 84403 101 Bldg C Program - Shriners 84124 Provo, UT 84604 Dan, Dan MD ~* Hospital (801) 373-4366 NPI: 1326043472 1275 East Fairfax Rd Nannapaneni, Nischala Salt Lake City, UT 84103 MD ~* Korean, Portugese, Ihc Mckay Dee Cardiology Spanish - Ogden (801) 587-2255 NPI: 1992967335 4403 Harrison Blvd Ste The Heart Center At St 84113 Marks - Millcreek 3490 1160 East 3900 South Ste Ogden, UT 84403 Botto, Lorenzo MD ~* 2000 (801) 387-2650 NPI: 1982819645 Salt Lake City, UT 84124 Pediatric Genetics - Pch (801) 226-3418 Dan, Dan MD ~* 100 North Mario Capecchi NPI: 1326043472 Dr Ihc Mckay Dee Cardiology Salt Lake City, UT 84113 South - Ogden (801) 213-3599 4403 Harrison Blvd Ste 3400 Ogden, UT 84403 (801) 387-3400 ~ Accepting new patients/Aceptando a nuevos pacientes * Accepts Medicaid/Acepta Medicaid ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

136 Specialty Providers / Proveedores Especializados Clinical Genetics continued/seguido

Botto, Lorenzo MD ~* 84132 Washington 84103 NPI: 1982819645 Botto, Lorenzo MD ~* Saint George Bossart, Peter MD ~* Pediatric Genetics - Pcos NPI: 1982819645 NPI: 1477647246 81 North Mario Capecchi 84790 Colon And Rectal Center Dr Udac - Child Development Program - Primary Botto, Lorenzo MD ~* Of Utah Pc - Salt Lake City Salt Lake City, UT 84113 324 10Th Ave Ste 280 (801) 213-3599 44 North Mario Capecchi NPI: 1982819645 Dr Utah Dept Of Health Udac - Child Development Salt Lake City, UT 84103 Salt Lake City, UT 84132 (801) 408-5930 Botto, Lorenzo MD ~* Program - Washington (801) 587-2255 County NPI: 1982819645 Kim, Hyong MD ~ Udac - Child Development 1380 East Medical Center Botto, Lorenzo MD ~* Dr Ste 4500 NPI: 1427236082 Program - Pch Avenues General Surgery - 100 North Mario Capecchi NPI: 1982819645 Saint George, UT 84790 Udac - Heart Center (801) 587-2255 Salt Lake Dr 324 East 10Th Ave Ste 200 Salt Lake City, UT 84113 Neurodevelopmental Program Weber Salt Lake City, UT 84103 (801) 587-2255 44 North Mario Capecchi (801) 408-7500 Dr Utah Dept Of Health Ogden Flores-Daboub, Josue Salt Lake City, UT 84132 84401 Vargas, Gabriela MD ~ MD ~* (801) 587-2255 NPI: 1194991570 NPI: 1306108105 Botto, Lorenzo MD ~* Avenues General Surgery - Pediatric Genetics Botto, Lorenzo MD ~* NPI: 1982819645 Salt Lake 81 N Capecchi Dr NPI: 1982819645 Udac - Child Development 324 East 10Th Ave Ste 200 Salt Lake City, UT 84113 Udac - Neonatal Program - Ogden Salt Lake City, UT 84103 (801) 213-3599 Follow-Up Program - Salt 2540 Washington Blvd (801) 408-7500 Spanish Lake Ogden, UT 84401 Spanish 44 North Mario Capecchi (801) 587-2255 Flores-Daboub, Josue Dr Utah Dept Of Health 84107 MD ~* Salt Lake City, UT 84132 Botto, Lorenzo MD ~* NPI: 1306108105 (801) 587-2255 NPI: 1982819645 Gawlick, Ute MD ~ Pediatric Genetics - Pcos Udac - Neonatal NPI: 1356634976 81 North Mario Capecchi Utah Follow-Up Program - Ihc Intermountain Surgical Dr Ogden Specialists - Murray Salt Lake City, UT 84113 Provo 2540 Washington Blvd 5169 South Cottonwood St (801) 213-3599 Ogden Regional Center Ste 410 Spanish 84601 Ogden, UT 84401 Salt Lake City, UT 84107 Botto, Lorenzo MD ~* (801) 587-2255 (801) 507-1600 Underhill, Hunter MD ~* NPI: 1982819645 NPI: 1609193622 Udac - Neonatal Colon & Rectal Terry, Kayleen NP ~ Pediatric Genetics - Pch Follow-Up Program - NPI: 1992828958 100 North Mario Capecchi Provo Surgery Ihc Murray Vascular And Dr 151 South University Ave Vein - Murray Salt Lake City, UT 84113 Ste 1610 Salt Lake 5323 South Woodrow St (801) 213-3599 Provo, UT 84601 Ste 101 (801) 587-2255 Salt Lake City Salt Lake City, UT 84107 Underhill, Hunter MD ~* (801) 261-8346 NPI: 1609193622 84102 Pediatric Genetics - Pcos Vargas, Gabriela MD ~ 81 North Mario Capecchi NPI: 1194991570 Dr Ihc Salt Lake Clinic - Salt Lake City, UT 84113 Surgical Specialists (801) 213-3599 389 South 900 East Salt Lake City, UT 84102 (385) 282-2500 Spanish

137 Specialty Providers / Proveedores Especializados Colon & Rectal Surgery continued/seguido

84124 Weber Butler, Brent ~ Cache NPI: 1598986648 Crume, Abby DO ~* Ogden Logan NPI: 1285868059 Avesis Third Party 84403 Administrators Inc 84321 Abby N Crume Do Pc - Sal 305 North Main St Lake Foley, Craig MD ~ Brigham City, UT 84302 Cheney, Matthew ~ 1250 East 3900 South Ste NPI: 1164528964 (435) 734-2626 NPI: 1942398268 320 Craig R Foley Md - Ogden Avesis Third Party Salt Lake City, UT 84124 4403 Harrison Blvd Ste Administrators Inc (801) 263-1621 Daines, Howard ~ 2855 NPI: 1093810954 167 E. 200 N. Ste. 3 Ogden, UT 84403 Avesis Third Party Logan, UT 84321 Murday, Michelle MD ~* (801) 387-2550 Administrators Inc (435) 752-3689 NPI: 1184616468 104 West 200 South Michelle E Murday Md Pc 84405 Brigham City, UT 84302 Cheney, Matthew ~ - Salt Lake (435) 734-2394 NPI: 1942398268 1250 East 3900 South Ste Terry, Kayleen NP ~ Avesis Third Party 320 NPI: 1992828958 Mackley, Mark ~ Administrators Inc Salt Lake City, UT 84124 Ihc Mckay Dee Vascular 167 East 200 North Suite 3 (801) 263-1621 And Vein - South Ogden NPI: 1427067271 Avesis Third Party Logan, UT 84321 1486 East Skyline Dr (435) 752-3685 Waldron, Jill MD ~* Ogden, UT 84405 Administrators Inc (801) 476-8346 2535 South Hwy 89 Ste 1 NPI: 1295922052 Brigham City, UT 84302 Foster, Gary ~ Jill E Clark Md Pc - Salt (435) 723-4300 NPI: 1790820181 Lake Dentist Avesis Third Party 1250 East 3900 South Ste Administrators Inc 320 Murdock, Mark ~ Box Elder NPI: 1104862275 110 E 200 N Salt Lake City, UT 84124 Logan, UT 84321 (801) 263-1621 Brigham City Avesis Third Party Administrators Inc (435) 752-0300 84302 Utah 30 East 700 South Baird, Daniel ~ Brigham City, UT 84302 Hunsaker, Tanner ~ American Fork NPI: 1710082565 (435) 734-2248 NPI: 1609326909 Avesis Third Party Avesis Third Party 84003 Administrators Inc Walton, Troy ~ Administrators Inc Byars, Kellie CSW ~ 14 North 100 East Ste. 200 NPI: 1407863574 290 North 200 East NPI: 1831510734 Brigham City, UT 84302 Avesis Third Party Logan, UT 84321 Wasatch Mental Health - (435) 723-8276 Administrators Inc (435) 753-0505 American Fork 14 North 100 East Suite 2 578 East 300 South Bateman, Ryan ~ Brigham City, UT 84302 Jensen, Stewart ~ American Fork, UT 84003 NPI: 1447416425 (435) 723-8276 NPI: 1104086677 (801) 763-5010 Avesis Third Party Avesis Third Party Administrators Inc Tremonton Administrators Inc Crume, Abby DO ~* 2535 South Hwy 89 Ste 1 167 East 200 North Suite 1 NPI: 1285868059 Brigham City, UT 84302 84337 Logan, UT 84321 Abby N Crume Do Pc - (435) 723-4300 Schultz, Bronson ~ (435) 752-5451 American Fork NPI: 1982754081 1248 East 90 North Ste 102 Benson, Brady ~ Avesis Third Party 84341 American Fork, UT 84003 NPI: 1669464962 Administrators Inc Baldwin, Travis ~ (801) 263-1621 Avesis Third Party 525 North 400 West NPI: 1295961159 Administrators Inc Tremonton, UT 84337 Avesis Third Party 111 East Forest St Suite F (435) 257-7344 Administrators Inc Brigham City, UT 84302 1260 North 200 E Ste 9 (435) 723-2318 Logan, UT 84341 (435) 752-8000

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Bills, Bradley ~ Olson, Andrew ~ Smithfield Davis NPI: 1245347046 NPI: 1194983502 Avesis Third Party Avesis Third Party 84335 Bountiful Administrators Inc Administrators Inc Godderidge, Bruce ~ 84010 1445 North 400 E Ste 3A 169 North Gateway Drive NPI: 1053436816 Logan, UT 84341 St Suite 105 Avesis Third Party Cannon, Hyrum ~ (435) 752-1699 Providence, UT 84332 Administrators Inc NPI: 1558684472 (435) 752-2704 291 South Main St Ste A Avesis Third Party Gunnell, Clayton ~ Smithfield, UT 84335 Administrators Inc NPI: 1609304294 Vest, Kurt ~ (435) 563-6213 55 East 2200 South Avesis Third Party NPI: 1457794315 Bountiful, UT 84010 Administrators Inc Avesis Third Party Harris, Chad ~ (801) 295-5115 1320 North 600 E Ste 2 Administrators Inc NPI: 1811919020 Logan, UT 84341 65 North Gateway Dr Avesis Third Party Dedecker, Troy ~ (435) 752-1747 Suite 1 Administrators Inc NPI: 1265601314 Providence, UT 84332 1189 South Main St Avesis Third Party Providence (435) 787-2223 Smithfield, UT 84335 Administrators Inc (435) 563-3025 1480 South Orchard Dr 84332 Walton, Troy ~ Suite 110 Butler, Todd ~ NPI: 1407863574 Larson, Anthony ~ Bountiful, UT 84010 NPI: 1134287550 Avesis Third Party NPI: 1669554580 (801) 295-9500 Avesis Third Party Administrators Inc Avesis Third Party Administrators Inc 271 N Spring Creek Pkwy Administrators Inc Orvin, Devin ~ 274 North Spg Creek Pkwy D 291 South Main St Ste C NPI: 1346681483 P O Box 566 Providence, UT 84332 Smithfield, UT 84335 Avesis Third Party Providence, UT 84332 (435) 755-6562 (435) 563-2553 Administrators Inc (435) 713-0096 24 South 500 West Ste D Richmond Miles, Jonathan ~ Bountiful, UT 84010 Johnson, Richard ~ NPI: 1942341243 (801) 296-1606 NPI: 1023024064 84333 Avesis Third Party Avesis Third Party Carlson, Monte ~ Administrators Inc Steele, Richard ~ Administrators Inc NPI: 1487736443 510 South Main St NPI: 1972664605 271 North Spgcreek Pkwy Avesis Third Party Smithfield, UT 84335 Avesis Third Party Suite D Administrators Inc (435) 563-3266 Administrators Inc Providence, UT 84332 105 S Hwy 91 24 South 500 West Ste D (435) 787-2122 Richmond, UT 84333 Whitaker, Frank D ~ Bountiful, UT 84010 (435) 258-2301 NPI: 1326308438 (801) 296-1606 Low, Jesse ~ Avesis Third Party NPI: 1265739486 Priebe, Brandon ~ Administrators Inc Stubbs, David ~ Avesis Third Party NPI: 1427213594 1189 South Main St NPI: 1588995377 Administrators Inc Avesis Third Party Smithfield, UT 84335 Avesis Third Party 65 North Gateway Dr Administrators Inc (435) 563-3025 Administrators Inc Suite 1 105 S Hwy 91 3383 Orchard Dr Providence, UT 84332 Richmond, UT 84333 Bountiful, UT 84010 Wellsville (801) 813-0044 (435) 787-2223 (435) 258-2301 84339 Mortenson, Celeste ~ Hunt, Tyler ~ Weyher, Mckinsee ~ NPI: 1972734515 NPI: 1386651529 NPI: 1306152889 Avesis Third Party Avesis Third Party Avesis Third Party Administrators Inc Administrators Inc Administrators Inc 169 North Gateway Dr 51 East Main Po Box 7 24 South 500 West Ste D Suite 175 Wellsville, UT 84339 Bountiful, UT 84010 Providence, UT 84332 (435) 245-6035 (801) 296-1606 (435) 752-0605

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Woodward, Brandon ~ Pitt, Jerem ~ Larson, Bryan ~ Dickerson, Darin ~ NPI: 1841420056 NPI: 1508061334 NPI: 1225260037 NPI: 1528251105 Avesis Third Party Avesis Third Party Avesis Third Party Avesis Third Party Administrators Inc Administrators Inc Administrators Inc Administrators Inc 1459 North Main St Suite 281 South Main Street 22 South State St Suite 1737 North 2000 W Suite 4 Suite 2 1007 G Bountiful, UT 84010 Centerville, UT 84014 Clearfield, UT 84015 Clinton, UT 84015 (801) 397-5220 (801) 295-6192 (801) 543-3327 (801) 728-9000 Zafiratos, Thomas ~ Talbot, Bryon ~ Oberg, Brandi ~ Milne, Brent ~ NPI: 1619290640 NPI: 1659386142 NPI: 1962555862 NPI: 1740479328 Avesis Third Party Avesis Third Party Avesis Third Party Avesis Third Party Administrators Inc Administrators Inc Administrators Inc Administrators Inc 24 South 500 West Suite D 331 West Parrish Ln Ste 484 North Main St 2207 West 1800 North Bountiful, UT 84010 101 Clearfield, UT 84015 Suite A (801) 296-1606 Centerville, UT 84014 (801) 776-8441 Clinton, UT 84015 (801) 298-3230 (801) 825-3993 Centerville Scoville, Ronald ~ Clearfield NPI: 1740355825 Roring, John ~ 84014 Avesis Third Party NPI: 1417185174 Huffaker, David ~ 84015 Administrators Inc Avesis Third Party NPI: 1669683728 Eggert, Mark ~ 484 North Main St Administrators Inc Avesis Third Party NPI: 1164519245 Clearfield, UT 84015 2207 West 1800 North Administrators Inc Avesis Third Party (801) 776-8441 Suite A 134 South Main Administrators Inc Clinton, UT 84015 Centerville, UT 84014 1435 South 1350 East Waldron, Ryder ~ (801) 825-3993 (801) 292-5172 Clearfield, UT 84015 NPI: 1245575554 (801) 773-6170 Avesis Third Party Swensen, Eric ~ Huffaker, Ford ~ Administrators Inc NPI: 1841212065 NPI: 1881806842 Goupios, Peter ~ 170 West 1800 North Avesis Third Party Avesis Third Party NPI: 1932397197 Clearfield, UT 84015 Administrators Inc Administrators Inc Avesis Third Party (801) 773-1533 1737 North 2000 W Suite 134 South Main St Administrators Inc G Centerville, UT 84014 573 North 1000 West Clinton Clinton, UT 84015 (801) 292-5172 Clearfield, UT 84015 (801) 728-9000 (801) 776-1000 84015 Huffaker, Todd ~ Canales, Tyler ~ Wells, Ryker ~ NPI: 1487860326 Goupios, Robert ~ NPI: 1104371160 NPI: 1417337122 Avesis Third Party NPI: 1710040654 Avesis Third Party Avesis Third Party Administrators Inc Avesis Third Party Administrators Inc Administrators Inc 134 South Main St Administrators Inc 1737 North 2000 W Suite 2207 West 1800 North Centerville, UT 84014 573 North 1000 West G Suite A (801) 292-5172 Clearfield, UT 84015 Clinton, UT 84015 Clinton, UT 84015 (801) 776-1000 (801) 728-9000 (801) 825-3993 Naylor, Benjamin ~ NPI: 1164873006 Keeffer, Matthew ~ Chilton, Michael ~ Avesis Third Party NPI: 1528419041 NPI: 1972032613 Administrators Inc Avesis Third Party Avesis Third Party 331 West Parrish Ln Ste Administrators Inc Administrators Inc 101 1435 South 1350 E 1737 North 2000 W Suite Centerville, UT 84014 Clearfield, UT 84015 G (801) 298-3230 (801) 773-6170 Clinton, UT 84015 (801) 728-9000

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Farmington Reschke, John ~ Richardson, Jared ~ Huntsman, Steven ~ NPI: 1174684898 NPI: 1922292671 NPI: 1093933269 84025 Avesis Third Party Avesis Third Party Avesis Third Party Carr, Gregory ~ Administrators Inc Administrators Inc Administrators Inc NPI: 1467873331 280 North Union Ave Ste 47 East Crestwood Rd 2152 North Hill Field Avesis Third Party 1110 Suite 4 Road Suite 2 Administrators Inc Farmington, UT 84025 Kaysville, UT 84037 Layton, UT 84041 280 North Union Aveneu (801) 934-3181 (801) 544-0091 (801) 776-3300 Suite L110 Farmington, UT 84025 Kaysville Layton Mcmillan, David ~ (801) 934-3181 NPI: 1508827148 84037 84040 Avesis Third Party Johnson, Richard ~ Flynn, Robert ~ Ahn, Ye Jin ~ Administrators Inc NPI: 1023024064 NPI: 1154341030 NPI: 1023251477 70 West Gordon Ave Avesis Third Party Avesis Third Party Avesis Third Party Layton, UT 84041 Administrators Inc Administrators Inc Administrators Inc (801) 546-9400 1401 North 1075 West 206 South Main St 1240 East Hwy 193 Suite Suite 200 Kaysville, UT 84037 G1 Sundberg, William ~ Farmington, UT 84025 (801) 497-0619 Layton, UT 84040 NPI: 1821150350 (801) 447-5437 (801) 771-6000 Avesis Third Party Howard, Bruce ~ Administrators Inc Leaver, Benjamin ~ NPI: 1720193881 Blackhurst, David ~ 1492 West Antelope Drive NPI: 1508925033 Avesis Third Party NPI: 1780706887 Suite 201 Avesis Third Party Administrators Inc Avesis Third Party Layton, UT 84041 Administrators Inc 475 North 300 W Ste I Administrators Inc (801) 776-6566 1460 North 1075 West Kaysville, UT 84037 1240 East Hwy 193 Suite Farmington, UT 84025 (801) 546-2413 G1 Syracuse (801) 451-7812 Layton, UT 84040 Jensen, Daniel ~ (801) 771-6000 84075 Mcgowan, Mark ~ NPI: 1619044252 Allen, Franklin ~ NPI: 1659661288 Avesis Third Party 84041 NPI: 1609027184 Avesis Third Party Administrators Inc Chidester, Robert ~ Avesis Third Party Administrators Inc 47 Crestwood Rd Suite 3 NPI: 1588725097 Administrators Inc 280 North Union Aveneu Kaysville, UT 84037 Avesis Third Party 1662 South 2000 West Suite L110 (801) 544-4204 Administrators Inc Suite A1 Farmington, UT 84025 1492 West Antelope Dr Syracuse, UT 84075 (801) 934-3181 Miles, Brian ~ Suite 201 (801) 825-2273 NPI: 1639357254 Layton, UT 84041 Palmer, Bradley ~ Avesis Third Party (801) 776-6566 Cline, Alan ~ NPI: 1265658553 Administrators Inc NPI: 1780794727 Avesis Third Party 375 North Main St Ste 101 Crozier, Jason ~ Avesis Third Party Administrators Inc Kaysville, UT 84037 NPI: 1598951139 Administrators Inc 56 South 200 East (801) 544-9444 Avesis Third Party 1747 Heritage Ln Ste B201 Farmington, UT 84025 Administrators Inc Syracuse, UT 84075 (801) 451-2841 Miller, Mark ~ 2152 North Hill Field (801) 776-2461 NPI: 1427209329 Road Suite 2 Palmer, Brian ~ Avesis Third Party Layton, UT 84041 Godderidge, Jeremy ~ NPI: 1740472703 Administrators Inc (801) 776-3300 NPI: 1508978826 Avesis Third Party 307 North 300 West Suite Avesis Third Party Administrators Inc 304 Administrators Inc 56 South 200 East Kaysville, UT 84037 1792 West 1700 South Farmington, UT 84025 (801) 544-4003 Suite 203 (801) 451-2841 Syracuse, UT 84075 (801) 779-6037

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Perkins, Travis ~ Lewis, Aaron ~ Grieve, Brandon ~ Draper NPI: 1982840203 NPI: 1013203025 NPI: 1992889448 Avesis Third Party Avesis Third Party Avesis Third Party 84020 Administrators Inc Administrators Inc Administrators Inc Blais, Adam ~ 1662 South 2000 West 427 South Main St Ste 101 1251 North Northfield Rd NPI: 1104120708 Suite A1 Cedar City, UT 84720 Suite 201 Avesis Third Party Syracuse, UT 84075 (435) 586-6526 Cedar City, UT 84721 Administrators Inc (801) 825-2273 (435) 586-8188 286 East 12200 S Morris, Shad ~ Draper, UT 84020 Whiting, Tyler ~ NPI: 1396896973 Salt Lake (801) 576-9725 NPI: 1124400890 Avesis Third Party Avesis Third Party Administrators Inc Bluffdale Green, John ~ Administrators Inc 427 South Main St Suite 84065 NPI: 1497065551 1662 South 2000 West 101 Avesis Third Party Suite A1 Cedar City, UT 84720 Babcock, David ~ Administrators Inc Syracuse, UT 84075 (435) 586-6526 NPI: 1609052497 656 East 11400 S Ste H (801) 825-2273 Avesis Third Party Draper, UT 84020 Sorensen, James ~ Administrators Inc (801) 572-2006 Iron NPI: 1407942725 14100 South Redwood Rd Avesis Third Party Bluffdale, UT 84065 Mcmurtrey, Jennifer ~ Cedar City Administrators Inc (801) 254-2626 NPI: 1396052569 84720 1883 W Royal Hunt Dr Avesis Third Party Suite 100 Cottonwd Hgts Administrators Inc Barrick, Robert ~ Cedar City, UT 84720 84047 177 West 12300 S NPI: 1841301660 (435) 586-6541 Draper, UT 84020 Avesis Third Party Myers, John ~ (801) 766-3600 Administrators Inc Spencer, Brandon ~ NPI: 1619183357 1883 West Royal Hunt Dr NPI: 1538137534 Avesis Third Party Myers, John ~ Suite 100 Avesis Third Party Administrators Inc NPI: 1619183357 Cedar City, UT 84720 Administrators Inc 7455 South Union Park Avesis Third Party (435) 586-6541 1321 South Providence Ave Suite C Administrators Inc Center Dr Cottonwd Hgts, UT 84047 656 East 11400 S Ste H Curtis, Carl ~ Cedar City, UT 84720 (801) 262-7770 Draper, UT 84020 NPI: 1396944047 (435) 586-6555 (801) 572-2006 Avesis Third Party Winkel, Kerry ~ Administrators Inc Staples, Jared ~ NPI: 1457368656 Smith, Craig ~ 535 South Sunset Dr NPI: 1437353646 Avesis Third Party NPI: 1326061847 Cedar City, UT 84720 Avesis Third Party Administrators Inc Avesis Third Party (435) 586-7061 Administrators Inc 7455 South Union Park Administrators Inc 535 South Sunset Dr Ave Suite C 656 East 11400 S Ste H Gunn, Ryan ~ Cedar City, UT 84720 Cottonwd Hgts, UT 84047 Draper, UT 84020 NPI: 1073713715 (435) 586-7061 (801) 465-0550 (801) 572-2006 Avesis Third Party Administrators Inc 84721 Cottwood Heights Spangler, Seth ~ 409 South Main St 84121 NPI: 1487675849 Cedar City, UT 84720 Albrecht, Tyler ~ Avesis Third Party (435) 865-9797 NPI: 1063530269 Burg, Jeffrey ~ Administrators Inc Avesis Third Party NPI: 1033123617 10 West Scenic Pointe Dr Administrators Inc Avesis Third Party Ste 105 1251 North Northfield Rd Administrators Inc Draper, UT 84020 Suite 201 6957 South 1300 East (801) 816-9990 Cedar City, UT 84721 Cottwood Heights, UT (435) 586-8188 84121 (801) 618-0246

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Woodbury, Spencer ~ Lambert, Jeff ~ 84124 Magna NPI: 1598971475 NPI: 1619022969 Campbell, Jonathan ~ 84044 Avesis Third Party Avesis Third Party NPI: 1235257056 Administrators Inc Administrators Inc Avesis Third Party Bingham, Tab ~ 668 East 12225 S Ste 101 5532 West Herriman Main Administrators Inc NPI: 1265642334 Draper, UT 84020 St Ste 210 1345 East 3900 S Ste 116 Avesis Third Party (801) 571-5354 Herriman, UT 84096 Holladay, UT 84124 Administrators Inc (801) 446-9533 (801) 278-4223 8370 West 3500 South Herriman Magna, UT 84044 (801) 250-7422 84096 Osborne, Bret ~ Findley, Gary ~ NPI: 1669640264 NPI: 1538249032 Fairbanks, Jon ~ Avesis Third Party Avesis Third Party Ellingson, Daniel ~ NPI: 1518156991 Administrators Inc Administrators Inc NPI: 1306061064 Avesis Third Party 13292 South 5600 W 4110 South Highland Dr Avesis Third Party Administrators Inc Herriman, UT 84096 Ste 200 Administrators Inc 5514 West 13400 South (801) 302-8787 Holladay, UT 84124 3665 South 8400 West Herriman, UT 84096 (801) 277-1722 Suite 250 (801) 446-9533 Stobbe, Nathan ~ Magna, UT 84044 (801) 250-0450 NPI: 1821407735 Hicks, Tyler ~ Fairbanks, Jon ~ Avesis Third Party NPI: 1114301603 NPI: 1518156991 Administrators Inc Avesis Third Party Engar, Kimberly ~ Avesis Third Party 13292 South 5600 W Administrators Inc NPI: 1548611866 Administrators Inc Herriman, UT 84096 4110 South Highland Dr Avesis Third Party 5532 West Herriman Main (801) 302-8787 Ste 200 Administrators Inc St Ste 210 Holladay, UT 84124 3564 South 7200 West Herriman, UT 84096 Holladay Suite B (801) 446-9533 (801) 278-8800 Magna, UT 84044 84117 (801) 250-1717 Fairbanks, Jon ~ Ludlow, Val ~ Marberger, Adam ~ NPI: 1518156991 NPI: 1104861780 NPI: 1336164847 Gottfredson, Bryan ~ Avesis Third Party Avesis Third Party Avesis Third Party NPI: 1174501688 Administrators Inc Administrators Inc Administrators Inc Avesis Third Party 5532 West Herriman Main 4568 Highland Dr Suite 4110 South Highland Dr Administrators Inc St Suite 210 370 Ste 100B 9010 West Magna Main St Herriman, UT 84096 Holladay, UT 84117 Holladay, UT 84124 Magna, UT 84044 (801) 446-9533 (801) 277-1748 (801) 272-0271 (801) 250-7311 Hansen, Douglas ~ Perkins, Travis ~ Stewart, Brad ~ Johnson, David ~ NPI: 1851792683 NPI: 1982840203 NPI: 1255687364 NPI: 1821385097 Avesis Third Party Avesis Third Party Avesis Third Party Avesis Third Party Administrators Inc Administrators Inc Administrators Inc Administrators Inc 5734 West 13400 S Ste 100 2200 East 4500 South Suite 1345 East 3900 S Ste 116 3564 South 7200 West Herriman, UT 84096 100 Holladay, UT 84124 Suite B (801) 542-0998 Holladay, UT 84117 (801) 278-4223 Magna, UT 84044 (801) 288-1888 (801) 250-1717 Jensen, Brandon ~ Kearns NPI: 1942494083 Woodmansee, Terrell ~ 84118 Johnson, Lynn ~ Avesis Third Party NPI: 1821159567 Campbell, Jason ~ NPI: 1881802494 Administrators Inc Avesis Third Party NPI: 1568501237 Avesis Third Party 13292 South 5600 W Administrators Inc Avesis Third Party Administrators Inc Herriman, UT 84096 2200 East 4500 S Ste 100 Administrators Inc 3564 South 7200 West (801) 302-8787 Holladay, UT 84117 5633 West 6200 S A6 Suite B (801) 288-1888 Kearns, UT 84118 Magna, UT 84044 (801) 955-1112 (801) 250-1717 ~ Accepting new patients/Aceptando a nuevos pacientes ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

143 Specialty Providers / Proveedores Especializados Dentist continued/seguido

Sargent, Troy ~ Kidder, William ~ Green, John ~ Riverton NPI: 1245449214 NPI: 1194777904 NPI: 1497065551 Avesis Third Party Avesis Third Party Avesis Third Party 84065 Administrators Inc Administrators Inc Administrators Inc Mahdi, Mandana ~ 8031 West 3500 South 204 East Fort Union Blvd 6095 South Fashion Blvd NPI: 1083890537 Magna, UT 84044 Suite 101 Suite 290 Avesis Third Party (801) 250-0668 Midvale, UT 84047 Murray, UT 84107 Administrators Inc (801) 255-3578 (801) 262-7770 1543 West 12600 S Ste 101 Sargent, Troy ~ Riverton, UT 84065 NPI: 1245449214 Larsen, Todd ~ Jenkins, Michael ~ (801) 996-8282 Avesis Third Party NPI: 1598890063 NPI: 1841474160 Administrators Inc Avesis Third Party Avesis Third Party Noh, Bong ~ 8031 West 3500 South Administrators Inc Administrators Inc NPI: 1124101928 Magna, UT 84044 942 East North Union Ave 279 East 5900 S Ste 200 Avesis Third Party (801) 250-0668 Suite A108 Murray, UT 84107 Administrators Inc Midvale, UT 84047 (801) 293-1234 2845 West 12600 South Sorenson, Terry ~ (801) 562-2147 Riverton, UT 84065 NPI: 1184755167 Perrero, Jeffrey ~ (801) 254-5255 Avesis Third Party Perrero, Jeffrey ~ NPI: 1679892640 Administrators Inc NPI: 1679892640 Avesis Third Party Park, Kwang ~ 3665 South 8400 West Avesis Third Party Administrators Inc NPI: 1215078365 Suite 250 Administrators Inc 6095 South Fashion Blvd Avesis Third Party Magna, UT 84044 7455 South Union Park Suite 290 Administrators Inc (801) 250-0450 Ave # C Murray, UT 84107 12562 Rhetski Ln Midvale, UT 84047 (801) 262-7770 Riverton, UT 84065 Midvale (801) 262-7997 (801) 446-2518 84047 84117 Plicka, Jefferson ~ Middleton, John ~ Pelton, Ritchie ~ Alcorn, James ~ NPI: 1346529880 NPI: 1902008378 NPI: 1619315454 NPI: 1316002389 Avesis Third Party Avesis Third Party Avesis Third Party Avesis Third Party Administrators Inc Administrators Inc Administrators Inc Administrators Inc 7681 South 700 East 4970 South 900 East Suite 12562 Rhetski Ln 7679 Center Square Midvale, UT 84047 E Riverton, UT 84065 Midvale, UT 84047 (385) 557-0088 Murray, UT 84117 (801) 446-2518 (801) 255-4821 (801) 266-7351 Tobler, Eric ~ Richins, Brett ~ Bullock, Jeri ~ NPI: 1750588844 NPI: 1669734141 NPI: 1396030003 Avesis Third Party 84123 Avesis Third Party Avesis Third Party Administrators Inc Snarr, Megan ~ Administrators Inc Administrators Inc 7681 South 700 East NPI: 1730562141 3693 West 13400 South 1144 Fort Union Blvd Midvale, UT 84047 Avesis Third Party Suite B Midvale, UT 84047 (385) 557-0088 Administrators Inc Riverton, UT 84065 (801) 566-3118 597 West 5300 South (801) 878-3111 Murray Murray, UT 84123 Dimond, Kyle ~ (801) 590-4627 Young, Christopher ~ NPI: 1457666166 84107 NPI: 1093887374 Avesis Third Party Cho, Denny ~ Avesis Third Party Administrators Inc NPI: 1609879972 Administrators Inc 204 East Fort Union Blvd Avesis Third Party 12562 Rhetski Ln Suitte 101 Administrators Inc Riverton, UT 84065 Midvale, UT 84047 4010 South 700 E Ste 5 (801) 446-2518 (801) 255-3578 Murray, UT 84107 (801) 262-0915

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Zafiratos, Thomas ~ 84120 Sandy 84094 NPI: 1619290640 Biddulph, Gregory ~ 84070 Thornley, Micah ~ Avesis Third Party NPI: 1932237856 NPI: 1073746509 Administrators Inc Avesis Third Party Ahn, Ye Jin ~ Avesis Third Party 13686 South Redwood Rd Administrators Inc NPI: 1023251477 Administrators Inc Suite C 2792 South 5600 West Avesis Third Party 1025 E 11400 South Suite Riverton, UT 84065 Suite B Administrators Inc 101 (801) 785-8000 Salt Lake City, UT 84120 10011 South Centennial Sandy, UT 84094 (801) 969-9669 Suite 330 (801) 572-8955 84096 Sandy, UT 84070 (801) 256-3700 Perrero, Jeffrey ~ 84124 Slc NPI: 1679892640 Bunker, Adam ~ Erickson, Louis ~ 84109 Avesis Third Party NPI: 1215193792 NPI: 1043386824 Administrators Inc Avesis Third Party Avesis Third Party Lapine, John ~ 13686 So Redwood Rd Administrators Inc Administrators Inc NPI: 1174531636 Suite C 1580 East 3900 S Suite 110 53 West 10600 S Avesis Third Party Riverton, UT 84096 Sandy, UT 84070 Administrators Inc (801) 446-8100 Salt Lake City, UT 84124 3865 South 3500 East Suite (801) 272-8555 (801) 576-1444 201 Phillips, Shane ~ Slc, UT 84109 Watson, Michael ~ Steele, Richard ~ (801) 272-4999 NPI: 1700913894 NPI: 1306940713 NPI: 1972664605 Avesis Third Party Avesis Third Party Avesis Third Party Administrators Inc Administrators Inc Administrators Inc 84111 12391 South 4000 West 4465 South 900 East Suite 10011 South Centennial Updike, Spencer ~ Suite 206 175 Suite 330 NPI: 1740419811 Riverton, UT 84096 Salt Lake City, UT 84124 Sandy, UT 84070 Avesis Third Party (801) 748-0379 (801) 278-0704 (801) 256-3700 Administrators Inc 370 E South Temple Suite Salt Lake City 84132 84093 325 84106 Slc, UT 84111 Erickson, Lea ~ Dickerson, Darin ~ (801) 521-8188 Scherschligt, Rhet ~ NPI: 1093724957 NPI: 1528251105 NPI: 1851322101 Avesis Third Party Avesis Third Party Avesis Third Party Administrators Inc Administrators Inc South Jordan Administrators Inc 50 North Medical Dr 1844 East 9400 South 84009 3098 Highland Dr Suite Salt Lake City, UT 84132 Sandy, UT 84093 Christensen, Benjamin ~ 400 (801) 584-6303 (801) 590-3266 NPI: 1780083824 Salt Lake City, UT 84106 Avesis Third Party (801) 484-1032 Salt Lake Cty Okubo, Miranda ~ Administrators Inc 84124 NPI: 1346681244 3648 West 9800 South 84111 Avesis Third Party South Jordan, UT 84009 Fisher, William ~ Vernon, Andrew ~ Administrators Inc (801) 260-0100 NPI: 1356339386 NPI: 1831350289 7369 Creek Rd Avesis Third Party Avesis Third Party Sandy, UT 84093 Couraud, Justin ~ Administrators Inc Administrators Inc (801) 566-5577 NPI: 1457703084 370 East South Temple 4110 South Highland Avesis Third Party Suite 350 Drive Suite 100A Webb, Matthew ~ Administrators Inc Salt Lake City, UT 84111 Salt Lake Cty, UT 84124 NPI: 1740476407 3672 West South Jordan (801) 320-9810 (801) 263-0417 Avesis Third Party Parkway Suite 104 Administrators Inc South Jordan, UT 84009 1434 East 9400 S Ste 206 (801) 878-1700 Sandy, UT 84093 (801) 571-0063

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Green, John ~ Taylorsville West Jordan Pelton, Ritchie ~ NPI: 1497065551 NPI: 1619315454 Avesis Third Party 84123 84084 Avesis Third Party Administrators Inc Bateman, Joshua ~ Christensen, Benjamin ~ Administrators Inc 3648 West 9800 South NPI: 1255377578 NPI: 1780083824 8159 South 4800 W South Jordan, UT 84009 Avesis Third Party Avesis Third Party West Jordan, UT 84088 (801) 260-0100 Administrators Inc Administrators Inc (801) 601-8200 5419 South Redwood Rd 6910 South Redwood Rd 84095 Taylorsville, UT 84123 Ste C West Valley (801) 263-6400 West Jordan, UT 84084 Alvord, David ~ (801) 304-1111 84118 NPI: 1447315692 Chidester, Robert ~ Teerlink, Jason ~ Avesis Third Party NPI: 1588725097 Christensen, Benjamin ~ NPI: 1235426396 Administrators Inc Avesis Third Party NPI: 1780083824 Avesis Third Party 1685 West 10600 South Administrators Inc Avesis Third Party Administrators Inc Suite A2 5419 South Redwood Rd Administrators Inc 5633 West 6200 South South Jordan, UT 84095 Taylorsville, UT 84123 6910 South Redwood Rd Suite A6 (801) 254-7003 (801) 263-6400 Ste C West Valley, UT 84118 West Jordan, UT 84084 (801) 955-1112 Keefe, Chris ~ Lindgren, Jeremiah ~ (801) 304-1111 NPI: 1457432643 NPI: 1366422818 84120 Avesis Third Party Avesis Third Party Rigby, Bradley ~ Administrators Inc Administrators Inc NPI: 1851314462 Faerber, David ~ 10393 South 1300 West 5419 South Redwood Rd Avesis Third Party NPI: 1538394846 South Jordan, UT 84095 Taylorsville, UT 84123 Administrators Inc Avesis Third Party (801) 254-1400 Administrators Inc (801) 263-6400 1561 West 7000 S Ste 101 2592 South 5600 West West Jordan, UT 84084 Suite 102 Lord, Brian ~ Steele, Richard ~ (801) 255-7600 NPI: 1134332521 West Valley, UT 84120 NPI: 1972664605 (801) 982-9999 Avesis Third Party Avesis Third Party Zafiratos, Thomas ~ Administrators Inc Administrators Inc NPI: 1619290640 3785 West 10400 South 5419 South Redwood Rd Avesis Third Party Zafiratos, Thomas ~ Suite 103 Taylorsville, UT 84123 Administrators Inc NPI: 1619290640 South Jordan, UT 84095 (801) 263-6400 6910 South Redwood Rd Avesis Third Party (801) 253-2249 Administrators Inc Ste C 2592 South 5600 West 84129 West Jordan, UT 84084 Phillips, Shane ~ (801) 304-1111 Suite 102 NPI: 1700913894 Naisbitt, Sarah ~ West Valley, UT 84120 Avesis Third Party NPI: 1497730022 (801) 982-9999 Administrators Inc Avesis Third Party 84088 3785 West 10400 S Ste 103 Administrators Inc Chipian, E ~ West Valley City South Jordan, UT 84095 2860W 4700S Suite A NPI: 1639323017 (801) 766-3600 Taylorsville, UT 84129 Avesis Third Party 84119 (801) 968-1142 Administrators Inc Egan, Kelly ~ Tobler, Eric ~ 1231 West 9000 South NPI: 1538253349 NPI: 1750588844 Roberson, Jeffrey ~ Suite D Avesis Third Party Avesis Third Party NPI: 1710116041 West Jordan, UT 84088 Administrators Inc Administrators Inc Avesis Third Party (801) 999-4431 3601 South 2700 West 3785 West 10400 S Ste 103 Administrators Inc West Valley City, UT South Jordan, UT 84095 1909 West 4700 South 84119 (801) 766-3600 Taylorsville, UT 84129 (801) 968-0798 (801) 968-9548

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84120 Johnson, Andrew ~ Perkins, Travis ~ Utah NPI: 1134408156 NPI: 1982840203 Blackhurst, David ~ Alpine NPI: 1780706887 Avesis Third Party Avesis Third Party Administrators Inc Administrators Inc 84004 Avesis Third Party 14 North Hale St 1204 North Main St Administrators Inc Grantsville, UT 84029 Tooele, UT 84074 Devries, Bradley ~ 2592 South 5600 West (435) 884-3476 (435) 579-4600 NPI: 1568624690 Suite 102 Avesis Third Party West Valley City, UT Richins, Brett ~ Administrators Inc 84120 Stansbury Park 32 Red Pine Dr Suite 14 (801) 982-9999 NPI: 1669734141 84074 Avesis Third Party Alpine, UT 84004 Christensen, Kurt ~ Administrators Inc (801) 756-9595 Lewis, Mark ~ NPI: 1003919358 1204 North Main St NPI: 1205863941 Avesis Third Party Tooele, UT 84074 Jensen, Aaron ~ Avesis Third Party Administrators Inc (435) 579-4600 NPI: 1184742850 Administrators Inc 220 Millpond Suite 107 Avesis Third Party 4645 South 4000 W Ste B Administrators Inc West Valley City, UT Stansbury Park, UT 84074 Vernon, Clair ~ (435) 843-5437 NPI: 1043236680 20 West Main St Court 84120 Suite 100 (801) 955-1900 Avesis Third Party Mcconnell, James ~ Administrators Inc Alpine, UT 84004 NPI: 1487769303 271 South Main (801) 756-3570 Reschke, John ~ Avesis Third Party Tooele, UT 84074 NPI: 1174684898 Administrators Inc (435) 882-3700 Larsen, Garon ~ Avesis Third Party NPI: 1245302751 Administrators Inc 576 East Hwy 138 Ste 200 Stansbury Park, UT 84074 Wells, Brett ~ Avesis Third Party 4645 South 4000 W Ste B Administrators Inc West Valley City, UT (435) 728-0550 NPI: 1174659791 Avesis Third Party 70 West Canyon Crest Rd 84120 Alpine, UT 84004 (801) 955-1900 Tooele Administrators Inc 668 North Garden St (801) 756-4440 84074 Tooele, UT 84074 Winkel, Kerry ~ Eggett, Michael ~ (435) 882-1381 Stucki, Grant ~ NPI: 1457368656 NPI: 1316108772 NPI: 1588781124 Avesis Third Party Avesis Third Party Wendover Avesis Third Party Administrators Inc Administrators Inc Administrators Inc 2592 South 5600 West 394 South Main St 84083 20 West Main St Court Suite 102 Tooele, UT 84074 Suite 100 West Valley City, UT Devries, Bradley ~ (435) 882-2331 NPI: 1568624690 Alpine, UT 84004 84120 (801) 756-3570 (801) 982-9999 Avesis Third Party Hinton, April ~ Administrators Inc NPI: 1609977602 399 North Aria Blvd Stucki, Randall ~ Tooele Avesis Third Party Wendover, UT 84083 NPI: 1538186069 Grantsville Administrators Inc (435) 665-2962 Avesis Third Party 576 Hwy 138 Suite 200 Administrators Inc 84029 Tooele, UT 84074 Winkel, Kerry ~ 75 West Main St Court Frandsen, Brian ~ (435) 728-0550 NPI: 1457368656 Suite 200 NPI: 1053472803 Avesis Third Party Alpine, UT 84004 Avesis Third Party Maio, Joseph ~ Administrators Inc (801) 492-7778 Administrators Inc NPI: 1407896681 225 Skyhawk Dr 14 North Hale St Avesis Third Party Wendover, UT 84083 Grantsville, UT 84029 Administrators Inc (435) 665-7730 (435) 884-3476 263 Country Clb Ste 103 Tooele, UT 84074 (435) 882-2850

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American Fork Plewe, Ryan ~ Lehi Lindon NPI: 1922380823 84003 Avesis Third Party 84043 84042 Anderson, John ~ Administrators Inc Baird, Daniel ~ Ahn, Ye Jin ~ NPI: 1831106004 476 North 900 West Suite NPI: 1710082565 NPI: 1023251477 Avesis Third Party A Avesis Third Party Avesis Third Party Administrators Inc American Fork, UT 84003 Administrators Inc Administrators Inc 170 North Center Street (801) 756-5522 1020 South 1100 West 537 West 550 North Suite American Fork, UT 84003 Suite A E (801) 756-2341 Richards, Bruce ~ Lehi, UT 84043 Lindon, UT 84042 NPI: 1184647281 (801) 492-9207 (801) 785-6000 Boehme, Gregary ~ Avesis Third Party NPI: 1659755130 Administrators Inc Chavez, Juan ~ Colton, Brigham ~ Avesis Third Party 233 East Main NPI: 1295033843 NPI: 1568532869 Administrators Inc American Fork, UT 84003 Avesis Third Party Avesis Third Party 945 West 500 N Ste 105 (801) 756-8686 Administrators Inc Administrators Inc American Fork, UT 84003 785 East 200 South Suite 1 537 West 550 North Suite (801) 756-5643 Cedar Hills Lehi, UT 84043 E (801) 331-8545 Lindon, UT 84042 Braithwaite, Steven ~ 84062 (801) 785-6000 NPI: 1073531323 Sorensen, Steven ~ Dickerson, Darin ~ Avesis Third Party NPI: 1184815664 NPI: 1528251105 Devries, Bradley ~ Administrators Inc Avesis Third Party Avesis Third Party NPI: 1568624690 288 North West State St Administrators Inc Administrators Inc Avesis Third Party American Fork, UT 84003 4587 Cedar Hills Dr Suite 785 East 200 South Suite 1 Administrators Inc (801) 763-7737 100 Lehi, UT 84043 537 West 550 North Suite Cedar Hills, UT 84062 (801) 331-8545 E Cerny, William ~ (801) 492-6074 Lindon, UT 84042 NPI: 1346381498 Huntsman, Steven ~ (801) 785-6000 Avesis Third Party Standring, James ~ NPI: 1093933269 Administrators Inc NPI: 1326483512 Avesis Third Party Green, John ~ 483 East 200 South Avesis Third Party Administrators Inc NPI: 1497065551 American Fork, UT 84003 Administrators Inc 785 East 200 South Suite 1 Avesis Third Party (801) 756-7173 4587 West Cedar Hills Dr Lehi, UT 84043 Administrators Inc Ste 100 (801) 331-8545 537 West 550 North Suite Davenport, Thomas ~ Cedar Hills, UT 84062 E NPI: 1558683052 (801) 756-2006 Moody, Daryn ~ Lindon, UT 84042 Avesis Third Party NPI: 1609087428 (801) 785-6000 Administrators Inc Highland Avesis Third Party 476 North 900 West Suite Administrators Inc Huang, Xiao Li ~ A 84003 181 North 1200 East NPI: 1003918863 American Fork, UT 84003 Blackhurst, Richard ~ Lehi, UT 84043 Avesis Third Party (801) 756-5522 NPI: 1376634337 (801) 766-3600 Administrators Inc Avesis Third Party 537 West 550 North Suite Erekson, David ~ Administrators Inc 84045 E 10925 North Alpine Hwy NPI: 1912028077 Tobler, Eric ~ Lindon, UT 84042 Avesis Third Party Highland, UT 84003 (801) 785-6000 (801) 756-2400 NPI: 1750588844 Administrators Inc Avesis Third Party 186 South 1100 East Administrators Inc American Fork, UT 84003 308 East Crossrds Blvd (801) 756-5136 Lehi, UT 84045 (801) 691-5900

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Osborne, Bret ~ Huntsman, Steven ~ Heninger, Cameron ~ Brown, Ashley ~ NPI: 1669640264 NPI: 1093933269 NPI: 1821281635 NPI: 1780017723 Avesis Third Party Avesis Third Party Avesis Third Party Avesis Third Party Administrators Inc Administrators Inc Administrators Inc Administrators Inc 537 West 550 North Suite 774 South 1600 West Apt 1802 North State St 575 East University Pkwy E 103 Orem, UT 84057 Suite A 24 Lindon, UT 84042 Mapleton, UT 84664 (801) 871-0888 Orem, UT 84097 (801) 785-6000 (801) 396-2944 (801) 225-3300 Maughan, Kenneth ~ Perrero, Jeffrey ~ Palmer, Dallin ~ NPI: 1407949175 Sundberg, William ~ NPI: 1679892640 NPI: 1366842981 Avesis Third Party NPI: 1821150350 Avesis Third Party Avesis Third Party Administrators Inc Avesis Third Party Administrators Inc Administrators Inc 819 North 900 W Administrators Inc 537 West 550 North Suite 425 North Main St Orem, UT 84057 575 East University Pkwy E Mapleton, UT 84664 (801) 226-3302 Suite A 24 Lindon, UT 84042 (801) 491-8191 Orem, UT 84097 (801) 785-6000 Prince, David ~ (801) 225-3300 Robinson, Taylor ~ NPI: 1538170972 Smith, Craig ~ NPI: 1881827871 Avesis Third Party Payson NPI: 1326061847 Avesis Third Party Administrators Inc Avesis Third Party Administrators Inc 417 N Orem Blvd 84651 Administrators Inc 774 South 1600 West Apt Orem, UT 84057 Ahn, Ye Jin ~ 537 West 550 North Suite 103 (801) 222-0789 NPI: 1023251477 E Mapleton, UT 84664 Avesis Third Party Lindon, UT 84042 (801) 396-2944 84058 Administrators Inc 759 South 1040 W (801) 785-6000 Johnson, Jefferey ~ Robinson, Taylor ~ Payson, UT 84651 NPI: 1508986027 (801) 785-8000 Mapleton NPI: 1881827871 Avesis Third Party 84664 Avesis Third Party Administrators Inc Administrators Inc 211 East 840 S Baird, Robert ~ Bender, Matthew ~ 774 South 1600 West Suite Orem, UT 84058 NPI: 1962682583 NPI: 1629428008 103 (801) 375-9511 Avesis Third Party Avesis Third Party Mapleton, UT 84664 Administrators Inc Administrators Inc (801) 396-2944 822 West Turf Farm Rd 774 South 1600 West Apt 84097 Ste 1 103 Westmoreland, Tanya ~ Ball, Douglas ~ Payson, UT 84651 Mapleton, UT 84664 NPI: 1144558966 NPI: 1699818369 (801) 465-4490 (801) 396-2944 Avesis Third Party Avesis Third Party Administrators Inc Administrators Inc Blackhurst, David ~ Griffiths, Benjamin ~ 425 North Main St 1344 South 800 East Suite NPI: 1780706887 NPI: 1093828873 Mapleton, UT 84664 220 Avesis Third Party Avesis Third Party (801) 491-8191 Orem, UT 84097 Administrators Inc Administrators Inc (801) 224-6165 757 South 1040 West 108 North 1600 West Orem Payson, UT 84651 Mapleton, UT 84664 Bowen, Kyle ~ (801) 785-8000 (801) 491-6844 84057 NPI: 1346629300 Campbell, Jason ~ Avesis Third Party Booth, Chad ~ NPI: 1568501237 Administrators Inc NPI: 1942464078 Avesis Third Party 528 East 800 North Avesis Third Party Administrators Inc Orem, UT 84097 Administrators Inc 1802 North State St (801) 224-6051 910 East 100 North Suite Orem, UT 84057 155 (801) 224-0320 Payson, UT 84651 (801) 465-1890

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Chandler, Scott ~ Blake, Heath ~ White, David ~ Mund, Kody ~ NPI: 1699883520 NPI: 1841318516 NPI: 1063822799 NPI: 1700069804 Avesis Third Party Avesis Third Party Avesis Third Party Avesis Third Party Administrators Inc Administrators Inc Administrators Inc Administrators Inc 675 South 100 W Ste 1 198 South Main Street 1809 West State St Suite 3707 North Canyon Rd Payson, UT 84651 Pleasant Grove, UT 84062 B3 Building 4 (801) 465-1810 (801) 785-8308 Pleasant Grove, UT 84062 Provo, UT 84604 (385) 269-0550 (801) 655-1900 Condie, Jared ~ Curtis, Cabot ~ NPI: 1871542480 NPI: 1134301724 Provo Plicka, Jefferson ~ Avesis Third Party Avesis Third Party NPI: 1346529880 Administrators Inc Administrators Inc 84601 Avesis Third Party 910 East 100 North Suite 533 West State Rd Ste 201 Hulet, Gary ~ Administrators Inc 155 Pleasant Grove, UT 84062 NPI: 1053490441 1355 North University Ave Payson, UT 84651 (801) 796-0344 Avesis Third Party Suite 330 (801) 465-1890 Administrators Inc Provo, UT 84604 Daynes, David ~ 777 North 500 West Suite (801) 377-6453 Erekson, David ~ NPI: 1720189202 101B NPI: 1912028077 Avesis Third Party Provo, UT 84601 Schiffman, Quinn ~ Avesis Third Party Administrators Inc (275) 375-1275 NPI: 1871506428 Administrators Inc 30 South Main Avesis Third Party 110 South 100 West Pleasant Grove, UT 84062 Packer, Chipman ~ Administrators Inc Payson, UT 84651 (801) 785-5383 NPI: 1558493924 1355 North University Ave (801) 465-4855 Avesis Third Party Suite 320 Faerber, David ~ Administrators Inc Provo, UT 84604 Heid, Ashley ~ NPI: 1538394846 777 North 500 W Suite (801) 375-1750 NPI: 1396977880 Avesis Third Party 204 Avesis Third Party Administrators Inc Provo, UT 84601 84606 (801) 374-2182 Administrators Inc 533 West State Rd Ste 201 Callister, Matthew ~ 822 West Turf Farm Rd Pleasant Grove, UT 84062 NPI: 1790190619 Ste 1 (801) 796-0344 84604 Avesis Third Party Payson, UT 84651 Bennett, David ~ Administrators Inc (801) 465-4490 Jones, Aaron ~ NPI: 1558571943 2211 East Vly Vista Way NPI: 1184792905 Avesis Third Party Provo, UT 84606 Winkel, Kerry ~ Avesis Third Party Administrators Inc (801) 377-0037 NPI: 1457368656 Administrators Inc 247 West 2230 N Ste 101 Avesis Third Party 597 South Pleasant Grove Provo, UT 84604 Lee, Todd ~ Administrators Inc Blvd Suite 12 (801) 375-1414 NPI: 1467681163 759 South 1040 West Pleasant Grove, UT 84062 Avesis Third Party Payson, UT 84651 (801) 796-3535 Huang, Preston ~ Administrators Inc (801) 465-0550 NPI: 1407139553 2335 South State St Ste 200 Smith, Gavin ~ Avesis Third Party Provo, UT 84606 Pleasant Grove NPI: 1326255993 Administrators Inc (801) 225-1630 84062 Avesis Third Party 1234 North 900 East Suite Administrators Inc 100 Blackhurst, Robert ~ 60 East State St Provo, UT 84604 NPI: 1548475551 Pleasant Grove, UT 84062 (801) 854-9140 Avesis Third Party (801) 785-2574 Administrators Inc 922 North 2000 West Pleasant Grove, UT 84062 (801) 763-5555

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Salem Santaquin Jensen, Brandon ~ Spanish Fork NPI: 1942494083 84653 84655 Avesis Third Party 84660 Bonny, James ~ Chisholm, Jon ~ Administrators Inc Brockbank, Wells ~ NPI: 1700989209 NPI: 1811065683 1314 Redwood Rd Suite NPI: 1487752630 Avesis Third Party Avesis Third Party 102 Avesis Third Party Administrators Inc Administrators Inc Saratoga Springs, UT Administrators Inc 245 West State Hwy 198 10 South 300 West 84045 490 North Main St Suite 6 Santaquin, UT 84655 (801) 768-0440 Spanish Fork, UT 84660 Salem, UT 84653 (801) 754-0678 (801) 798-9874 (801) 423-2244 Jolley, Chris ~ Huntington, Gavin ~ NPI: 1134168495 Grant, Lance ~ Bonny, James ~ NPI: 1992933840 Avesis Third Party NPI: 1124370143 NPI: 1700989209 Avesis Third Party Administrators Inc Avesis Third Party Avesis Third Party Administrators Inc 76 East Commerce Dr Ste Administrators Inc Administrators Inc 151 E Main Street Suite 1 202 685 North 920 East 245 West State Hwy 198 Santaquin, UT 84655 Saratoga Springs, UT Spanish Fork, UT 84660 Suite 6 Po Box 920 (801) 754-3100 84045 (801) 794-3567 Salem, UT 84653 (801) 768-4600 (801) 423-2244 Saratoga Springs Mcmurtrey, Jennifer ~ Long, Daniel ~ NPI: 1396052569 Dawson, Brad ~ 84045 NPI: 1306886924 Avesis Third Party NPI: 1003073511 Baker, Garry ~ Avesis Third Party Administrators Inc Avesis Third Party NPI: 1215131370 Administrators Inc 685 North 920 East Administrators Inc Avesis Third Party 1314 Redwood Rd Suite Spanish Fork, UT 84660 601 North State Rd Suite Administrators Inc 102 (801) 794-3567 198 1314 North Redwood Rd Saratoga Springs, UT Salem, UT 84653 Suite 102 84045 Melton, Joshua ~ (801) 423-7969 Saratoga Springs, UT (801) 768-0440 NPI: 1518273119 84045 Avesis Third Party Guenter, Robert ~ (801) 768-0440 Mcmurtrey, Jennifer ~ Administrators Inc NPI: 1407089543 NPI: 1396052569 685 North 920 E Avesis Third Party Blackhurst, David ~ Avesis Third Party Spanish Fork, UT 84660 Administrators Inc NPI: 1780706887 Administrators Inc (801) 794-3567 204 East 400 North Suite C Avesis Third Party 308 East Crossroads Blvd Salem, UT 84653 Administrators Inc Saratoga Springs, UT Nielsen, Paul ~ (801) 504-6133 1314 Redwood Rd Suite 84045 NPI: 1275674004 102 (801) 691-5900 Avesis Third Party Hulse, Benjamin ~ Saratoga Springs, UT Administrators Inc NPI: 1144387622 84045 Pelton, Ritchie ~ 685 North 920 E Avesis Third Party (801) 768-0440 NPI: 1619315454 Spanish Fork, UT 84660 Administrators Inc Avesis Third Party (801) 794-3567 601 North State Rd Suite Green, John ~ Administrators Inc 198 NPI: 1497065551 1416 North Redwood Rd Tobler, Eric ~ Salem, UT 84653 Avesis Third Party Saratoga Springs, UT NPI: 1750588844 (801) 423-7969 Administrators Inc 84045 Avesis Third Party 1314 Redwood Rd Suite (801) 766-2112 Administrators Inc Perry, Justin ~ 102 685 North 920 E NPI: 1154524965 Saratoga Springs, UT Spanish Fork, UT 84660 Avesis Third Party 84045 (801) 794-3567 Administrators Inc (801) 768-0440 40 South 200 West Salem, UT 84653 (801) 423-1345

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Tobler, Nathan ~ Nance, Eric ~ Hatch, Jeremy ~ Utley, Dan ~ NPI: 1336309368 NPI: 1174909220 NPI: 1861529612 NPI: 1437229275 Avesis Third Party Avesis Third Party Avesis Third Party Avesis Third Party Administrators Inc Administrators Inc Administrators Inc Administrators Inc 685 North 920 E 285 East 400 S 52 South 850 West Suite 444 East Tabernacle Suite Spanish Fork, UT 84660 Springville, UT 84663 201 1 (801) 794-3567 (801) 489-1000 Hurricane, UT 84737 Saint George, UT 84770 (435) 635-9471 (435) 628-9099 Tobler, Nathan ~ Perkins, Robert ~ NPI: 1336309368 NPI: 1275619835 Powell, James ~ Valantine, Matthew ~ Avesis Third Party Avesis Third Party NPI: 1922291855 NPI: 1134270655 Administrators Inc Administrators Inc Avesis Third Party Avesis Third Party 685 North 920 East 335 East 400 South Administrators Inc Administrators Inc Spanish Fork, UT 84660 Springville, UT 84663 82 South 700 West 10 Diagonal St Suite 201 (801) 794-3567 (801) 489-4411 Hurricane, UT 84737 Saint George, UT 84770 (435) 635-4333 (435) 673-7373 Springville Perrero, Jeffrey ~ 84663 NPI: 1679892640 La Verkin 84790 Avesis Third Party 84745 Earl, Darren ~ Fullmer, Mark ~ Administrators Inc NPI: 1437258480 NPI: 1568684470 1795 West 500 South Suite Howard, Hugh ~ Avesis Third Party Avesis Third Party B-3 NPI: 1609980739 Administrators Inc Administrators Inc Springville, UT 84663 Avesis Third Party 321 North Mall Dr Suite 225 East 400 S (801) 491-6000 Administrators Inc F-102 Springville, UT 84663 144 S. State St Saint George, UT 84790 (801) 489-3611 Smith, Craig ~ La Verkin, UT 84745 (435) 656-4550 NPI: 1326061847 (435) 635-4244 Jensen, Brandon ~ Avesis Third Party Hatch, Darren ~ NPI: 1942494083 Administrators Inc Saint George NPI: 1538447461 Avesis Third Party 1795 West 500 South Suite Avesis Third Party Administrators Inc B-3 84770 Ence, James ~ Administrators Inc 1795 West 500 S Ste B Springville, UT 84663 1224 South River Rd Suite Springville, UT 84663 (801) 491-6000 NPI: 1902829559 (801) 491-6000 Avesis Third Party D Administrators Inc Saint George, UT 84790 Washington (435) 628-9600 Myers, John ~ 754 S Main St No. 1 Hurricane Saint George, UT 84770 NPI: 1619183357 Morris, David ~ Avesis Third Party 84737 (435) 628-2667 Administrators Inc NPI: 1730271305 1795 West 500 South Suite Elkington, Charles ~ Hanson, Eric ~ Avesis Third Party B-3 NPI: 1841584737 NPI: 1457542284 Administrators Inc Springville, UT 84663 Avesis Third Party Avesis Third Party 321 North Mall Dr Suite (801) 491-6000 Administrators Inc Administrators Inc P101 50 South 700 W 437 South Bluff St Suite Saint George, UT 84790 (435) 673-4809 Nance, David ~ Hurricane, UT 84737 102 NPI: 1073615100 (435) 635-4492 Saint George, UT 84770 (435) 688-2772 Scholzen, Jeremy ~ Avesis Third Party NPI: 1063596104 Administrators Inc Avesis Third Party 285 East 400 South Administrators Inc Springville, UT 84663 2746 East 850 North Suite (801) 489-1000 B Saint George, UT 84790 (435) 673-7776

152 Specialty Providers / Proveedores Especializados Dentist continued/seguido

Santa Clara Utley, Tyler ~ St. George Farr West NPI: 1609244045 84765 Avesis Third Party 84770 84404 Redd, Jay ~ Administrators Inc Wagner Iii, Woodrow ~ Hale, Benjamin ~ NPI: 1225358435 444 East Tabernacle St Ste NPI: 1871620641 NPI: 1144433392 Avesis Third Party 1 Avesis Third Party Avesis Third Party Administrators Inc St George, UT 84770 Administrators Inc Administrators Inc 2301 Santa Clara Dr Suite (435) 628-9099 754 South Main Suite 1 1812 North 2000 West D St. George, UT 84770 Suite B Santa Clara, UT 84765 Wilhelmsen, Noelle ~ (435) 674-9777 Farr West, UT 84404 (435) 688-1577 NPI: 1013001718 (801) 731-4440 Avesis Third Party Weber St George Administrators Inc Knight, Samuel ~ Eden 84770 382 South Bluff St Ste 200 NPI: 1457626988 St George, UT 84770 84310 Avesis Third Party Bullen, Russell ~ (435) 628-6168 Administrators Inc NPI: 1639512015 Burton, Brigham ~ 1761 North 2000 West Avesis Third Party Wilhelmsen, Noelle ~ NPI: 1689990541 Farr West, UT 84404 Administrators Inc NPI: 1013001718 Avesis Third Party (801) 731-3200 350 East 600 S Ste 1 Avesis Third Party Administrators Inc St George, UT 84770 Administrators Inc 2627 North Hwy 162 Wells, Ryker ~ (435) 652-4100 929 West Sunset Blvd Ste Eden, UT 84310 NPI: 1417337122 15 (801) 745-3882 Avesis Third Party Burton, Brigham ~ St George, UT 84770 Administrators Inc NPI: 1689990541 (435) 656-5900 Iverson, Vern ~ 2703 North 1600 W Avesis Third Party NPI: 1487617940 Farr West, UT 84404 Administrators Inc 84790 Avesis Third Party (801) 737-4650 350 East 600 S Ste 1 Administrators Inc St George, UT 84770 Christensen, Louis ~ 2627 North Highway 162 North Ogden (435) 652-4100 NPI: 1568594505 P.O. Box 900 Avesis Third Party Eden, UT 84310 84414 Gutierrez, Blake ~ Administrators Inc (801) 745-3882 Albrechtsen, Jon ~ NPI: 1043585730 1404 Sunriver Pkwy Ste NPI: 1134289820 Avesis Third Party 125 Iverson, Vern ~ Avesis Third Party Administrators Inc St George, UT 84790 NPI: 1487617940 Administrators Inc 25 North 100 E Ste 102 (435) 256-6167 Avesis Third Party 2201 North 400 East St George, UT 84770 Administrators Inc North Ogden, UT 84414 (435) 986-2565 Cox, Jamison ~ 2627 North Hwy 162 (801) 782-6681 NPI: 1891050282 Eden, UT 84310 Salmon, Aaron ~ Avesis Third Party (801) 745-3882 Barclay, James ~ NPI: 1275885485 Administrators Inc NPI: 1588673487 Avesis Third Party 736 South 900 E Ste 105 Wagstaff, Chad ~ Avesis Third Party Administrators Inc St George, UT 84790 NPI: 1730212564 Administrators Inc 350 East 600 S Ste 1 (435) 673-2491 Avesis Third Party 2201 North 400 East St George, UT 84770 Administrators Inc North Ogden, UT 84414 (435) 652-4100 Olsen, Brian ~ 2640 North Hwy 162 Unit (801) 782-6681 NPI: 1457344566 101 Avesis Third Party Eden, UT 84310 Bateman, Ryan ~ Administrators Inc (801) 745-1100 NPI: 1447416425 1224 South River Rd Ste D Avesis Third Party St George, UT 84790 Administrators Inc (435) 628-9600 2201 North 400 East North Ogden, UT 84414 (801) 782-6681

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Cooney, Nathan ~ Ogden 84414 Saunders, Richard ~ NPI: 1619263894 84403 Bullen, Russell ~ NPI: 1407252760 Avesis Third Party NPI: 1639512015 Avesis Third Party Administrators Inc Ericksen, Taylor ~ Avesis Third Party Administrators Inc 2201 North 400 East NPI: 1326423872 Administrators Inc 2221 North Hwy 89 North Ogden, UT 84414 Avesis Third Party 2274 North Washington Pleasant View, UT 84404 (801) 782-6681 Administrators Inc Blvd Suite 202 (801) 394-9488 5974 South Fashion Point Ogden, UT 84414 Craven, Scott ~ Dr Suite 210 (801) 852-5252 Saunders, Ryan ~ NPI: 1790794550 Ogden, UT 84403 NPI: 1518113729 (801) 475-6121 Avesis Third Party Kuchenmeister, Joseph ~ Avesis Third Party Administrators Inc NPI: 1942564125 Administrators Inc 2201 North 400 East Huang, Xiao Li ~ Avesis Third Party 2221 North Hwy 89 North Ogden, UT 84414 NPI: 1003918863 Administrators Inc Pleasant View, UT 84404 (801) 782-6681 Avesis Third Party 2797 North Hwy 89 Ste (801) 394-9488 Administrators Inc 201 Greenhalgh, Jonathan ~ 4277 Harrison Blvd Ogden, UT 84414 84414 NPI: 1306042247 Ogden, UT 84403 (801) 479-1300 (801) 737-2410 Scoville, Ronald ~ Avesis Third Party NPI: 1851359897 Administrators Inc Pleasant View Avesis Third Party 2201 North 400 East 84404 Administrators Inc North Ogden, UT 84414 Wolthuis, Jared ~ 84404 2685 North 1000 West (801) 782-6681 NPI: 1851583520 Barclay, James ~ Suite 101 Avesis Third Party NPI: 1588673487 Pleasant View, UT 84414 Hansen, Heather ~ Administrators Inc Avesis Third Party (801) 737-9442 NPI: 1003903386 512 12Th Street Administrators Inc Avesis Third Party Ogden, UT 84404 2797 North Hwy 89 Suite Roy Administrators Inc (801) 399-5831 201 2201 North 400 East Pleasant View, UT 84404 84067 North Ogden, UT 84414 (801) 737-2410 Anderson, James ~ (801) 782-6681 84405 Chu Tandar, Wendy ~ NPI: 1780890715 NPI: 1265537823 Cameron, Dustin ~ Avesis Third Party Linsley, Kent ~ NPI: 1679986483 Administrators Inc NPI: 1235148016 Avesis Third Party Administrators Inc Avesis Third Party 3626 West 5600 South Avesis Third Party Administrators Inc Suite D Administrators Inc 1140 West Riverdale Rd Ste D 2797 North Hwy 89 Suite Roy, UT 84067 2201 North 400 East 201 (801) 985-2273 North Ogden, UT 84414 Ogden, UT 84405 (801) 917-1502 Pleasant View, UT 84404 (801) 782-6681 (801) 737-2410 Bjork, Andrew ~ Toshniwal, Neha ~ NPI: 1346699642 Mackley, Paul ~ Frost, Garrett ~ Avesis Third Party NPI: 1437168275 NPI: 1306378229 Avesis Third Party NPI: 1770923328 Administrators Inc Avesis Third Party Avesis Third Party 4040 Midland Dr Ste 1 Administrators Inc Administrators Inc 1140 W. Riverdale Rd. Ste. Administrators Inc Roy, UT 84067 2201 North 400 East 2797 North Hwy 89 Suite (801) 317-4407 North Ogden, UT 84414 D 201 (801) 782-6681 Ogden, UT 84405 (801) 917-1502 Pleasant View, UT 84404 Chipian, E ~ (801) 737-2410 NPI: 1639323017 Avesis Third Party Administrators Inc 3485 West 4800 South Roy, UT 84067 (801) 825-5200

154 Specialty Providers / Proveedores Especializados Dentist continued/seguido

Greenhalgh, Jonathan ~ Miller, Matthew ~ Smyth, Patricia ~ Mccaughey, Cort MD ~* NPI: 1306042247 NPI: 1952483109 NPI: 1396755005 NPI: 1598081325 Avesis Third Party Avesis Third Party Avesis Third Party Ihc Bear River Specialists - Administrators Inc Administrators Inc Administrators Inc Tremonton 4040 Midland Dr Ste 1 5742 South 1475 E Ste 100 5300 Adams Ave Pkwy Ste 935 North 1000 West Roy, UT 84067 South Ogden, UT 84403 1 Tremonton, UT 84337 (801) 317-4407 (801) 392-2182 South Ogden, UT 84405 (435) 207-4800 (801) 476-1234 Hanks, Mercedes ~ Norris, Kipton ~ Cache NPI: 1154737781 NPI: 1164431177 Sorensen, Donald ~ Avesis Third Party Avesis Third Party NPI: 1093899593 Logan Administrators Inc Administrators Inc Avesis Third Party 84321 2779 West 4000 South 5990 Fashion Point Dr Administrators Inc Suite 102 Suite 2 1508 East Skyline Dr Suite Hadley, Michael MD ~* Roy, UT 84067 South Ogden, UT 84403 500 NPI: 1699797811 (801) 774-9354 (801) 475-4288 South Ogden, UT 84405 Kelly W Hubbard Md - (801) 393-2217 Logan Kuchenmeister, Joseph ~ Rasmussen, Rochelle ~ 2380 North 400 East Ste B NPI: 1942564125 NPI: 1598982233 Dermatology Logan, UT 84321 Avesis Third Party Avesis Third Party (435) 752-5741 Administrators Inc Administrators Inc Box Elder 4040 South Midland Dr 5738 South 1475 East Suite Hubbard, Kelly MD ~* Suite 1 200 Brigham City NPI: 1871542308 Roy, UT 84067 South Ogden, UT 84403 Kelly W Hubbard Md - (801) 317-4407 (801) 479-3500 84302 Logan Mccaughey, Cort MD ~* 2380 North 400 East Ste B Neeley, Jay ~ NPI: 1598081325 Logan, UT 84321 84405 (435) 752-5741 NPI: 1932399391 Boss, Kiley ~ Ihc Box Elder Clinic - Avesis Third Party Brigham City NPI: 1396032041 84341 Administrators Inc Avesis Third Party 1050 South 500 West 4040 South Midland Dr Administrators Inc Brigham City, UT 84302 Hanson, Nathan MD ~* Suite 1 1508 East Skyline Dr Suite (435) 695-2700 NPI: 1407048515 Roy, UT 84067 400 Ihc Budge Clinic (801) 317-4407 South Ogden, UT 84405 Urry, Larry MD ~* Dermatology - Logan (801) 475-6500 NPI: 1083716955 1350 North 500 East South Ogden Larry E Urry Md Pc - Logan, UT 84341 84403 Draper, Mary ~ Brigham City (435) 716-1770 NPI: 1205047248 950 South 500 West Ste Anderton, Eric ~ Avesis Third Party 103 Mccaughey, Cort MD ~* NPI: 1568547727 Administrators Inc Brigham City, UT 84302 NPI: 1598081325 Avesis Third Party 1508 East Skyline Dr Suite (801) 827-9100 Ihc Budge Clinic Administrators Inc 400 Dermatology - Logan 1860 East Skyline Dr South Ogden, UT 84405 Tremonton 1350 North 500 East South Ogden, UT 84403 (801) 475-6500 Logan, UT 84341 (801) 621-1835 84337 (435) 716-1770 Hanson, Nathan MD ~* Anderton, Jared ~ Ford, Jonathan ~ NPI: 1407048515 NPI: 1992880074 NPI: 1023136488 Ihc Bear River Specialists - Avesis Third Party Avesis Third Party Tremonton Administrators Inc Administrators Inc 935 North 1000 West 1860 East Skyline Dr 1508 East Skyline Dr Suite Tremonton, UT 84337 400 (435) 207-4800 South Ogden, UT 84403 South Ogden, UT 84405 (801) 621-1835 (801) 475-6500

155 Specialty Providers / Proveedores Especializados Dermatology continued/seguido

Davis Clearfield Neuenschwander, Syracuse Bradley DO ~* Bountiful 84015 NPI: 1174740799 84075 84010 Hansen, Daniel DO ~* Tanner Memorial Clinic - Bishop, Bruce MD ~* NPI: 1114121217 Layton NPI: 1174693733 Bahr, Brooks MD ~* Northern Utah 2121 North 1700 West Tanner Memorial Clinic - NPI: 1831326941 Dermatology - Clinton Layton, UT 84041 Syracuse Bahr Dermatology Pc - 1475 North 2000 West Ste (801) 773-4840 2038 West 1900 South Bountiful C German, Polish Syracuse, UT 84075 460 South 200 West Clearfield, UT 84015 (801) 773-4840 Bountiful, UT 84010 (801) 399-3324 Nickle, Steven DO ~* (801) 298-1514 Spanish NPI: 1255722617 Neuenschwander, Spanish Tanner Memorial Clinic - Bradley DO * Kaysville Layton NPI: 1174740799 Christensen, Tanya MD ~ 2121 North 1700 West Tanner Memorial Clinic - NPI: 1467561613 84037 Layton, UT 84041 Syracuse Ihc Bountiful Clinic - Neuenschwander, (801) 773-4840 2038 West 1900 South Bountiful Bradley DO ~* Syracuse, UT 84075 390 North Main St NPI: 1174740799 Ramirez, Lori MD ~* (801) 773-4840 Bountiful, UT 84010 Tanner Memorial Clinic - NPI: 1508952615 German, Polish (801) 294-1000 Kaysville Ihc Layton Clinic - Layton Spanish 380 North 400 West 2075 University Park Blvd Iron Kaysville, UT 84037 Layton, UT 84041 Hadley, Jason MD * (801) 773-4840 (801) 779-6200 Cedar City NPI: 1619148129 German, Polish Japanese Ogden Clinic - Bountiful 84720 1560 Renaissance Town Layton Ramirez, Lori MD ~* Adams, Benjamin DO ~* Dr Ste 210 NPI: 1376769943 84041 NPI: 1508952615 Bountiful, UT 84010 Ihc Layton Dermatology - Cedar Dermatology Pllc - (801) 397-6100 Checketts, Scott MD ~* Layton Cedar City NPI: 1790762961 2075 University Park Blvd 166 West 1325 North Ste Hadley, Michael MD * Tanner Memorial Clinic - Layton, UT 84041 250 NPI: 1699797811 Layton (801) 779-6300 Cedar City, UT 84720 Ogden Clinic - Bountiful 2121 North 1700 West Japanese (435) 586-6440 1560 Renaissance Town Layton, UT 84041 Dr Ste 210 (801) 773-4840 Ramirez, Lori MD ~* Colbert, Rand MD ~* Bountiful, UT 84010 NPI: 1508952615 NPI: 1073692380 (801) 397-6100 Martineau, Michael Ihc Mckay Dee Cedar Dermatology Pllc - MD ~* Dermatology & Plastic Cedar City Robison, John MD ~ NPI: 1790761559 Surgery - Layton 166 West 1325 North Ste NPI: 1629187638 Tanner Memorial Clinic - 2075 Univeristy Park Blvd 250 Ihc Bountiful Clinic - Layton Layton, UT 84041 Cedar City, UT 84720 Bountiful 2121 North 1700 West (801) 779-6300 (435) 586-6440 390 North Main St Layton, UT 84041 Japanese Russian Bountiful, UT 84010 (801) 773-4840 (801) 294-1000 Portugese Ramirez, Lori MD ~* Spanish NPI: 1508952615 Ogden Clinic - Davis Family Physicians 3225 West Gordon Ave Ste 1 Layton, UT 84041 (801) 397-6150 Japanese

156 Specialty Providers / Proveedores Especializados Dermatology continued/seguido

Salt Lake Riverton Russell, Dennis MD ~ 84112 NPI: 1457376113 Draper 84065 Johnson, Luke MD ~ Ihc Salt Lake Clinic - NPI: 1124361233 84020 Alston, Dylan MD ~ Family Internal Medicine U-U Pediatric Dermatology NPI: 1457790180 389 South 900 East Hinckley, Michael MD ~* - Salt Lake City Ihc Southridge Clinic Salt Lake City, UT 84102 81 North Mario Capecchi NPI: 1760665707 Surgical Specialties - (385) 282-2600 Granger Medical Draper Dr Riverton Salt Lake City, UT 84112 Derm 3723 West 12600 South Ste 84105 11760 South 700 East Ste 270 (801) 213-3599 210 Riverton, UT 84065 Hansen, Jason MD ~ Draper, UT 84020 (801) 285-4600 NPI: 1285734822 84117 (801) 965-3600 Ihc Memorial Clinic - Topham, Robert MD ~ Czech, German, Spanish Hinckley, Michael MD ~* Sugarhouse NPI: 1144290479 NPI: 1760665707 2000 South 900 East Holladay Dermatology - Urry, Larry MD ~* Granger Medical - Riverton Salt Lake City, UT 84105 Salt Lake NPI: 1083716955 12391 South 4000 West (801) 464-7500 1775 East 4500 South Draper Dermatology Pc - Riverton, UT 84065 French Salt Lake City, UT 84117 Draper (801) 302-1700 (801) 272-4408 74 East Kimballs Lane Ste Czech, German, Spanish Sanders, Marc MD ~ Spanish 230 A NPI: 1710920137 Draper, UT 84020 Ihc Memorial Clinic - (801) 201-4338 Salt Lake City Sugarhouse 84120 84102 2000 South 900 East Hinckley, Michael MD ~* Midvale Rasmussen, Bradley Salt Lake City, UT 84105 NPI: 1760665707 (801) 464-7500 Granger Medical - West 84047 MD ~ NPI: 1942230925 Spanish Valley Hinckley, Michael MD ~* Ihc Salt Lake Clinic - 3725 West 4100 South NPI: 1760665707 Dermatology 84107 Salt Lake City, UT 84120 Brian J Williams Md Pc - (801) 965-3600 389 South 900 East Clifford, Rebekah MD ~* Czech, German, Spanish Midvale Salt Lake City, UT 84102 NPI: 1053511584 602 East Fort Union Blvd (385) 282-2825 Granger Medical Clinic - 2Nd Flr Slc Ste 203 84121 Midvale, UT 84047 Rasmussen, Dee MD ~ 5323 Woodrow St Ste 203 Dahle, Kevin MD ~ (801) 965-2799 NPI: 1184658502 Salt Lake City, UT 84107 NPI: 1821336496 Czech, German, Spanish Ihc Salt Lake Clinic - (801) 281-1300 Ihc Holladay Allergy And Family Internal Medicine Dermatology - Holladay Williams, Brian MD ~* 389 South 900 East 84111 6272 South Highland Dr NPI: 1235162199 Salt Lake City, UT 84102 Salt Lake City, UT 84121 Brian J Williams Md Pc - (385) 282-2600 Sotiriou, Leo MD ~* (801) 871-6300 Midvale NPI: 1801885199 602 East Fort Union Blvd Ross, Rustin MD ~ Leo Sotiriou Md - Salt Lake Parker, Jana MD ~ 2Nd Flr NPI: 1164631461 250 East 300 South Ste 330 NPI: 1619187416 Midvale, UT 84047 Ihc Salt Lake Clinic - Salt Lake City, UT 84111 Ihc Holladay Allergy And (801) 965-2799 Dermatology (801) 521-5630 Dermatology - Holladay 389 South 900 East 6272 South Highland Dr Salt Lake City, UT 84102 Salt Lake City, UT 84121 (385) 282-2825 (801) 871-6300 Spanish

157 Specialty Providers / Proveedores Especializados Dermatology continued/seguido

84124 West Jordan Peterson, Michael DO ~* Macdonald, James MD ~* Clifford, Rebekah MD ~* 84088 NPI: 1770634909 NPI: 1750517736 NPI: 1053511584 Premier Family Medical - Revere Health - Lehi - Granger Medical - Forsha, Douglass MD ~* American Fork Site Dermatology Wasatch NPI: 1285674671 226 North 1100 East Ste A 220 North 1200 East Ste 1160 East 3900 South Ste Jordan Valley Dermatology American Fork, UT 84003 203 1000 Center Llc - West Jordan (801) 855-3850 Lehi, UT 84043 Salt Lake City, UT 84124 3570 West 9000 South Ste Spanish (801) 418-0920 (801) 262-1771 220 Japanese West Jordan, UT 84088 Pettit, Kimberly MD ~ (801) 569-1456 NPI: 1093789299 Peterson, Michael DO ~* Flint, Ivan MD ~* Thai Ihc American Fork NPI: 1770634909 NPI: 1962484485 Dermatology - Am Fork Premier Family Medical - Ivan D Flint Md Pc - Salt Tooele 98 North 1100 East Ste 301 Lehi Site Lake City American Fork, UT 84003 680 East Main St 1250 East 3900 South Ste Tooele 450 (801) 492-2300 Lehi, UT 84043 Salt Lake City, UT 84124 84074 (801) 768-1699 West, Stewart MD ~ Spanish (801) 262-3600 Peterson, Michael DO ~* Spanish NPI: 1518968387 NPI: 1770634909 Ihc American Fork Peterson, Michael DO ~* Springville Dermatology & Dermatology - Am Fork NPI: 1770634909 Hinckley, Michael MD ~* Diangnostics Pc - Tooele 98 North 1100 East Ste 301 Premier Family Medical - NPI: 1760665707 2321 North 400 East Ste American Fork, UT 84003 Mountain Point Site Granger Medical - 300 (801) 492-2300 3000 North Triumph Blvd Wasatch Tooele, UT 84074 1160 East 3900 South Ste Ste 220 (801) 704-7001 Eagle Mountain Lehi, UT 84043 1000 Spanish (801) 753-4650 Salt Lake City, UT 84124 84005 Spanish (801) 262-1771 Utah Czech, German, Spanish Peterson, Aaron DO ~* American Fork NPI: 1861648644 Lindon Premier Family Medical - 84129 84003 Eagle Mountain Site 84042 Wilson, Lindsay MD ~ Peterson, Aaron DO ~* 3943 East Pony Express Peterson, Michael DO ~* NPI: 1396068342 NPI: 1861648644 Pkwy Ste 120 NPI: 1770634909 Ihc Taylorsville Allergy Premier Dermatology - Eagle Mountain, UT 84005 Premier Family Medical - And Dermatology - American Fork (801) 789-5566 Lindon Pfm Pt Site Taylorsville 48 North 1100 East Ste A 275 West 200 North 3845 West 4700 South American Fork, UT 84003 Lehi Lindon, UT 84042 Salt Lake City, UT 84129 (801) 642-2950 (801) 756-3571 (801) 840-8444 84043 Spanish Peterson, Michael DO ~* Huber, Brad MD ~* South Jordan NPI: 1770634909 NPI: 1689757973 Peterson, Michael DO ~* 84095 Premier Family Medical - Revere Health - Lehi - NPI: 1770634909 Af Pfm Pt Site Dermatology Premier Family Medical - Desmond, Bryce DO ~ 1159 East 200 North Ste 220 North 1200 East Ste Lindon Site NPI: 1063851871 100 203 275 West 200 North Alta View Clinic American Fork, UT 84003 Lehi, UT 84043 Lindon, UT 84042 Dermatology - Sandy (801) 642-2890 (801) 418-0920 (801) 796-1333 9450 South 1300 East Spanish Spanish South Jordan, UT 84095 (801) 501-6333

158 Specialty Providers / Proveedores Especializados Dermatology continued/seguido

Orem Provo Macdonald, James MD ~* Spanish Fork NPI: 1750517736 84097 84604 Revere Health - Provo 84660 Jenson, Kraig MD ~* Bradshaw, Brian MD * 1055 North 500 West Ste Eyre, Michael MD ~* NPI: 1922099324 NPI: 1811955800 100 NPI: 1063481646 Kraig Jenson Pc - Orem Revere Health - Provo - Provo, UT 84604 Aspen Dermatology Pllc - 1385 East 750 North Dermatology & Skin (801) 812-5033 Spanish Fork Orem, UT 84097 Cancer Japanese 114 East 800 North (801) 224-5200 1055 North 500 West Ste Spanish Fork, UT 84660 111 Bldg C Tristani Firouzi, Payam (801) 794-1490 Payson Provo, UT 84604 MD ~* Japanese (801) 374-8999 NPI: 1407943921 84651 Revere Health - Provo - Peterson, Chad DO ~* Eyre, Michael MD ~* Donaldson, Mark MD * Dermatology & Skin NPI: 1821299751 NPI: 1063481646 NPI: 1982662102 Cancer Aspen Dermatology Pllc - Aspen Dermatology Pllc - Revere Health - Provo - 1055 North 500 West Ste Spanish Fork Payson Dermatology & Skin 111 Bldg C 114 East 800 North 123 North 500 East Cancer Provo, UT 84604 Spanish Fork, UT 84660 Payson, UT 84651 1055 North 500 West Ste (801) 374-8999 (801) 794-1490 (801) 465-8001 111 Bldg C Spanish Japanese Provo, UT 84604 Salem (801) 374-8999 Peterson, Michael DO ~* Lowe, Garrett MD ~ 84653 NPI: 1770634909 NPI: 1558658237 Garza, Reed MD ~* Garza, Reed MD ~* Aspen Dermatology Pllc - Ihc Payson Clinic - Payson NPI: 1669715819 NPI: 1669715819 Spanish Fork 854 Turf Farm Rd Ste 1 Revere Health - Provo - Revere Health - Salem - 114 East 800 North Payson, UT 84651 Dermatology & Skin 555 West Spanish Fork, UT 84660 (801) 465-6200 Cancer 555 West Sr 164 North (801) 794-1490 Romanian 1055 North 500 West Ste Salem, UT 84653 Spanish 111 Bldg C (801) 465-4896 Peterson, Chad DO ~* Provo, UT 84604 Springville NPI: 1821299751 (801) 374-8999 Saratoga Springs Aspen Dermatology Pllc - 84663 Payson Huber, Brad MD ~* 84045 Peterson, Chad DO ~* 123 North 500 East NPI: 1689757973 Peterson, Michael DO ~* NPI: 1821299751 Payson, UT 84651 Revere Health - Provo - NPI: 1770634909 Aspen Dermatology Pllc - (801) 465-8001 Dermatology & Skin Premier Family Medical - Springville Spanish Cancer Saratoga Springs Site 732 North Main St 1055 North 500 West Ste 76 East Commerce Dr Ste Springville, UT 84663 Pleasant Grove 111 Bldg C 204 (801) 794-1490 Provo, UT 84604 Saratoga Springs, UT Spanish 84062 (801) 374-8999 84045 Peterson, Michael DO ~* (801) 766-8427 Peterson, Michael DO ~* NPI: 1770634909 Lowe, Garrett MD ~ Spanish NPI: 1770634909 Premier Family Medical - NPI: 1558658237 Springville Dermatology & Pleasant Grove Site Utah Valley Dermatology - Diangnostics Pc - 830 North 2000 West Provo Springville Pleasant Grove, UT 84062 395 West Bulldog Blvd Ste 732 North Main St (801) 756-3511 604 Springville, UT 84663 Spanish Provo, UT 84604 (801) 704-7001 (801) 371-6464 Spanish Romanian

159 Specialty Providers / Proveedores Especializados Dermatology continued/seguido

Washington Larson, April MD ~* Pho, Lana MD ~ Maughan, Julie MD ~* NPI: 1659446946 NPI: 1013160548 NPI: 1114098357 Saint George April Larson Md Pc - St Ihc Mckay Dee Willard Z Maughan Md Pc 84770 George Dermatology & Plastic - Ogden 169 West 2710 South Ste Surgery - Ogden 6028 South Ridgeline Dr Bishop, Bruce MD ~* 101 4403 Harrison Blvd Ste Ste 200 NPI: 1174693733 Saint George, UT 84790 3680 Ogden, UT 84405 B Grant Bishop Md Pc - St (435) 652-9127 Ogden, UT 84403 (801) 475-5210 George Spanish (801) 387-4750 552 North Dixie Dr Urry, Larry MD ~* Saint George, UT 84770 Larson, April MD ~* Ramirez, Lori MD ~* NPI: 1083716955 (435) 703-9296 NPI: 1659446946 NPI: 1508952615 Larry E Urry Md Pc - Ihc Southern Utah Plastic Ogden Clinic - 4650 Washington Terrace Jacobsen, Greg MD ~* Surgery & Dermatology - Harrison Blvd 434 East 5350 South Ste D NPI: 1811105745 St George 4650 Harrison Blvd Ogden, UT 84405 Southwest Skin And 652 South Medical Center Ogden, UT 84403 (801) 827-9100 Cancer Llc - St George - Dr Ste 300 (801) 475-3000 Site Saint George, UT 84790 Japanese 84414 383 South 300 East (435) 251-3670 Saint George, UT 84770 Spanish Taintor, Adam MD ~* Hanson, Nathan MD ~* (435) 628-2826 NPI: 1851563779 NPI: 1407048515 Weber Intermountain Skin Cancer Ihc Budge Dermatology - Peterson, Michael DO ~* And Esthetics Center Pc - North Ogden NPI: 1770634909 Ogden 2400 North Washington Ogden Blvd Springville Dermatology & 84403 3860 Jackson Ave Ste 2 Diangnostics Pc - St George Ogden, UT 84403 Ogden, UT 84414 1449 North 1400 West Ste Allen, David MD ~* (801) 627-0515 (435) 792-1770 22 NPI: 1487672986 Saint George, UT 84770 Intermountain Skin Cancer Tingey, Chad MD * Ramirez, Lori MD ~* (435) 703-9296 And Esthetics Center Pc - NPI: 1043335300 NPI: 1508952615 Spanish Ogden Ogden Clinic Professional Ogden Clinic - Pleasant 3860 Jackson Ave Ste 2 Center - North View Smith, Wallace MD ~* Ogden, UT 84403 4650 Harrison Blvd 1100 West 2700 North NPI: 1164499836 (801) 627-0515 Ogden, UT 84403 Ogden, UT 84414 Southwest Skin And Spanish (801) 475-3000 (801) 475-3600 Cancer Llc - St George - Spanish Japanese Site Draper, Bradley MD ~* 383 South 300 East NPI: 1902827553 Roy Saint George, UT 84770 Wasatch Dermatology Pc - 84405 (435) 628-2826 Ogden Hansen, Daniel DO ~* 84067 5734 South 1475 East Ste NPI: 1114121217 Hadley, Jason MD ~* 84790 300 Northern Utah NPI: 1619148129 Ogden, UT 84403 Dermatology - Ogden Ogden Clinic - Grand View Carter, Benjamin MD ~ (801) 475-5210 1495 East Ridgeline Dr 3485 West 5200 South NPI: 1093919912 German Ogden, UT 84405 Roy, UT 84067 Riverside Medical Arts (801) 399-3324 (801) 475-3900 1068 East Riverside Dr Spanish Saint George, UT 84790 Maughan, Julie MD ~* (435) 628-6466 NPI: 1114098357 Spanish Wasatch Dermatology Pc - Ogden 5734 South 1475 East Ste 300 Ogden, UT 84403 (801) 475-5210

160 Specialty Providers / Proveedores Especializados

Durable Medical Apria Healthcare Inc - 84104 Carols Mastectomy Logan ~* Shoppe Llc ~* Equipment & Med Way Medical Inc ~* NPI: 1720385800 NPI: 1962438358 NPI: 1801222401 Medical Supplies Apria Healthcare Inc - Med Way Medical Inc - Carols Mastectomy Shoppe Logan Site Salt Lake Llc - Salt Lake 575 East 1400 North Ste 3165 South Main St Box Elder 1837 South 4130 West 110 Unit B Salt Lake City, UT 84115 Brigham City Logan, UT 84341 Salt Lake City, UT 84104 (801) 483-1262 (435) 752-2100 (801) 566-0567 84302 Deseret Medical ~* Advantage Medical Salt Lake 84107 NPI: 1780728535 Supply Inc ~* Deseret Medical - Salt Lake NPI: 1770579971 Draper Alpine Home Medical 560 West Fine Dr Advantage Medical Supply 84020 Equipment ~* Salt Lake City, UT 84115 NPI: 1033173646 (801) 270-8440 Inc Mountain Valley Home 590 Greenwood Dr Alpine Home Medical Medical Equipment Inc ~ Equipment - Salt Lake Brigham City, UT 84302 NPI: 1720054828 84121 (888) 270-0202 4030 South State St Mountain Valley Home Salt Lake City, UT 84107 Medicor Llc ~* Medical Equipment Inc (801) 463-0044 NPI: 1053318709 Alpine Management And 380 West 12300 South Ste Medicor Llc - Brighton Consulting ~* 101 Point Dr NPI: 1588162283 Hanger Clinic ~* Draper, UT 84020 NPI: 1255608501 3652 E Brighton Point Dr Alpine Management And (801) 282-6922 Salt Lake City, UT 84121 Consulting - Brigham City Hanger Clinic - Murray (801) 942-5543 1030 South Medical Dr Ste East Midvale 887 East Vine St A Medicor Llc ~* Brigham City, UT 84302 84047 Salt Lake City, UT 84107 (801) 293-8777 NPI: 1053318709 (435) 723-9700 Apria Healthcare Llc - Medicor Llc - Ft Union Midvale ~* Blvd Cache National Seating & NPI: 1598874687 Mobility Inc - Murray ~* 2469 E Fort Union Blvd Logan Apria Healthcare Llc - NPI: 1710149299 Ste 105 Midvale Site National Seating & Salt Lake City, UT 84121 84341 6952 High Tech Dr Ste A Mobility Inc - Murray Site (801) 942-5543 Alpine Home Medical Midvale, UT 84047 6553 South Cottonwood St Equipment ~* (888) 492-7742 Salt Lake City, UT 84107 84123 NPI: 1891125084 (801) 281-6601 Hanger Clinic ~* Alpine Home Medical National Dme - Ut ~* NPI: 1417066333 Equipment - Logan NPI: 1487646360 84115 Hanger Clinic - Murray 1395 North 400 East Ste A National Dme_7757 S West Logan, UT 84341 Allen St Byram Healthcare 5292 South College Dr Ste (435) 774-4500 7757 S Allen St Centers Inc - Ut ~ 103 Midvale, UT 84047 NPI: 1609024397 Salt Lake City, UT 84123 (800) 644-1968 Diabetes Specialty Center - Alpine Management And Salt Lake (801) 266-7768 Consulting ~* Salt Lake City 3793 South State St NPI: 1588162283 Salt Lake City, UT 84115 Kal Medical Supplies Alpine Management And 84102 (800) 394-5685 Inc ~* Consulting - Logan NPI: 1386827418 2310 North 400 East Ste A Red Rock Medical Supply Kal Medical Supplies Inc - Logan, UT 84341 Llc ~* Salt Lake (435) 787-2000 NPI: 1396018545 621 West 3900 South Ste Red Rock Medical Supply A100 Llc - Salt Lake Salt Lake City, UT 84123 450 South 900 East Ste 100 (801) 266-2795 Salt Lake City, UT 84102 (801) 886-9700

161 Specialty Providers / Proveedores Especializados Durable Medical Equipment & Medical Supplies continued/seguido

Sandy Orem Washington Weber 84070 84057 Saint George Ogden Medsource Inc ~* Trumobility Inc ~* 84770 84401 NPI: 1164417366 NPI: 1497126486 Medsource Inc - Sandy Trumobility - Orem Advantage Medical National Seating & 10520 South 700 East Ste 1164 West 675 North Supply Inc ~* Mobility Inc - Ogden ~* 210 Orem, UT 84057 NPI: 1770579971 NPI: 1184863060 Sandy, UT 84070 (801) 607-1050 Advantage Medical Supply National Seating & (801) 255-5202 Inc - St George Mobility Inc - Ogden Site 84058 640 E 700 S Ste 102 1719 West 2800 South Ste Symbius Medical Llc ~* Saint George, UT 84770 102 NPI: 1023258514 Petersen Medical ~* (888) 270-0202 Ogden, UT 84401 Symbius Medical Llc - NPI: 1164519856 (801) 392-1010 Sandy Petersen Medical - Orem 84790 325 East University Pkwy 84403 427 West Universal Cir Orem, UT 84058 Alpine Home Medical Sandy, UT 84070 (801) 261-9137 Equipment ~* Alpine Home Medical (866) 576-8889 NPI: 1023297926 Equipment ~* Petersen Medical ~* Alpine Home Medical NPI: 1780882605 Tooele NPI: 1164519856 Equipment - St George Alpine Home Medical 42 South River Rd Ste 10 Equipment - Ogden Tooele Petersen Medical - Orem 2 1268 South 1380 West Saint George, UT 84790 4669 South Harrison Blvd 84074 Orem, UT 84058 (435) 674-0080 Ogden, UT 84403 Dependable Oxygen (801) 373-1010 (801) 393-0015 Company Inc ~* Apria Healthcare Inc - St NPI: 1205912227 Provo George ~* Debra Lynns Llc ~* Dependable Oxygen NPI: 1073623369 NPI: 1437141702 Company Inc - Tooele 84604 Apria Healthcare Inc - St Debra Lynns Llc 63 East 1280 North Alpine Home Medical George Site 1090 East 30Th Street Tooele, UT 84074 Equipment ~* 1509 South 270 East Ste 9 Ogden, UT 84403 (435) 882-0055 NPI: 1942427349 Saint George, UT 84790 (801) 393-2885 Alpine Home Medical (435) 628-5222 Utah Equipment - Provo Hanger Clinic ~* 1481 North State St Carols Post Mastectomy NPI: 1063881258 Lindon Provo, UT 84604 Specialists ~ Hanger Clinic - Ogden (801) 852-0077 NPI: 1013014240 3585 Harrison Blvd Ste 84042 Carols Post Mastectomy 100 Apria Healthcare Inc - Hanger Clinic ~* Specialists Ogden, UT 84403 Lindon ~* NPI: 1215170451 330 East 600 South (801) 392-5999 NPI: 1912204090 Hanger Clinic - Provo Saint George, UT 84790 Apria Healthcare Inc - 1355 North University Ave (435) 688-0452 84405 Lindon Site Ste 160 Apria Healthcare Inc - 400 North Geneva Rd Ste Provo, UT 84604 Petersen Medical ~* Ogden ~* F (801) 356-1830 NPI: 1164519856 NPI: 1700183886 Lindon, UT 84042 Petersen Medical - St Apria Healthcare Inc - (801) 785-1000 George Ogden Site 2019 East Riverside Dr Ste 206 West 36Th St A100 Ogden, UT 84405 Saint George, UT 84790 (801) 394-4000 (435) 628-4949

162 Specialty Providers / Proveedores Especializados Durable Medical Equipment & Medical Supplies continued/seguido

Roy Layton 84108 West Jordan 84067 84041 Kolff Dialysis Center ~ 84088 Petersen Medical ~* Farmington Bay Dialysis NPI: 1326147422 Liberty Dialysis - West NPI: 1164519856 Center ~ Kolff Dialysis Center - Site Jordan Llc ~* Petersen Medical - Roy NPI: 1487753901 423 Wakara Way Ste 200 NPI: 1073846655 5434 South 1900 West Ste Farmington Bay Dialysis Salt Lake City, UT 84108 Liberty Dialysis - West 3 Center - Site (801) 581-3981 Jordan Roy, UT 84067 942 South Main St 3823 West 9000 South Ste (801) 728-3333 Layton, UT 84041 84118 D (801) 593-9111 West Valley Dialysis West Jordan, UT 84088 Emergency Center ~ (801) 280-4600 Liberty Dialysis - NPI: 1588747638 Medicine Layton ~* West Valley Dialysis Utah NPI: 1841487881 Center - Site Cache Liberty Dialysis - Layton 3854 West 5400 South American Fork 2132 North 1700 West Ste Salt Lake City, UT 84118 84003 Logan 120 (801) 969-6801 Lone Peak Dialysis ~* 84321 Layton, UT 84041 (801) 779-6100 NPI: 1306025499 Clark, Thomas MD ~* Sandy Lone Peak Dialysis - NPI: 1295741114 Iron 84070 American Fork Ihc Logan Clinic - Logan South Valley Dialysis 1175 East 50 South Ste 111 412 North 200 East Cedar City Center ~ American Fork, UT 84003 (801) 763-1304 Logan, UT 84321 84721 NPI: 1508965625 (435) 713-2800 South Valley Dialysis Portugese, Spanish Iron Mission Dialysis Center - Site Payson Center ~ 8750 South Sandy Pkwy 84651 End-Stage Renal NPI: 1336248855 Sandy, UT 84070 Iron Mission Dialysis (801) 233-8745 Payson Regional Dialysis Disease (Esrd) Center - Site Center ~ 1277 Northfield Rd Ste NPI: 1306094438 Treatment A100 South Jordan Payson Regional Dialysis Cedar City, UT 84721 84095 Center - Site Davis (435) 867-8175 South Mountain Dialysis 15 South 1000 East Ste 50 Bountiful Llc ~* Payson, UT 84651 Salt Lake NPI: 1033159488 (801) 465-2060 84010 Salt Lake City South Mountain Dialysis Lakeside Dialysis Llc - South Jordan Provo Center ~ 84106 10969 River Front Pkwy 84604 Ste 100 NPI: 1508965617 American Fork Dialysis Provo Dialysis Center ~ Lakeside Dialysis Center - Center ~ South Jordan, UT 84095 (801) 253-9696 NPI: 1194824201 Site NPI: 1316037971 Provo Dialysis Center - Site 532 South 500 West American Fork Dialysis 1675 North Freedom Blvd Bountiful, UT 84010 Center - Site Ste 15 (801) 299-3470 1159 East 200 North Ste Provo, UT 84604 150 (801) 373-0169 Salt Lake City, UT 84106 (801) 763-0652

163 Specialty Providers / Proveedores Especializados End-Stage Renal Disease (Esrd) Treatment continued/seguido

Washington 84414 Salt Lake Goodman, Gordon MD ~* Hurricane Pleasant View Dialysis Draper Center ~ NPI: 1750349205 84737 84020 Endocrinology Of Utah - NPI: 1609058528 Murray Hurricane Dialysis Pleasant View Dialysis Ahmad, Shahzad MD ~* 5980 South Fashion Blvd Center ~ Center - Site NPI: 1467533950 Salt Lake City, UT 84107 NPI: 1073712758 2715 North Hwy 89 Thyroid Institute Of Utah - (801) 912-8223 Hurricane Dialysis Center - Ogden, UT 84414 Draper (801) 737-9555 Site 11762 South State St Ste San Juan, Zinnia MD ~ 48 South 2500 West Ste 333 NPI: 1669683926 100 Endocrinology, Draper, UT 84020 Ihc Cottonwood Endocrine Hurricane, UT 84737 Diabetes & (801) 508-5880 & Diabetes Center - (435) 635-0399 Hindi, Punjabi, Urdu Murray Metabolism 181 East Medical Tower Saint George Maturlo, Susan MD ~* Dr NPI: 1023076460 84770 Davis Salt Lake City, UT 84107 Revere Health – Draper - (801) 314-4500 Dixie Dialysis Center ~ Layton Oncology Spanish NPI: 1326147844 11576 South State St Ste 84041 Dixie Dialysis Center - St 103A 84120 George Al-Rayess, Khaldoun Draper, UT 84020 720 South River Rd Ste MD ~* (801) 374-2367 Couldwell, Marie MD ~* D110 NPI: 1003808122 NPI: 1083793558 Saint George, UT 84770 Davis Endocrinology And Salt Lake City Granger Medical - West (435) 656-0857 Valley Diabetes Llc - Layton 84102 1492 West Antelope Dr Ste 3725 West 4100 South Weber 115 Baldwin Iii, Ernest MD ~ Salt Lake City, UT 84120 Layton, UT 84041 NPI: 1215978234 (801) 965-3600 Ogden (801) 776-8080 Ihc Salt Lake Clinic - French 84403 Arabic Endocrinology 389 South 900 East Goodman, Gordon Mark Lindsay Dialysis Al-Rayess, Khaldoun Salt Lake City, UT 84102 MD ~* Center ~ (385) 282-2550 NPI: 1750349205 NPI: 1013144872 MD ~* NPI: 1003808122 Lakeside Comprehensive Mark Lindsay Dialysis Swenson, Leanne MD ~ Health - West Valley Center - Ogden Tanner Memorial Clinic - Al Rayess Clinic NPI: 1649291162 3336 South Pioneer Pkwy 1151 East Country Hills Ihc Salt Lake Clinic - Ste 203 Dr 1492 West Antelope Dr Ste 115 Endocrinology Salt Lake City, UT 84120 Ogden, UT 84403 389 South 900 East (801) 964-3697 (801) 581-3983 Layton, UT 84041 (801) 776-8080 Salt Lake City, UT 84102 Arabic (385) 282-2550 Grua, James MD ~* 84405 NPI: 1134159288 Bonneville Dialysis Rawlins, Brett NP ~ 84107 Granger Medical - West Center ~ NPI: 1295983831 Valley Brady, Bruce MD ~* 3725 West 4100 South NPI: 1003915513 Tanner Memorial Clinic - NPI: 1467474676 Bonneville Dialysis Center Layton Salt Lake City, UT 84120 Utah Endocrinology (801) 965-3600 - Site 2121 North 1700 West Associates Pllc - Salt Lake 5575 South 500 East Layton, UT 84041 470 East 3900 South Ste Ogden, UT 84405 (801) 773-4840 200 (801) 479-0351 Spanish Salt Lake City, UT 84107 (801) 747-2800

164 Specialty Providers / Proveedores Especializados Endocrinology, Diabetes & Metabolism continued/seguido

84124 Nizam, Mohammed Aljammal, Jules MD ~* Grua, James MD * Aljammal, Jules MD ~* MD ~* NPI: 1083846018 NPI: 1134159288 NPI: 1083846018 NPI: 1326203514 Thyroid Institute Of Utah - Ihc River Road Family Thyroid Institute Of Utah - Revere Health - Af - Provo Medicine - St George Slc Internal Medicine 1055 North 300 West Ste 577 South River Rd 1377 East 3900 South Ste 1175 East 50 South Ste 241 303 Saint George, UT 84790 200 American Fork, UT 84003 Provo, UT 84604 (435) 688-6100 Salt Lake City, UT 84124 (801) 492-5999 (801) 356-1300 (801) 508-5880 Arabic Arabic Family Medicine Arabic Lehi Maturlo, Susan MD ~* Box Elder NPI: 1023076460 Sandy 84043 Revere Health - Provo - Brigham City Aljammal, Jules MD ~* 84094 Endocrinology 84302 Cannon, Richard MD ~ NPI: 1083846018 1055 North 500 West Ste NPI: 1366722746 Thyroid Institute Of Utah - 212 Dalton, Tara PA ~* Ihc Sandy Clinic - Sandy Lehi Provo, UT 84604 NPI: 1770579146 9500 South 1300 East 3000 North Triumph Blvd (801) 429-8095 Box Elder Community Sandy, UT 84094 Ste 260 Health Center - Brigham (801) 501-2100 Lehi, UT 84043 Nizam, Mohammed City (801) 786-3531 MD ~* 5 West 200 North Corn, Heather MD ~ Arabic NPI: 1326203514 Brigham City, UT 84302 NPI: 1396036109 Revere Health - Provo - (435) 723-7999 Ihc Sandy Clinic - 9450 Payson Endocrinology South 84651 1055 North 500 West Ste Martin, Colby PA ~* 9450 South 1300 East 212 NPI: 1982033098 Sandy, UT 84094 Nizam, Mohammed Provo, UT 84604 Box Elder Community (801) 501-2100 MD ~* (801) 429-8095 Health Center - Brigham NPI: 1326203514 Arabic City Revere Health - Payson - Utah 5 West 200 North Endocrinology Washington Brigham City, UT 84302 American Fork 910 East 100 North Ste 105 (435) 723-7999 Payson, UT 84651 Saint George Spanish 84003 (801) 429-8008 84770 Brady, Bruce MD ~* Arabic Robertson, Glenn MD ~* NPI: 1467474676 Moreno Daza, Monica NPI: 1144281122 Utah Endocrinology Provo MD ~* Box Elder Community NPI: 1669679379 Associates Pllc - American 84604 Health Center - Brigham Fork Ihc Dixie Endo-Diabetes City 629 Quality Dr Ste E Ahmad, Shahzad MD ~* Clinic - St George 5 West 200 North American Fork, UT 84003 NPI: 1467533950 348 East 600 South Brigham City, UT 84302 (801) 747-2800 Thyroid Institute Of Utah - Saint George, UT 84770 (435) 723-7999 Provo (435) 251-2888 Spanish Nizam, Mohammed 1055 North 300 West Ste Spanish MD ~* 303 Starr, Jeremy DO ~* NPI: 1326203514 Provo, UT 84604 84790 NPI: 1699876987 Revere Health - Af - (801) 356-1300 Grua, James MD ~* Box Elder Community Endocrinology Hindi, Punjabi, Urdu NPI: 1134159288 Health Center - Brigham 1175 East 50 South Ste 251 Granger Medical - St City American Fork, UT 84003 George Endocrinology 5 West 200 North (801) 429-8008 1308 East 900 South Ste C Brigham City, UT 84302 Arabic Saint George, UT 84790 (435) 723-7999 (801) 965-3600

165 Specialty Providers / Proveedores Especializados Family Medicine continued/seguido

Cache Starr, Jeremy DO ~* Goble, Deserae MD ~* Layton NPI: 1699876987 NPI: 1366415770 Hyde Park Cache Valley Community Deserae J. Goble Md Pc - 84041 84318 Health Center - Logan Providence Cardon, Louis MD ~* 944 South State Hwy 89 286 North Gateway Dr Ste NPI: 1689608895 Avery, D MD ~* Logan, UT 84321 201 Tanner Memorial Clinic - NPI: 1780698316 (435) 755-6075 Providence, UT 84332 Layton Ihc North Cache Valley (435) 363-7853 2121 North 1700 West Clinic - Hyde Park 84341 Layton, UT 84041 4088 North Hwy 91 Davis (801) 773-4840 Hyde Park, UT 84318 Goble, Deserae MD ~* French (435) 563-4900 NPI: 1366415770 Bountiful German Gateway Medical - Logan 84010 Hellewell, James MD ~ 2380 North 400 East Ste A NPI: 1669669479 Hyrum Logan, UT 84341 Foster, Carla MD ~* Chronic Pain Mgmt - (435) 713-1300 84319 NPI: 1841237005 Layton - Site Rocky Mountain Family 2075 University Park Blvd Goble, Deserae MD ~* Goble, Deserae MD ~* Practice Llc - Bountiful Layton, UT 84041 NPI: 1366415770 NPI: 1366415770 1512 South Renaissance (801) 779-6200 South Point Medical - Mountainstar Medical Towne Dr Hyrum Group Cache Valley Llc - Bountiful, UT 84010 Potter, Steven MD ~* 26 West Center Ste 3A Logan (801) 295-6483 NPI: 1407922446 Hyrum, UT 84319 2380 North 400 East Ste A Davis Medical Group - Pgu (435) 245-3232 Logan, UT 84341 Kaysville - Layton (435) 713-1300 84037 124 South Fairfield Rd Starr, Jeremy DO ~* Layton, UT 84041 NPI: 1699876987 Housley, Michael MD Harris, Marcus DO ~* (801) 927-3080 Cache Valley Community NPI: 1295744522 NPI: 1336377472 Spanish Health Center South - Logan Regional Hospital - Kaysville Creekside Hyrum Service Instacare - Kaysville Richardson, Charles 26 West Main St Ste 3A 1400 North 500 East 435 North Main St MD ~* Hyrum, UT 84319 Logan, UT 84341 Kaysville, UT 84037 NPI: 1619105236 (435) 245-6988 (435) 716-5320 (801) 498-6000 Tanner Memorial Clinic - Layton Logan Providence Potter, Steven MD ~* 2121 North 1700 West 84321 84332 NPI: 1407922446 Layton, UT 84041 Ihc Kaysville Creekside (801) 773-4840 Clark, Thomas MD ~* Avery, D MD ~* Clinic - Kaysville Spanish NPI: 1295741114 NPI: 1780698316 435 North Main St Ihc Logan Clinic - Logan Ihc South Cache Valley Kaysville, UT 84037 Saltzman, Charles MD ~* 412 North 200 East Clinic - Providence (801) 498-6000 NPI: 1962583146 Logan, UT 84321 190 South Hwy 165 Spanish Pediatric Orthopaedics - (435) 713-2800 Providence, UT 84332 Intermountain Layton Portugese, Spanish (435) 755-3300 Potter, Steven MD ~* Hospital German NPI: 1407922446 201 West Layton Pkwy Ste Goates, Brad MD ~* Kaysville Family Medicine 3B NPI: 1396942785 Broadhurst, Jeremy Pc - Kaysville Layton, UT 84041 Ihc Logan Clinic - Logan DO ~* 307 North 300 West Ste (801) 662-5600 412 North 200 East NPI: 1114115664 301 Logan, UT 84321 Ihc South Cache Valley Kaysville, UT 84037 (435) 713-2800 Clinic - Providence (801) 543-2221 190 South Hwy 165 Spanish Providence, UT 84332 (435) 755-3300 Spanish ~ Accepting new patients/Aceptando a nuevos pacientes * Accepts Medicaid/Acepta Medicaid ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

166 Specialty Providers / Proveedores Especializados Family Medicine continued/seguido

Iron Prestwich, Bradley MD ~* Salt Lake City 84107 NPI: 1215357942 Cedar City 84102 Hellewell, James MD ~ Ihc Draper Clinic - Draper NPI: 1669669479 84720 12473 South Minuteman Kirk, Stephen MD ~* Ihc Comprehensive Care Dr NPI: 1578737979 Newman, Steven MD ~* Clinic - Murray Draper, UT 84020 Salt Lake Regional 5171 South Cottonwood St NPI: 1134157613 (801) 495-7900 Comprehensive Cedar Ridge Family Ste 350 Orthopedics & Sports Med Salt Lake City, UT 84107 Medicine - Cedar City Herriman 82 South 1100 East Ste 403 110 West 1325 North Ste Salt Lake City, UT 84102 (801) 507-9390 200 84096 (801) 533-2002 Cedar City, UT 84720 Esplin, Douglas MD ~ Spanish, Tagalog King, Ann MD ~ (435) 586-7676 NPI: 1063421451 NPI: 1174582415 Ihc Rose Canyon Clinic - Nelson, David DO ~* Ihc Imed Campus Sleep 84721 Program - Murray Herriman NPI: 1386676526 5121 South Cottonwood St Corry, Mark MD ~* 5541 West 13400 South Helping Hand Association Salt Lake City, UT 84107 NPI: 1033347158 Herriman, UT 84096 - Salt Lake (801) 314-2400 Ihc Valley View Family (801) 871-4700 974 East South Temple Salt Lake City, UT 84102 Medicine - Cedar City King, Ann MD ~ 1333 North Main St Osborne, Bryce MD ~ (801) 533-0070 Spanish NPI: 1174582415 Cedar City, UT 84721 NPI: 1194163782 Ihc Intermountain Sleep (435) 868-5500 Ihc Rose Canyon Clinic - Program Tosh - Murray Herriman 84103 5770 South 250 East Ste Newman, Steven MD ~* 5541 West 13400 South King, Ann MD ~ 340 NPI: 1134157613 Herriman, UT 84096 NPI: 1174582415 Salt Lake City, UT 84107 Paiute Medical Clinic - (801) 871-4700 Ihc Lds Campus Sleep (801) 314-2400 Cedar City Spanish Program - Avenues 440 North Paiute Dr 324 East 10Th Ave Ste 200 Nelson, Cory DO ~* Cedar City, UT 84721 Magna Salt Lake City, UT 84103 NPI: 1124339460 (435) 586-1112 84044 (801) 408-3617 Emere Utah Llc - Murray 5296 South Commerce Dr Salt Lake Stone, Gregory DO ~* NPI: 1750348330 Saltzman, Charles MD ~* Ste 104 Draper Magna Center For Family NPI: 1962583146 Salt Lake City, UT 84107 Medicine - Magna Shriners Hospitals For (385) 474-8888 84020 3665 South 8400 West Ste Children - Medical Group - Mcintyre, James MD ~* Slc 84108 110 1275 East Fairfax Rd NPI: 1043446602 Magna, UT 84044 Saltzman, Charles MD ~* Granger Medical Clinic - Salt Lake City, UT 84103 (801) 250-9638 (801) 536-3500 NPI: 1962583146 Draper - 11724 Spanish Pediatric Orthopaedics - 11724 South State St Orthopaedic Center Draper, UT 84020 Riverton 84106 590 South Wakara Way (801) 576-2000 Lewis, Randal MD ~* Salt Lake City, UT 84108 Cantonese 84065 NPI: 1215964309 (801) 587-7109 Brinton, David MD ~ Adult Care Clinic - 3080 Nelson, Todd MD ~* NPI: 1093820706 South 84111 NPI: 1902917495 Ihc Orthopedic Specialty 3080 South 1300 East Granger Medical Clinic - Group - Riverton Campus - Salt Lake City, UT 84106 Ngatuvai, Tauaina MD ~* Draper - 11724 Riverton (801) 308-8400 NPI: 1003992470 11724 South State St 3723 West 12600 South Ste Spanish Lihai Medical Clinic Inc - Draper, UT 84020 460 Salt Lake City (801) 576-2000 Riverton, UT 84065 313 East 900 South Ste 102 (801) 285-4650 Salt Lake City, UT 84111 Portugese (801) 687-0511 Spanish, Samoan ~ Accepting new patients/Aceptando a nuevos pacientes * Accepts Medicaid/Acepta Medicaid ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

167 Specialty Providers / Proveedores Especializados Family Medicine continued/seguido

84112 Stone, Gregory DO ~* 84127 84094 Mitchell, Danielle MD ~ NPI: 1750348330 Lewis, Randal MD ~* Hoffman, Gregory MD ~ NPI: 1508054768 Western Hills Medical NPI: 1215964309 NPI: 1649275439 Madsen Health Center Clinic - West Valley Adult Care Clinic Inc - Salt Ihc South Sandy Clinic - 555 Foothill Blvd 3336 South Pioneer Pkwy Lake City Sandy Salt Lake City, UT 84112 Ste 204 3920 South 1100 East Ste 955 East 11400 South (801) 213-8846 Salt Lake City, UT 84120 310 Sandy, UT 84094 (801) 912-9700 Salt Lake City, UT 84127 (801) 571-0030 84113 Spanish (801) 308-8400 Spanish Saltzman, Charles MD ~* 84121 King, Ann MD ~ NPI: 1962583146 NPI: 1174582415 Pediatric Orthopedics Mcintyre, James MD ~* 84143 Ihc Alta View Sleep 100 North Mario Capecchi NPI: 1043446602 King, Ann MD ~ Program Dr Granger Medical Clinic - NPI: 1174582415 9660 South 1300 East Salt Lake City, UT 84113 Cottonwood Heights Ihc Lds Campus Sleep Sandy, UT 84094 (801) 662-5600 6322 South 3000 East Program - Salt Lake (801) 501-2358 Salt Lake City, UT 84121 325 8Th Ave 84118 (801) 912-8210 Salt Lake City, UT 84143 Mcintyre, James MD ~* Cantonese (801) 408-3617 NPI: 1043446602 Cosgrave Ii, Michael Granger Medical Clinic - DO ~* 84123 Sandy Sandy NPI: 1720252117 Gouttsoul, Alexander 9844 South 1300 East Ste Oval Sports Medicine PA ~ 84070 100 5662 South Cougar Ln Ste NPI: 1306154653 Cosgrave Ii, Michael Sandy, UT 84094 311 Jordan Ridge Family DO ~* (801) 571-9433 Salt Lake City, UT 84118 Medicine Pllc - Salt Lake NPI: 1720252117 Cantonese (801) 912-8210 City Comprehensive Spanish 6321 South Redwood Rd Orthopedics And Sports South Jordan Ste 201 Medicine 84095 84120 Salt Lake City, UT 84123 9350 South 150 East Ste Cutlip, Cheryle MD * (801) 265-2212 460 Larkin, Brian DO ~* NPI: 1336171586 Sandy, UT 84070 NPI: 1205278355 Granger Medical - West 84124 (801) 533-2002 Medallus Medical - South Valley Spanish Jordan 3725 West 4100 South Nelson, Todd MD ~* 10433 South Redwood Rd Salt Lake City, UT 84120 NPI: 1902917495 Kirk, Stephen MD ~* South Jordan, UT 84095 (801) 965-3600 Granger Medical - NPI: 1578737979 (801) 501-0500 Wasatch Comprehensive 1160 East 3900 South Ste West Jordan Nelson, David DO * 1000 Orthopedics And Sports NPI: 1386676526 Salt Lake City, UT 84124 Medicine 84088 Granger Medical - West (801) 262-1771 9350 South 150 East Ste Cosgrave Ii, Michael Valley 460 DO ~* 3725 West 4100 South Sandy, UT 84070 NPI: 1720252117 Salt Lake City, UT 84120 Rassner, Leslie MD ~* (801) 533-2002 NPI: 1427022938 Spanish, Tagalog Jordan Valley Internal (801) 965-3600 St Marks Family Medicine Medicine - Ste 100 Spanish Clinic - Salt Lake 3570 West 9000 South Ste 1250 East 3900 South Ste 100 260 West Jordan, UT 84088 Salt Lake City, UT 84124 (801) 569-2384 (801) 265-2000 Spanish

168 Specialty Providers / Proveedores Especializados Family Medicine continued/seguido

Hancey, Brian MD ~ Hepworth, Paul MD ~ Mcmanus, Shawn DO ~* Eagle Mountain NPI: 1851308902 NPI: 1740608967 NPI: 1376707323 Ihc West Jordan Clinic - Ihc American Fork Premier Family Medical - 84005 West Jordan Instacare - American Fork American Fork Site Macarthur, Toran MD ~* 2655 West 9000 South 98 North 1100 East Ste 101 226 North 1100 East Ste A NPI: 1063521177 West Jordan, UT 84088 American Fork, UT 84003 American Fork, UT 84003 Premier Family Medical - (801) 256-6343 (801) 492-2550 (801) 855-3850 Eagle Mountain Site Spanish 3943 East Pony Express Johnson, Cheryl MD ~* Ngatuvai, Tauaina MD ~* Pkwy Ste 120 West Valley City NPI: 1417066671 NPI: 1003992470 Eagle Mountain, UT 84005 Premier Family Medical - Premier Family Medical - (801) 789-5566 84120 Af Pfm Pt Site Af Pfm Pt Site Portugese Zehnder, Brian MD ~* 1159 East 200 North Ste 1159 East 200 North Ste NPI: 1447278023 100 100 Mcmanus, Shawn DO ~* Lifematters Counseling American Fork, UT 84003 American Fork, UT 84003 NPI: 1376707323 And Health Center - West (801) 642-2890 (801) 642-2890 Premier Family Medical - Valley City Spanish, Samoan Eagle Mountain Site 3336 South Pioneer Pkwy Johnson, Cheryl MD ~* 3943 East Pony Express Ste 201 NPI: 1417066671 Ngatuvai, Tauaina MD ~* Pkwy Ste 120 West Valley City, UT Premier Family Medical - NPI: 1003992470 Eagle Mountain, UT 84005 84120 American Fork Site Premier Family Medical - (801) 789-5566 (801) 313-0555 226 North 1100 East Ste A American Fork Site American Fork, UT 84003 226 North 1100 East Ste A Ngatuvai, Tauaina MD ~* Tooele (801) 855-3850 American Fork, UT 84003 NPI: 1003992470 (801) 855-3850 Premier Family Medical - Tooele Macarthur, Toran MD ~* Spanish, Samoan Eagle Mountain Site 84074 NPI: 1063521177 3943 East Pony Express Premier Family Medical - Robins, Marc DO ~* Pkwy Ste 120 Schultz, Edward MD ~* Af Pfm Pt Site NPI: 1780671453 Eagle Mountain, UT 84005 NPI: 1942287719 1159 East 200 North Ste Ihc American Fork Wound (801) 789-5566 Granger Medical - Tooele 100 Care - Am Fork Spanish, Samoan 2326 North 400 East Bldg American Fork, UT 84003 98 North 1100 East Ste 302 C Ste 203 (801) 642-2890 American Fork, UT 84003 Lehi Tooele, UT 84074 Portugese (801) 492-2260 (435) 843-4406 German, Italian 84043 Spanish Macarthur, Toran MD ~* Child, Gary DO ~* NPI: 1063521177 Weenig, Karl MD ~* NPI: 1063492304 Utah Premier Family Medical - NPI: 1740242973 Alpine Pain Solutions Of American Fork American Fork Site Revere Health - Af - North Utah - Site 226 North 1100 East Ste A Valley Orthopedics And 3051 West Maple Loop Dr 84003 American Fork, UT 84003 Sports Med Ste 125 Flinders, David MD ~ (801) 855-3850 1184 East 80 North Lehi, UT 84043 NPI: 1316055668 Portugese American Fork, UT 84003 (801) 766-6055 Utah County - American (801) 763-3885 Fork Mcmanus, Shawn DO ~* Finnish Johnson, Cheryl MD ~* 599 South 500 East Ste 2 NPI: 1376707323 NPI: 1417066671 American Fork, UT 84003 Premier Family Medical - Premier Family Medical - (801) 851-7331 Af Pfm Pt Site Lehi Site Danish, Spanish 1159 East 200 North Ste 680 East Main St 100 Lehi, UT 84043 American Fork, UT 84003 (801) 768-1699 (801) 642-2890

169 Specialty Providers / Proveedores Especializados Family Medicine continued/seguido

Johnson, Cheryl MD ~* Ngatuvai, Tauaina MD ~* Macarthur, Toran MD ~* Orem NPI: 1417066671 NPI: 1003992470 NPI: 1063521177 Premier Family Medical - Premier Family Medical - Premier Family Medical - 84057 Mountain Point Site Lehi Site Lindon Pfm Pt Site Weenig, Karl MD ~* 3000 North Triumph Blvd 680 East Main St 275 West 200 North NPI: 1740242973 Ste 220 Lehi, UT 84043 Lindon, UT 84042 Revere Health - Orem - Lehi, UT 84043 (801) 768-1699 (801) 756-3571 Orthopedic Specialty Ctr (801) 753-4650 Spanish, Samoan Portugese 700 West 800 North Ste 100 Macarthur, Toran MD ~* Ngatuvai, Tauaina MD ~* Macarthur, Toran MD ~* Orem, UT 84057 NPI: 1063521177 NPI: 1003992470 NPI: 1063521177 (801) 373-7350 Premier Family Medical - Premier Family Medical - Premier Family Medical - Finnish Lehi Site Mountain Point Site Lindon Site 680 East Main St 3000 North Triumph Blvd 275 West 200 North Payson Lehi, UT 84043 Ste 220 Lindon, UT 84042 (801) 768-1699 Lehi, UT 84043 (801) 796-1333 84651 Portugese (801) 753-4650 Portugese Weenig, Karl MD ~* Spanish, Samoan NPI: 1740242973 Macarthur, Toran MD ~* Mcmanus, Shawn DO ~* Revere Health - Payson - NPI: 1063521177 Weenig, Karl MD ~* NPI: 1376707323 Orthopedic Specialty Ctr Premier Family Medical - NPI: 1740242973 Premier Family Medical - 15 South 1000 East Ste 150 Mountain Point Site Revere Health - Lehi - Lindon Pfm Pt Site Payson, UT 84651 3000 North Triumph Blvd North Valley Ortho & 275 West 200 North (801) 465-9534 Ste 220 Plastic Surgery Lindon, UT 84042 Finnish Lehi, UT 84043 680 East Main St (801) 756-3571 (801) 753-4650 Lehi, UT 84043 Pleasant Grove Portugese (801) 763-3885 Mcmanus, Shawn DO ~* 84062 Finnish NPI: 1376707323 Mcmanus, Shawn DO ~* Premier Family Medical - Johnson, Cheryl MD ~* NPI: 1376707323 Lindon Lindon Site NPI: 1417066671 Premier Family Medical - 275 West 200 North Premier Family Medical - Lehi Site 84042 Lindon, UT 84042 Pleasant Grove Site 680 East Main St Johnson, Cheryl MD ~* (801) 796-1333 830 North 2000 West Lehi, UT 84043 NPI: 1417066671 Pleasant Grove, UT 84062 (801) 768-1699 Premier Family Medical - Ngatuvai, Tauaina MD ~* (801) 756-3511 Lindon Pfm Pt Site NPI: 1003992470 Mcmanus, Shawn DO ~* 275 West 200 North Premier Family Medical - Macarthur, Toran MD ~* NPI: 1376707323 Lindon, UT 84042 Lindon Pfm Pt Site NPI: 1063521177 Premier Family Medical - (801) 756-3571 275 West 200 North Premier Family Medical - Mountain Point Site Lindon, UT 84042 Pleasant Grove Site 3000 North Triumph Blvd Johnson, Cheryl MD ~* (801) 756-3571 830 North 2000 West Ste 220 NPI: 1417066671 Spanish, Samoan Pleasant Grove, UT 84062 Lehi, UT 84043 Premier Family Medical - (801) 756-3511 (801) 753-4650 Lindon Site Ngatuvai, Tauaina MD ~* Portugese 275 West 200 North NPI: 1003992470 Nelson, Cory DO ~* Lindon, UT 84042 Premier Family Medical - Mcmanus, Shawn DO ~* NPI: 1124339460 (801) 796-1333 Lindon Site NPI: 1376707323 Advanced Sports & 275 West 200 North Premier Family Medical - Orthopedics - Lehi Lindon, UT 84042 Pleasant Grove Site 3401 North Center St Ste (801) 796-1333 830 North 2000 West 100 Spanish, Samoan Pleasant Grove, UT 84062 Lehi, UT 84043 (801) 756-3511 (801) 753-7770

170 Specialty Providers / Proveedores Especializados Family Medicine continued/seguido

Ngatuvai, Tauaina MD ~* Robins, Marc DO ~* Mcmanus, Shawn DO * Saint George NPI: 1003992470 NPI: 1780671453 NPI: 1376707323 Premier Family Medical - Ihc Utah Valley Hyperbaric Premier Family Medical - 84770 Pleasant Grove Site And Wound Care - Provo Saratoga Springs Site Grames, Chase DO ~* 830 North 2000 West 1034 North 500 West 76 East Commerce Dr Ste NPI: 1063675098 Pleasant Grove, UT 84062 Provo, UT 84604 204 Ihc Southwest Ortho & (801) 756-3511 (801) 357-8156 Saratoga Springs, UT Sports Med - St George Dsc Spanish, Samoan German, Italian 84045 225 South 700 East (801) 766-8427 Saint George, UT 84770 Provo Stewart, James DO ~ (435) 251-3600 NPI: 1457338220 Ngatuvai, Tauaina MD ~* 84604 Ihc Utah Valley Hyperbaric NPI: 1003992470 Millward, Christian Christianson, Marlin And Wound Care - Provo Premier Family Medical - MD ~* MD ~ 1034 North 500 West Saratoga Springs Site NPI: 1205942059 NPI: 1023124781 Provo, UT 84604 76 East Commerce Dr Ste Ihc Southwest Ortho & Merrill Gappmayer Family (801) 357-8156 204 Sports Med - St George Dsc Medicine Center Saratoga Springs, UT 225 South 700 East 475 West 940 North Weenig, Karl MD ~* 84045 Saint George, UT 84770 Provo, UT 84604 NPI: 1740242973 (801) 766-8427 (435) 251-3600 (801) 357-7930 Revere Health - Provo - Spanish, Samoan Portugese Orthopedic Specialty Ctr Kinne, Robert MD ~* 1055 North 500 West Ste Washington Nielson, Nathan DO ~ NPI: 1265870588 121 NPI: 1659697555 Nexus Physical Therapy - Provo, UT 84604 Hurricane Ihc Sunset Family Practice Provo (801) 373-7350 84737 - St George 3585 North University Ave Finnish 1739 West Sunset Blvd Ste 150 Last, George MD ~* Saint George, UT 84770 Provo, UT 84604 Saratoga Springs NPI: 1235150731 (435) 634-6000 (801) 356-6100 Ihc Hurricane Valley Clinic 84045 - Hurricane 75 North 2260 West 84790 Noonan, Erika MD ~* Johnson, Cheryl MD ~* Busk, Neal MD ~* NPI: 1689848178 NPI: 1417066671 Hurricane, UT 84737 (435) 635-6500 NPI: 1134212954 Utah Valley Senior Clinic - Premier Family Medical - Revere Health - Sg - St Provo Saratoga Springs Site George Family Practice 395 West Bulldog Blvd Ste 76 East Commerce Dr Ste Welsh, Stephen MD ~* NPI: 1841516747 736 South 900 East Ste 203 602 204 Saint George, UT 84790 Provo, UT 84604 Saratoga Springs, UT Ihc Hurricane Valley Clinic - Hurricane (435) 673-6131 (801) 373-3300 84045 Spanish (801) 766-8427 75 North 2260 West Pratte, Mitchell DO ~ Hurricane, UT 84737 (435) 635-6500 Busk, Neal MD ~* NPI: 1396782207 Macarthur, Toran MD ~* NPI: 1134212954 Ihc Utah Valley Sports NPI: 1063521177 Ivins St George Clinic - St George Medicine - Provo Premier Family Medical - 736 South 900 East Ste 203 1157 North 300 West Ste Saratoga Springs Site 84738 Saint George, UT 84790 201 76 East Commerce Dr Ste Newman, Steven MD ~* (435) 674-6068 Provo, UT 84604 204 Spanish (801) 357-1200 Saratoga Springs, UT NPI: 1134157613 84045 Shivwits Medical Clinic - (801) 766-8427 Ivins Clark, Stephen DO ~* Portugese 6109 West 3700 North NPI: 1043238363 Ivins, UT 84738 Ihc River Road Family (435) 688-8198 Medicine - St George 577 South River Rd Saint George, UT 84790 (435) 688-6100 ~ Accepting new patients/Aceptando a nuevos pacientes * Accepts Medicaid/Acepta Medicaid ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

171 Specialty Providers / Proveedores Especializados Family Medicine continued/seguido

Fisher, Jennifer CNP ~ Washington Roy Tremonton NPI: 1083925408 Ihc Dixie Regional Sleep 84780 84067 84337 Disorders Center - St Busk, Neal MD ~* Harris, Marcus DO ~* Evans, Mary NP ~* George NPI: 1134212954 NPI: 1336377472 NPI: 1538592142 652 South Medical Center Revere Health - Ihc Herefordshire Instacare Ihc Bear River Specialists - Dr Ste 310 Washington Family - Roy Tremonton Saint George, UT 84790 Medicine & Urgent Care 1915 West 5950 South 935 North 1000 West (435) 251-3940 195 West Telegraph Rd Roy, UT 84067 Tremonton, UT 84337 Washington, UT 84780 (801) 387-8100 (435) 207-4800 Grames, Chase DO ~* (435) 215-0600 NPI: 1063675098 Spanish Subbiah, Archana DO ~ Cache Ihc Southwest Ortho & NPI: 1336687763 Sports Med - St George Weber Ihc Herefordshire Clinic - Logan 652 South Medical Center Roy 84321 Dr Ste 120 Ogden 1915 West 5950 South Saint George, UT 84790 84403 Roy, UT 84067 Johnsen, Jordan NP (435) 628-4460 (801) 387-8100 NPI: 1144668591 Krutka, April DO ~ Planned Parenthood Grames, Chase DO ~* NPI: 1811158918 Family Nurse Association - Logan NPI: 1063675098 Ihc Mckay Dee Palliative 550 North Main Street Ste Ihc Zion Orthopaedics & Care - Ogden Practitioner 117 Sports Medicine - St George 4403 Harrison Blvd Ste Logan, UT 84321 652 South Medical Center 3630 Box Elder (435) 753-0724 Dr Ste 400 Ogden, UT 84403 Saint George, UT 84790 (801) 387-7900 Brigham City 84341 (435) 251-2650 84302 Buck, Ryan NP ~ Scharmann, Stephen NPI: 1467851998 Millward, Christian MD ~ Bowthorpe, Allyx NP ~ Budge Clinic MD ~* NPI: 1295805117 NPI: 1033509989 Anticoagulation - Logan NPI: 1205942059 Ihc Mckay Dee Orthopedic Larry E Urry Md Pc - 1350 North 500 East Ihc Southwest Ortho & & Sports Medicine - Ogden Brigham City Logan, UT 84341 Sports Med - St George 3895 Harrison Blvd 950 South 500 West Ste (435) 752-0422 652 South Medical Center Ogden, UT 84403 103 (801) 387-7678 Dr Ste 120 Brigham City, UT 84302 Buck, Ryan NP ~ Saint George, UT 84790 (801) 827-9100 NPI: 1467851998 (435) 628-4460 84405 Ihc Cache Valley Heart Portugese Hall, Richard MD Duke, Cynthia NP ~ Clinic - Logan NPI: 1366462913 NPI: 1922242262 1300 North 500 East Ste Millward, Christian South Ogden Center For Alpine Orthopaedic 320 MD ~* Family Medicine - Ogden Specialists - Brigham City Logan, UT 84341 NPI: 1205942059 5740 Crestwood Dr 1030 South Medical Dr Ste (435) 716-2200 Ihc Sports Medicine Ogden, UT 84405 A Specialists - St George (801) 479-7771 Brigham City, UT 84302 Duke, Cynthia NP ~ 652 South Medical Center Spanish (435) 723-9700 NPI: 1922242262 Dr Ste 120 Alpine Orthopaedic Saint George, UT 84790 Specialists - Logan (435) 251-2677 2310 North 400 East Ste A Portugese Logan, UT 84341 (435) 787-2000

172 Specialty Providers / Proveedores Especializados Family Nurse Practitioner continued/seguido

Mcfarland, Jamie NP ~ Davis Ellsworth, Patricia NP ~ Iron NPI: 1346612983 NPI: 1578086740 Budge Clinic Bountiful Khiu - Layton Cedar City Anticoagulation - Logan 84010 2132 North 1700 West Ste 84720 1350 North 500 East 110 Logan, UT 84341 Dantis-Tan, Minerva Layton, UT 84041 Benedict, Amy NP ~ (435) 752-0422 NP ~ (801) 779-3500 NPI: 1144467010 NPI: 1164715124 Revere Health - Cedar City Mcfarland, Jamie NP ~ Nephrology Associates - Kunkel, Mindee NP ~ - Royal Hunte NPI: 1346612983 Wood Cross NPI: 1316122849 1811 West Royal Hunte Dr Ihc Cache Valley Heart 572 West 750 South Pediatric Orthopaedics - Ste 2 Clinic - Logan Bountiful, UT 84010 Intermountain Layton Cedar City, UT 84720 1300 North 500 East Ste (801) 288-2634 Hospital (435) 251-2900 320 Tagalog 201 West Layton Pkwy Ste Spanish Logan, UT 84341 3B (435) 716-2200 Smith, Maureen NP ~ Layton, UT 84041 Benedict, Amy NP ~ NPI: 1730111311 (801) 662-5600 NPI: 1144467010 Rasmuson, Becky NP ~ Nephrology Associates - Revere Health - Cedar City NPI: 1801303003 Wood Cross Morgan, Christopher 1320 Ihc Budge Clinic Gi - Logan 572 West 750 South NP ~* 1320 North Main St 1350 North 500 East Bountiful, UT 84010 NPI: 1245550268 Cedar City, UT 84720 Logan, UT 84341 (801) 288-2634 Adult Behavioral Health (435) 251-2900 (435) 716-1260 Unit - Pgu - Layton Spanish Ward, Amanda NP ~ 1600 West Antelope Dr Woodring, Jill NP ~ NPI: 1164816906 Layton, UT 84041 84721 NPI: 1588025969 Ogden Clinic - Cope (801) 807-7924 Abegglen, Joanne NP ~* Northern Utah Family Medicine Spanish NPI: 1104909878 Cardiovascular Associates - 185 South 400 East Ste 100 Paiute Medical Clinic - North Logan Bountiful, UT 84010 Presnell, Kelly NP ~ Cedar City 2380 North 400 East Ste G (801) 397-6200 NPI: 1386183838 440 North Paiute Dr Logan, UT 84341 Tanner Memorial Clinic - Cedar City, UT 84721 (801) 476-6900 Layton Layton (435) 586-1112 84040 2121 North 1700 West Providence Layton, UT 84041 Cowley, David NP ~* Mitchell, Chase NP ~ (801) 773-4840 NPI: 1720429491 84332 NPI: 1841605268 Paiute Medical Clinic - Smith, Kaye NP ~* Tanner Memorial Clinic - Rawlins, Brett NP ~ Cedar City NPI: 1922491430 Layton 2 NPI: 1295983831 440 North Paiute Dr Ihc South Cache Valley 1750 East 3100 North Tanner Memorial Clinic - Cedar City, UT 84721 Clinic - Providence Layton, UT 84040 Layton (435) 586-1112 190 South Hwy 165 (801) 773-4840 2121 North 1700 West Providence, UT 84332 Layton, UT 84041 Salt Lake (435) 755-3300 84041 (801) 773-4840 Cardon, Andrew NP ~ Spanish Draper NPI: 1659801389 84020 Chronic Pain Mgmt - Turner, Orean NP ~ Layton - Site NPI: 1154878213 Baer, Lorna NP ~ 2075 University Park Blvd Tanner Memorial Clinic - NPI: 1801340823 Layton, UT 84041 Layton Utah Gastroenterology - (801) 779-6200 2121 North 1700 West Draper - Bangerter Site Layton, UT 84041 13953 South Bangerter (801) 773-4840 Pkwy Draper, UT 84020 (801) 727-4280

173 Specialty Providers / Proveedores Especializados Family Nurse Practitioner continued/seguido

Carpenter, Whitney NP ~ Riverton Kunkel, Mindee NP ~ Salt Lake City NPI: 1376052910 NPI: 1316122849 Revere Health - Draper Ste 84065 Pediatric Orthopaedics - 84101 305 Boulton, Cynthia NP ~ Pcros Cox, Jamie NP ~ 96 East Kimball Ln Ste 305 NPI: 1750397238 3773 West 12600 South NPI: 1205992633 Draper, UT 84020 Ihc Southridge Clinic Riverton, UT 84065 Vbh North Valley Clinic (801) 374-2367 Surgical Specialties - (801) 285-1440 1020 South Main St Ste Riverton 100 Hobson, Paula NP ~* 3723 West 12600 South Ste Madeo, Jared APRN ~ Salt Lake City, UT 84101 NPI: 1902202419 270 NPI: 1053789917 (888) 949-4864 Revere Health - Draper Ste Riverton, UT 84065 Ihc Int Heart Cardiology - 305 (801) 285-4600 Riverton 84102 96 East Kimball Ln Ste 305 3741 West 12600 South Ste Hill, Gina NP ~ Draper, UT 84020 Dantis-Tan, Minerva 160A NPI: 1356897821 (801) 374-2367 NP ~ Riverton, UT 84065 Wasatch Allergy And Spanish NPI: 1164715124 (801) 507-3500 Asthma - Salt Lake Nephrology Associates - 24 South 1100 East Ste 201 Seaquist Goble, Erika Riverton Smith, Maureen NP ~ Salt Lake City, UT 84102 NP ~* 12511 South Creek NPI: 1730111311 (385) 290-1289 NPI: 1558804641 Meadow Rd Ste 111 Nephrology Associates - Spanish Medallus Medical - Draper Riverton, UT 84065 Riverton 1126 East 12300 South (801) 288-2634 12511 South Creek Tagalog Hollis, Randi NP ~ Draper, UT 84020 Meadow Rd Ste 111 NPI: 1346642121 (801) 545-0600 Riverton, UT 84065 Senior Behavioral Health Ferrell, Donna APRN ~* (801) 288-2634 Outpatient - Salt Lake Herriman NPI: 1861721086 Ihc Riverton Campus Sleep Regional 84096 Summerhays, Haley NP ~ 82 South 1100 East Ste 404 Program - Riverton NPI: 1275842783 Salt Lake City, UT 84102 Baer, Lorna NP ~ 3723 West 12600 South Ste Ihc Southridge Clinic (801) 350-4777 NPI: 1801340823 480 Surgical Specialties - Riverton, UT 84065 Utah Gastroenterology - Riverton Johnsen, Jordan NP Riverton Site (801) 285-4870 3723 West 12600 South Ste Spanish NPI: 1144668591 12391 South 4000 West 270 Planned Parenthood Herriman, UT 84096 Riverton, UT 84065 Association - Metro Clinic (801) 285-4850 Hill, Gina NP ~ (801) 285-4600 160 South 1000 East Ste NPI: 1356897821 120 Murray Wasatch Allergy And Young, Daniel NP ~ Salt Lake City, UT 84102 Asthma - Riverton NPI: 1902095631 (801) 257-6789 84107 13348 S Market Center Dr Ihc Int Heart Cardiology - Olavson, Paul NP ~ Ste 220 Riverton Riverton, UT 84065 Johnson, Sara NP ~* NPI: 1770560690 3741 West 12600 South Ste NPI: 1811917271 Family Counseling Center - (385) 831-1861 160A Spanish Comprehensive Neurology Murray Riverton, UT 84065 Of Utah - Salt Lake 650 East 4500 South Ste (801) 507-3500 82 South 1100 East Ste 103 300 Jones, Megan NP ~ Salt Lake City, UT 84102 Murray, UT 84107 NPI: 1144633975 84096 (801) 261-3500 Ihc Riverton Campus Sleep (801) 505-5370 Program - Riverton Ratliff, Jeremy NP ~ 3723 West 12600 South Ste NPI: 1295255701 480 Vmh - Riverton Riverton, UT 84065 12427 South Pasture Rd (801) 285-4870 Ste 104 Riverton, UT 84096 (888) 949-4864

174 Specialty Providers / Proveedores Especializados Family Nurse Practitioner continued/seguido

84103 Gamble, David NP ~ Rapier, Annjanette NP ~ Wasek, Cynthia NP ~ Jones, Megan NP ~ NPI: 1033423249 NPI: 1023556206 NPI: 1952398737 NPI: 1144633975 Utah Endocrinology Ihc Cottonwood Endocrine Lotus Center Inc - 740 East Ihc Lds Campus Sleep Associates Pllc - Salt Lake & Diabetes Center - 740 East 3900 South Ste Avenues - Salt Lake 470 East 3900 South Ste Murray 200 440 D St Ste 200 200 181 East Medical Tower Salt Lake City, UT 84107 Salt Lake City, UT 84103 Salt Lake City, UT 84107 Dr (801) 824-2185 (801) 408-3617 (801) 747-2800 Salt Lake City, UT 84107 (801) 314-4500 Wilkes, Zackery NP ~ Greenhalgh, Susan NPI: 1891291316 Moyes, Rebecca NP ~* APRN ~ Robinson, Jenna NP ~ Ihc Int Heart Rhythm - NPI: 1952599128 NPI: 1891745873 NPI: 1346793940 Murray Cottonwood St Ihc Lds Campus Sleep Ihc Cottonwood Family Ihc Int Heart Rhythm - 5169 South Cottonwood St Avenues - Salt Lake Medicine - Murray Murray Cottonwood St St 510 440 D St Ste 200 181 East Medical Tower 5169 South Cottonwood St Salt Lake City, UT 84107 Salt Lake City, UT 84103 Dr St 510 (801) 507-3513 (801) 408-3617 Salt Lake City, UT 84107 Salt Lake City, UT 84107 (801) 314-4266 (801) 507-3513 Young, Daniel NP ~ 84107 NPI: 1902095631 Barkdull, Lisa NP ~ Jones, Megan NP ~ Sampson, Judith NP ~ Ihc Int Heart Institute NPI: 1114920402 NPI: 1144633975 NPI: 1538112214 Cardiology - Murray Amazing Medical Ihc Imed Campus Sleep Intermountain 5169 South Cottonwood St Associates - Murray Program - Murray Thoracic,Lung, And Ste 520 835 East 4800 South Ste 5121 South Cottonwood St Esophageal Surgery - Salt Lake City, UT 84107 230 Salt Lake City, UT 84107 Murray (801) 507-3500 Salt Lake City, UT 84107 (801) 314-2400 5169 South Cottonwood St (801) 716-7008 Ste 640 84108 Madeo, Jared APRN ~ Salt Lake City, UT 84107 Hollis, Randi NP ~ Drubin, Brittany NP ~ NPI: 1053789917 (801) 507-3600 NPI: 1346642121 NPI: 1144779737 Ihc Int Heart Institute Neurostimulation Pediatric Upri Murray Clinic Cardiology - Murray Scholes, Cheryl NP ~* Services 32 West Winchester St Ste 5169 South Cottonwood St NPI: 1184952822 501 South Chipeta Way 200 Ste 520 Nephrology Associates - Salt Lake City, UT 84108 Salt Lake City, UT 84107 Salt Lake City, UT 84107 Salt Lake (801) 587-3287 (801) 327-9336 (801) 507-3500 650 East 4500 South Ste 210 Jackman, Vicki APRN ~ Ferrell, Donna APRN ~* Moyes, Rebecca NP ~* Salt Lake City, UT 84107 NPI: 1154376077 NPI: 1861721086 NPI: 1952599128 (801) 288-2634 University Of Utah Adult Ihc Imed Campus Sleep Ihc Intermountain Sleep German, Spanish Services - Salt Lake City Program - Murray Program Tosh - Murray 590 South Wakara Way 5121 South Cottonwood St 5770 South 250 East Ste Smith, Maureen NP ~ Salt Lake City, UT 84108 Salt Lake City, UT 84107 340 NPI: 1730111311 (801) 581-6393 (801) 314-2400 Salt Lake City, UT 84107 Nephrology Associates - Spanish (801) 314-2400 Salt Lake 650 East 4500 South Ste 84112 Ferrell, Donna APRN ~* Olson, Christopher NP ~ 210 Jackman, Vicki APRN ~ NPI: 1861721086 NPI: 1306997630 Salt Lake City, UT 84107 NPI: 1154376077 Ihc Intermountain Sleep Ihc Murray Vascular And (801) 288-2634 University Of Utah Adult Program Tosh - Murray Vein - Murray Services - Salt Lake City 5770 South 250 East Ste 5323 South Woodrow St 1950 Circle Of Hope Drive 340 Ste 101 Salt Lake City, UT 84112 Salt Lake City, UT 84107 Salt Lake City, UT 84107 (801) 585-0157 (801) 314-2400 (801) 261-8346 Spanish

175 Specialty Providers / Proveedores Especializados Family Nurse Practitioner continued/seguido

84113 84115 84121 Young, Daniel NP ~ Kunkel, Mindee NP ~ Olavson, Paul NP ~ Baer, Lorna NP ~ NPI: 1902095631 NPI: 1316122849 NPI: 1770560690 NPI: 1801340823 Ihc Int Heart Cardiology - Pediatric Neurosurgery Family Counseling Center - Utah Gastroenterology - Lds Hosp Specialty Services - Pch Salt Lake City Old Mill Site 8Th Ave & C St 100 North Mario Capecchi 447 West Bearcat Drive 6360 South 3000 East Ste Salt Lake City, UT 84143 Dr Salt Lake City, UT 84115 310 (801) 507-3500 Salt Lake City, UT 84113 (801) 355-2846 Salt Lake City, UT 84121 (801) 662-5340 (801) 944-3144 Sandy 84119 84094 Kunkel, Mindee NP ~ Johnsen, Jordan NP 84124 Berg, Loandra APRN ~ NPI: 1316122849 NPI: 1144668591 Johnson, Sara NP ~* NPI: 1023332335 Pediatric Orthopedics Planned Parenthood NPI: 1811917271 Ihc Sandy Clinic - Sandy 100 North Mario Capecchi Association - West Valley Western Neurological 9500 South 1300 East Dr 1906 West 3600 South Associates - 3900 South Sandy, UT 84094 Salt Lake City, UT 84113 Salt Lake City, UT 84119 1151 East 3900 South Ste (801) 501-2100 (801) 662-5600 (801) 973-9675 B150 Salt Lake City, UT 84124 Madeo, Jared APRN ~ Vadeboncoeur, Renee Thompson, Kim NP ~ (801) 262-3441 NPI: 1053789917 NP ~ NPI: 1659772028 Ihc Int Heart Cardiology - NPI: 1659320240 Vbh West Valley Clinic Pediatric Bone Marrow 84129 Alta View 2948 South Redwood Rd Drubin, Brittany NP ~ 9690 South 1300 East Ste Transplant - Pch Ste 100 & 200 100 North Mario Capecchi NPI: 1144779737 200 Salt Lake City, UT 84119 Upri Taylorsville Clinic Sandy, UT 84094 Dr (888) 949-4864 Salt Lake City, UT 84113 1972 West 5400 South Ste (801) 507-3500 (801) 662-4700 100 84120 Salt Lake City, UT 84129 Young, Daniel NP ~ Zilbershteyn, Irene NP ~ Dantis-Tan, Minerva (801) 878-7880 NPI: 1902095631 NPI: 1548612559 NP ~ Ihc Int Heart Cardiology - Pediatric Surgeons NPI: 1164715124 84143 Alta View Nephrology Associates - 9690 South 1300 East Ste 100 North Mario Capecchi Ferrell, Donna APRN ~* 200 Dr West Valley NPI: 1861721086 4052 West Pioneer Pkwy Sandy, UT 84094 Salt Lake City, UT 84113 Ihc Lds Campus Sleep (801) 507-3500 (801) 662-2950 Ste 101 Program - Salt Lake Salt Lake City, UT 84120 Russian 325 8Th Ave South Jordan (801) 288-2634 Salt Lake City, UT 84143 Zilbershteyn, Irene NP ~ Tagalog (801) 408-3617 84095 NPI: 1548612559 Spanish Bauman, Cynthia NP ~ Pediatric Surgeons - Pch Smith, Maureen NP ~ NPI: 1770530495 100 North Mario Capecchi NPI: 1730111311 Madeo, Jared APRN ~ Palliative Care - Clinical - Dr Nephrology Associates - NPI: 1053789917 Medical Group - South Salt Lake City, UT 84113 West Valley Ihc Int Heart Cardiology - Jordan (801) 662-2950 4052 West Pioneer Pkwy Lds Hosp 11520 South Redwood Rd Russian Ste 101 8Th Ave & C St South Jordan, UT 84095 Salt Lake City, UT 84120 Salt Lake City, UT 84143 (385) 887-6000 Zilbershteyn, Irene NP ~ (801) 288-2634 (801) 507-3500 NPI: 1548612559 Pediatric Transplant - Pcos 81 North Mario Capecchi Dr Salt Lake City, UT 84113 (801) 662-2950 Russian ~ Accepting new patients/Aceptando a nuevos pacientes * Accepts Medicaid/Acepta Medicaid ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

176 Specialty Providers / Proveedores Especializados Family Nurse Practitioner continued/seguido

Johnsen, Jordan NP Tooele Christensen, Kristie NP ~ Vega, Luz NP ~ NPI: 1144668591 NPI: 1407373574 NPI: 1700923455 Planned Parenthood Tooele Revere Health - Af - Ihc American Fork Physical Association - South Jordan 84074 Cardiology Medicine & Rehab - Am 1091 West South Jordan 1175 East 50 South Ste 251 Fork Pkwy Ste 100 Dantis-Tan, Minerva American Fork, UT 84003 98 North 1100 East Ste 103 South Jordan, UT 84095 NP ~ (801) 492-2815 American Fork, UT 84003 (801) 254-2052 NPI: 1164715124 (801) 492-2380 Nephrology Associates - Dorius, Heather NP ~ West Jordan Tooele NPI: 1508289992 Bonnie 1244 North Main St Ste Ihc Legacy Ob/Gyn - 84088 101 American Fork 84057 Black, Chelise NP ~ Tooele, UT 84074 1159 East 200 North Ste Wilson, Renee NP ~ NPI: 1952811515 (801) 288-2634 250 NPI: 1033202452 Endocrinology Of Utah Tagalog American Fork, UT 84003 Valley Obstetrics And Diabetes Center - West (801) 855-2980 Gynecology - Provo Cnm Jordan Smith, Maureen NP ~ Group - Orem527 3590 West 9000 South Ste NPI: 1730111311 Dorius, Heather NP ~ 527 West 400 North Ste 4 240 Nephrology Associates - NPI: 1508289992 Bonnie, UT 84057 West Jordan, UT 84088 Tooele Ihc Utah Valley Ent - (801) 404-5588 (801) 569-2384 1244 North Main St Ste North Valley - American 101 Fork Lehi Dantis-Tan, Minerva Tooele, UT 84074 1159 East 200 North Ste NP ~ (801) 288-2634 325 84043 NPI: 1164715124 American Fork, UT 84003 Dantis-Tan, Minerva Nephrology Associates - Utah (801) 855-2930 NP ~ West Jordan American Fork NPI: 1164715124 3823 West 9000 South Gamble, David NP ~ Nephrology Associates - West Jordan, UT 84088 84003 NPI: 1033423249 Lehi (801) 288-2634 Bennion, Aaron NP ~ Utah Endocrinology 3000 North Triumph Blvd Tagalog NPI: 1659709848 Associates Pllc - American Ste 340 Revere Health - Af - Fork Lehi, UT 84043 Smith, Maureen NP ~ Cardiology 629 Quality Dr Ste E (801) 288-2634 NPI: 1730111311 1175 East 50 South Ste 251 American Fork, UT 84003 Tagalog Nephrology Associates - American Fork, UT 84003 (801) 747-2800 West Jordan (801) 492-2815 Eden, Lacey NP ~* 3823 West 9000 South Hobson, Paula NP ~* NPI: 1386972875 West Jordan, UT 84088 Berg, Loandra APRN ~ NPI: 1902202419 Physicians Group Of Utah (801) 288-2634 NPI: 1023332335 Revere Health - Af - Cancer - 127 East Ihc American Fork Center 127 East Main St East Pulmonary - Am Fork 1152 East 200 North Lehi, UT 84043 98 North 1100 East American Fork, UT 84003 (801) 766-9822 American Fork, UT 84003 (801) 772-0698 (801) 492-2270 Spanish Egan, Brent NP ~ NPI: 1376634998 Carpenter, Whitney NP ~ Mitchell, Max APRN ~ Alpine Pain Solutions Of NPI: 1376052910 NPI: 1174995500 Utah - Site Revere Health - Af - Cancer Ihc American Fork Wound 3051 West Maple Loop Dr Center Care - Am Fork Ste 125 1152 East 200 North 98 North 1100 East Ste 302 Lehi, UT 84043 American Fork, UT 84003 American Fork, UT 84003 (801) 766-6055 (801) 772-0698 (801) 492-2260

177 Specialty Providers / Proveedores Especializados Family Nurse Practitioner continued/seguido

Hansen, Orrin NP ~* Orem 84097 Carpenter, Whitney NP ~ NPI: 1104916543 84057 Ratliff, Jeremy NP ~ NPI: 1376052910 Physicians Group Of Utah NPI: 1295255701 Revere Health - Provo - - 127 East Christensen, Kristie NP ~ Valley Mental Health - Medical Oncology 127 East Main St East NPI: 1407373574 Orem 1055 North 500 West Ste Lehi, UT 84043 Revere Health - Orem - 1875 South State St Ste 202 Bldg C (801) 766-9822 Cardiology 1000 Provo, UT 84604 700 West 800 North Ste Orem, UT 84097 (801) 374-2367 Hooton, Kelly NP ~ 230 (888) 949-4864 NPI: 1891248233 Orem, UT 84057 Christensen, Kristie NP ~ Lehi Instacare - Site (801) 429-0620 NPI: 1407373574 3249 North 1200 West Provo Revere Health - Provo - Lehi, UT 84043 Harkness, Robert NP ~ 84601 Cardiology (801) 234-5880 NPI: 1790239671 Lidtke, Marcia NP ~ 1055 North 500 West Ste Ihc Utah Valley Pain NPI: 1972716496 101 Bldg C Hunter, Judd NP ~* Management - Orem Wasatch Mental Health - Provo, UT 84604 NPI: 1831428705 412 West 800 North Provo - Westpark Family (801) 373-4366 Physicians Group Of Utah Orem, UT 84057 Clinic - 127 East (801) 235-7246 750 North 200 West Dorius, Heather NP ~ 127 East Main St East Provo, UT 84601 NPI: 1508289992 Lehi, UT 84043 Hooton, Kelly NP ~ (801) 373-4760 Ihc Utah Valley Ent Provo (801) 766-9822 NPI: 1891248233 - Provo Ihc Summit Ob/Gyn - Wilson, Renee NP ~ 1157 North 300 West Ste Mackintosh, Rebecca Orem NPI: 1033202452 302 NP ~ 505 West 400 North Valley Obstetrics And Provo, UT 84604 NPI: 1275873903 Orem, UT 84057 Gynecology - Provo (801) 357-7323 Pgu- Mountain Point (801) 714-3422 585 North 500 West Medical Center - Wound Provo, UT 84601 Graff, Carol NP ~* Clinic Johnsen, Jordan NP (801) 374-1801 NPI: 1174826697 3000 North Triumph Blvd NPI: 1144668591 Ihc Summit Womens Lehi, UT 84043 Planned Parenthood Center - Provo (385) 345-3000 Association - Utah Valley 84604 1157 North 300 West Ste 1086 North 1200 West Beesley, Katie NP ~ 301 Smith, Maureen NP ~ Orem, UT 84057 NPI: 1629468475 Provo, UT 84604 NPI: 1730111311 (801) 226-5246 Revere Health - Provo - (801) 357-7009 Nephrology Associates - Family Medicine Lehi Wilson, Renee NP ~ 1055 North 500 West Ste Hobson, Paula NP ~* 3000 North Triumph Blvd NPI: 1033202452 212 NPI: 1902202419 Ste 340 Valley Obstetrics And Provo, UT 84604 Revere Health - Provo - Lehi, UT 84043 Gynecology, Provo Cnm (801) 812-5033 Medical Oncology (801) 288-2634 Group - Orem 1055 North 500 West Ste 700 West 800 North Ste Bennion, Aaron NP ~ 202 Bldg C Sorenson, Nathan NP ~* 200 NPI: 1659709848 Provo, UT 84604 NPI: 1891163010 Orem, UT 84057 Revere Health - Provo - (801) 374-2367 Lehi Instacare - Site (801) 374-1801 Cardiology Spanish 3249 North 1200 West 1055 North 500 West Ste Lehi, UT 84043 101 Bldg C (801) 234-5880 Provo, UT 84604 (801) 373-4366

178 Specialty Providers / Proveedores Especializados Family Nurse Practitioner continued/seguido

Jones, Shane NP ~ Morgan, Sharla NP ~ Washington Souza, Alberto NP ~ NPI: 1740697218 NPI: 1003151853 NPI: 1972846384 Ihc Utah Valley Tia/Stroke Thyroid Institute Of Utah - Hurricane Southwest Spine & Pain Clinic - Provo Provo 84737 Center - 1085 South Bluff 1034 North 500 West Ste 1055 North 300 West Ste 1085 South Bluff St Ste 200 501 303 Reese, Melanie NP ~ Saint George, UT 84770 Provo, UT 84604 Provo, UT 84604 NPI: 1447709902 (435) 218-7778 (801) 357-8879 (801) 356-1300 Southwest Spine And Pain Russian Care Specialists - 84790 Slade, Marilee NP ~ Hurricane 25 North 2000 West Ste 8 Baer, Lorna NP ~ Lamoreaux, Nicole NP ~ NPI: 1235480799 NPI: 1801340823 NPI: 1962957407 Ihc Summit Womens Hurricane, UT 84737 (435) 656-2424 Utah Gastroenterology - St Utah Valley Heart & Lung Center - Provo George Site Surgical Associates - Provo 1157 North 300 West Ste Ivins 368 East Riverside Dr Ste 2 301 A 395 West Bulldog Blvd Ste Provo, UT 84604 84738 Saint George, UT 84790 503 (801) 357-7009 (435) 673-1149 Provo, UT 84604 Cowley, David NP ~* (801) 357-7081 Sorensen, Jory NP ~ NPI: 1720429491 Shivwits Medical Clinic - Benedict, Amy NP ~ Korean NPI: 1376689877 NPI: 1144467010 Utah Surgical Associates - Ivins 6109 West 3700 North Revere Health - St George - Lewis, Amanda NP ~ Provo Heart Of Dixie Cardiology NPI: 1467535138 3550 North University Ave Ivins, UT 84738 (435) 688-8198 1380 East Medical Center Peak Ent Associates Llc - Ste 250 Dr Ste 4100 Provo Provo, UT 84604 Saint George Saint George, UT 84790 1055 North 300 West Ste (801) 374-9625 (435) 251-2900 401 84770 Spanish Provo, UT 84604 Vega, Luz NP ~ (801) 357-7499 NPI: 1700923455 Graff, Carol NP ~* Spanish NPI: 1174826697 Bowden, Morgan NP ~ Ihc Physical Medicine & Ihc Womens Health NPI: 1063805075 Rehabilitation - Provo Specialists - St George Ihc Southern Utah Marble, Mary NP ~ 1055 North 300 West Ste 346 East 600 South Neurosciences Institute - St NPI: 1346518867 410 Saint George, UT 84770 George Peak Ent Associates Llc - Provo, UT 84604 (435) 688-4600 652 South Medical Center Provo (801) 357-8818 Dr Ste 420 1055 North 300 West Ste Johnsen, Jordan NP Saint George, UT 84790 401 Spanish Fork (435) 251-6800 Provo, UT 84604 NPI: 1144668591 (801) 357-7499 84660 Planned Parenthood Association - St George Brinkerhoff, Travis NP ~ Barton, Karl NP ~* NPI: 1235473307 Mitchell, Max APRN ~ NPI: 1306889522 595 South Bluff Street Express Med Family Care - Saint George, UT 84770 Ihc Cardiovascular & NPI: 1174995500 (435) 674-9933 Thoracic Surgery - St Ihc Utah Valley Hyperbaric Spanish Fork George And Wound Care - Provo 415 North Main St 1380 East Medical Center 1034 North 500 West Spanish Fork, UT 84660 Mortensen, Jodi NP ~ NPI: 1023391083 Dr Ste 2600 Provo, UT 84604 (801) 798-9715 Saint George, UT 84790 (801) 357-8156 Ihc Bmt Leukemia Program Swr - St George (435) 251-2700 544 South 400 East Ukrainian Saint George, UT 84770 (435) 688-4900

179 Specialty Providers / Proveedores Especializados Family Nurse Practitioner continued/seguido

Brinkerhoff, Travis NP ~ Reese, Melanie NP ~ Thompson, Leslie Gamble, David NP ~ NPI: 1235473307 NPI: 1447709902 APRN ~* NPI: 1033423249 Ihc Southwest Cardiology - Southwest Spine And Pain NPI: 1558735472 Utah Endocrinology St George Care Specialists - St George Ihc Cardiovascular & Associates Pllc - Ogden 1380 East Medical Center 652 South Medical Center Thoracic Surgery - St 5926 South Fashion Pointe Dr Ste 1500 Dr Ste 110 George Dr Ste 120 Saint George, UT 84790 Saint George, UT 84790 1380 East Medical Center Ogden, UT 84403 (435) 251-2500 (435) 656-2424 Dr Ste 2600 (801) 747-2800 Ukrainian Saint George, UT 84790 Sampson, Judith NP ~ (435) 251-2700 Hingley, Elizabeth NP ~ Christensen, Danica NP ~ NPI: 1538112214 NPI: 1003250895 NPI: 1881020030 Utah Neurosurgery - St Thompson, Leslie Ihc Mckay Dee Endocrine Ihc Southern Utah George APRN ~* And Diabetes Clinic - Neurosciences Institute - St 1490 East Foremaster Dr NPI: 1558735472 Ogden George Ste 260 Ihc Southern Utah 4403 Harrison Blvd Ste 652 South Medical Center Saint George, UT 84790 Neurosciences Institute - St 3630 Dr Ste 420 (435) 688-7131 George Ogden, UT 84403 Saint George, UT 84790 652 South Medical Center (801) 387-7900 (435) 251-6800 Smith, Tanner NP ~ Dr Ste 420 NPI: 1336570613 Saint George, UT 84790 Johnsen, Jordan NP Foisy, David APRN ~* Ihc Southwest Ortho & (435) 251-6800 NPI: 1144668591 NPI: 1942733126 Sports Med - St George Planned Parenthood Ihc Southern Utah 652 South Medical Center Vyas, Neeta NP ~ Association - Ogden Neurosciences Institute - St Dr Ste 120 NPI: 1629310222 4387 Harrison Blvd Ste George Saint George, UT 84790 Ihc Southwest Neurology D-8 652 South Medical Center (435) 628-4460 Associates - St George Ogden, UT 84403 Dr Ste 420 Spanish 652 South Medical Center (801) 479-7721 Saint George, UT 84790 Dr Ste 320 (435) 251-6800 Souza, Alberto NP ~ Saint George, UT 84790 Jones, Linda NP ~ NPI: 1972846384 (435) 251-3950 NPI: 1376083147 Larsen, Greg NP ~ Southwest Spine And Pain Ihc Mckay Dee Cardiology NPI: 1578879441 Care Specialists - St George White, Colby NP ~ - Ogden St George Kidney Care Llc - 652 South Medical Center NPI: 1871951202 4403 Harrison Blvd Ste St George Dr Ste 110 Ihc Southern Utah 3490 624 South 1000 East Ste Saint George, UT 84790 Neurosciences Institute - St Ogden, UT 84403 103 (435) 656-2424 George (801) 387-2650 Saint George, UT 84790 652 South Medical Center (435) 652-1135 Souza, Alberto NP ~ Dr Ste 420 Jones, Megan NP ~ NPI: 1972846384 Saint George, UT 84790 NPI: 1144633975 Lloyd, Christina NP ~ St George Kidney Care Llc - (435) 251-6800 Ihc Mckay Dee Heart NPI: 1306908264 St George Rhythm Specialists - Ogden Ihc Southwest Cardiology - 624 South 1000 East Ste Weber 4403 Harrison Blvd Ste St George 103 3450 1380 East Medical Center Saint George, UT 84790 Ogden Ogden, UT 84403 Dr Ste 1500 (435) 652-1135 84403 (801) 387-3850 Saint George, UT 84790 (435) 251-2500 Bauman, Cynthia NP ~ Matson, Michelle NP ~ NPI: 1770530495 NPI: 1760875264 Ihc Mckay Dee Palliative Ihc Mckay Dee Heart Care - Ogden Failure - Ogden 4403 Harrison Blvd Ste 4403 Harrison Blvd Ste 3630 3430 Ogden, UT 84403 Ogden, UT 84403 (801) 387-7900 (801) 387-3880

180 Specialty Providers / Proveedores Especializados Family Nurse Practitioner continued/seguido

Oman, Shelsea APRN ~ Woodring, Jill NP ~ Garg, Vikram MD ~* Moore, David MD ~* NPI: 1972987949 NPI: 1588025969 NPI: 1760491054 NPI: 1215969837 Ihc Ogden Cardiovascular Northern Utah Ihc Budge Clinic Internal Utah Gastroenterology - Associates - Ogden Cardiovascular Associates - Medicine - Logan Bountiful Site 4403 Harrison Blvd Ste Ogden 1350 North 500 East 620 East Medical Dr Ste 3835 5405 South 500 East Ste Logan, UT 84341 205 Ogden, UT 84403 204 (435) 792-1980 Bountiful, UT 84010 (801) 387-3475 Ogden, UT 84405 Hindi (801) 298-0057 (801) 479-0184 Sanders, Bart NP ~ Larsen, Bryan MD ~* Layton NPI: 1760788160 Roy NPI: 1972561165 Mckay Dee Behavioral Ihc Budge Clinic Gi - Logan 84041 Health Institute - Ogden 84067 1350 North 500 East Poole, Jeffrey MD ~* 5030 Harrison Blvd Mitchell, Chase NP ~ Logan, UT 84341 NPI: 1649266776 Ogden, UT 84403 NPI: 1841605268 (435) 716-1260 Tanner Memorial Clinic - (801) 387-5620 Tanner Memorial Clinic - Layton Roy Davis 2121 North 1700 West Schwartz, Zheila NP ~ 3443 West 5600 South Ste Layton, UT 84041 NPI: 1124530050 100 Bountiful (801) 773-4840 Ogden Clinic Womens Roy, UT 84067 84010 Spanish Center Mckay (801) 773-4840 4403 Harrison Blvd Ste Canale, Christopher Pugh, Brian DO ~* 4650 Gastroenterology MD ~* NPI: 1023005808 Ogden, UT 84403 NPI: 1598952145 Tanner Memorial Clinic - Utah Gastroenterology - (801) 475-3240 Cache Layton Bountiful Site 2121 North 1700 West Shina, Nancy NP ~ Logan 620 East Medical Dr Ste Layton, UT 84041 NPI: 1255884037 205 (801) 773-4840 Ogden Clinic - 4650 South 84341 Bountiful, UT 84010 Spanish 4650 Harrison Blvd Braden, Geoffrey MD ~* (801) 298-0057 Ogden, UT 84403 NPI: 1275597809 French Iron (801) 475-3100 Ihc Budge Clinic Gi - Logan Spanish 1350 North 500 East Doxey, Brett MD ~* Cedar City Logan, UT 84341 NPI: 1386775682 84720 (435) 716-1260 Utah Gastroenterology - 84405 Bountiful Site Gunnerson, Allen DO ~* Bowthorpe, Allyx NP ~ Davis, Dirk MD ~* 620 East Medical Dr Ste NPI: 1407081524 NPI: 1033509989 NPI: 1134187263 205 Ihc Southern Utah Larry E Urry Md Pc - Ihc Budge Clinic Gi - Logan Bountiful, UT 84010 Neurosciences Institute - Washington Terrace 1350 North 500 East (801) 298-0057 Cedar City 434 East 5350 South Ste D Logan, UT 84341 1303 North Main St Ogden, UT 84405 (435) 716-1260 Merrill, Joseph MD ~ Cedar City, UT 84720 (801) 827-9100 NPI: 1881758985 (435) 251-6800 Davis, Thomas DO ~* Ihc Bountiful Clinic - Volante, Carol NP ~* NPI: 1295757433 Bountiful NPI: 1316038391 Ihc Budge Clinic Gi - Logan 390 North Main St Ihc Mckay Dee Vascular 1350 North 500 East Bountiful, UT 84010 And Vein - South Ogden Logan, UT 84341 (801) 294-1000 1486 East Skyline Dr (435) 716-1260 Ogden, UT 84405 (801) 476-8346

181 Specialty Providers / Proveedores Especializados Gastroenterology continued/seguido

Salt Lake Wills, Jason MD ~* Magna Salt Lake City NPI: 1871689554 Draper Utah Gastroenterology - 84044 84102 84020 Draper - Bangerter Site Radwin, Martin MD ~* Buchi, Kenneth MD ~* 13953 South Bangerter NPI: 1932131182 NPI: 1518985696 Bridge Jr, Robert MD ~* Pkwy Magna Center For Family Kenneth N Buchi Md - Salt NPI: 1336374909 Draper, UT 84020 Medicine - Magna Lake Utah Gastroenterology - (801) 727-4280 3665 South 8400 West Ste 24 South 1100 East Ste 103 Draper - Bangerter Site Spanish 110 Salt Lake City, UT 84102 13953 South Bangerter Magna, UT 84044 (801) 233-8233 Pkwy Herriman (801) 250-9638 Draper, UT 84020 Spanish Collins, Dan MD ~ (801) 727-4280 84096 NPI: 1972745024 Bridge Jr, Robert MD ~* Riverton Ihc Salt Lake Clinic - Doxey, Brett MD ~* NPI: 1336374909 Cardiology NPI: 1386775682 Utah Gastroenterology - 84065 389 South 900 East Utah Gastroenterology - Riverton Site Capener, John DO ~ Salt Lake City, UT 84102 Draper - Bangerter Site 12391 South 4000 West NPI: 1750355624 (385) 282-2600 13953 South Bangerter Herriman, UT 84096 Ihc Southridge Clinic Pkwy (801) 285-4850 Surgical Specialties - Collins, Dan MD ~ Draper, UT 84020 Riverton NPI: 1972745024 (801) 727-4280 Doxey, Brett MD ~* 3723 West 12600 South Ste Ihc Salt Lake Clinic - NPI: 1386775682 270 Family Internal Medicine Fenton, Peter MD ~* Utah Gastroenterology - Riverton, UT 84065 389 South 900 East NPI: 1952311797 Riverton Site (801) 285-4600 Salt Lake City, UT 84102 Utah Gastroenterology - 12391 South 4000 West (385) 282-2600 Draper - Bangerter Site Herriman, UT 84096 Hilbig, Clarke MD ~* 13953 South Bangerter (801) 285-4850 NPI: 1861404758 Collins, Dan MD ~ Pkwy Specialty Surgery Of Utah - NPI: 1972745024 Draper, UT 84020 Fenton, Peter MD ~* Riverton Ihc Salt Lake Clinic - (801) 727-4280 NPI: 1952311797 13348 South Market Infusion Utah Gastroenterology - Center Dr Ste 210 389 South 900 East Krishnamurthy, Chaya Riverton Site Riverton, UT 84065 Salt Lake City, UT 84102 MD ~* 12391 South 4000 West (801) 601-4423 (385) 282-2750 NPI: 1679767842 Herriman, UT 84096 German Utah Gastroenterology - (801) 285-4850 Karnam, Umaprasanna Draper - Bangerter Site Karnam, Umaprasanna MD ~* 13953 South Bangerter Krishnamurthy, Chaya MD ~* NPI: 1689623852 Pkwy MD ~* NPI: 1689623852 Gut Whisperer Pc - Salt Draper, UT 84020 NPI: 1679767842 Gut Whisperer Pc - Lake 3 (801) 727-4280 Utah Gastroenterology - Riverton 82 South 1100 East Ste 103 Hindi Riverton Site 1543 West 12600 South Ste Salt Lake City, UT 84102 12391 South 4000 West 102 (801) 563-5121 Pedersen, Peder MD ~* Herriman, UT 84096 Riverton, UT 84065 NPI: 1568558211 (801) 285-4850 (801) 563-5121 Smith, Kent MD ~* Utah Gastroenterology - Hindi NPI: 1336183813 Draper - Bangerter Site Smith, Kent MD ~* Gut Whisperer Pc - Salt 13953 South Bangerter Moore, David MD ~* NPI: 1336183813 Lake 3 Pkwy NPI: 1215969837 Gut Whisperer Pc - 82 South 1100 East Ste 103 Draper, UT 84020 Utah Gastroenterology - Riverton Salt Lake City, UT 84102 (801) 727-4280 Riverton Site 1543 West 12600 South Ste (801) 563-5121 12391 South 4000 West 102 Herriman, UT 84096 Riverton, UT 84065 (801) 285-4850 (801) 563-5121

182 Specialty Providers / Proveedores Especializados Gastroenterology continued/seguido

84103 84108 Boschert, Mark MD ~* Clark, Holly MD ~* NPI: 1346252236 NPI: 1376639047 Collins, Dan MD ~ Tietze, Christopher MD * Utah Gastroenterology - Utah Gastroenterology - NPI: 1972745024 NPI: 1811087448 Old Mill Site Old Mill Site Intermountain Avenues Gi Red Butte Clinic - 6360 South 3000 East Ste 6360 South 3000 East Ste 324 East 10Th Ave Ste 189 Gastroenterology 310 310 Salt Lake City, UT 84103 546 Chipeta Wy Salt Lake City, UT 84121 Salt Lake City, UT 84121 (801) 408-5883 Salt Lake City, UT 84108 (801) 944-3144 (801) 944-3144 (801) 581-3761 German Feurer, Matthew MD ~ Doxey, Brett MD ~* NPI: 1508157942 84109 Bown, James MD ~* NPI: 1386775682 Intermountain Avenues Gi Karnam, Umaprasanna NPI: 1629081260 Utah Gastroenterology - 324 East 10Th Ave Ste 189 MD ~* Utah Gastroenterology - Old Mill Site Salt Lake City, UT 84103 NPI: 1689623852 Old Mill Site 6360 South 3000 East Ste (801) 408-5883 Gut Whisperer Pc - Salt 6360 South 3000 East Ste 310 Lake 2 310 Salt Lake City, UT 84121 Kuwahara, Melvin MD ~ 2295 South Foothill Dr Salt Lake City, UT 84121 (801) 944-3144 NPI: 1306871116 Salt Lake City, UT 84109 (801) 944-3144 Intermountain Avenues Gi (801) 254-8620 324 East 10Th Ave Ste 189 Fenton, Peter MD ~* Salt Lake City, UT 84103 Bridge Jr, Robert MD ~* NPI: 1952311797 (801) 408-5883 84120 NPI: 1336374909 Utah Gastroenterology - Oelsner, David MD ~* Utah Gastroenterology - Old Mill Site Old Mill Site 6360 South 3000 East Ste Merrill, Joseph MD ~ NPI: 1396760765 Granger Medical - West 6360 South 3000 East Ste 310 NPI: 1881758985 310 Salt Lake City, UT 84121 Intermountain Avenues Gi Valley 3725 West 4100 South Salt Lake City, UT 84121 (801) 944-3144 324 East 10Th Ave Ste 189 (801) 944-3144 Salt Lake City, UT 84103 Salt Lake City, UT 84120 (801) 965-3600 Frech, Edward MD ~* (801) 408-5883 Canale, Christopher NPI: 1942496757 Radwin, Martin MD ~* MD ~* Utah Gastroenterology - Sandhu, Iqbal MD ~ NPI: 1598952145 Old Mill Site NPI: 1740391622 NPI: 1932131182 Exodus Healthcare - West Utah Gastroenterology - 6360 South 3000 East Ste Intermountain Avenues Gi Old Mill Site 310 324 East 10Th Ave Ste 189 Valley City 3336 South Pioneer Pkwy 6360 South 3000 East Ste Salt Lake City, UT 84121 Salt Lake City, UT 84103 310 (801) 944-3144 (801) 408-5883 Ste 201 Salt Lake City, UT 84120 Salt Lake City, UT 84121 (801) 944-3144 84107 (801) 250-9638 Harmston, Gordon Spanish French MD ~* Moore, David MD ~* NPI: 1972516748 NPI: 1215969837 Capener, John DO ~ Utah Gastroenterology - Intermountain Medical 84121 NPI: 1750355624 Old Mill Site Center - Neurology Batista, Oscar MD ~* Ihc Holladay Allergy And 6360 South 3000 East Ste 5121 South Cottonwood St NPI: 1962443465 Dermatology - Holladay 310 Salt Lake City, UT 84107 Utah Gastroenterology - 6272 South Highland Dr Salt Lake City, UT 84121 (801) 507-7000 Old Mill Site Salt Lake City, UT 84121 (801) 944-3144 6360 South 3000 East Ste (801) 871-6300 German Shakir, Faiz MD ~ 310 NPI: 1447391131 Salt Lake City, UT 84121 Capener, John DO ~ Ihc Cottonwood Internal (801) 944-3144 NPI: 1750355624 Medicine - Murray Spanish Ihc Holladay Clinic - 181 East Medical Tower Holladay Dr 6272 South Highland Dr Salt Lake City, UT 84107 Salt Lake City, UT 84121 (801) 314-4300 (801) 871-6100

183 Specialty Providers / Proveedores Especializados Gastroenterology continued/seguido

Jones, Robert MD ~* Pedersen, Peder MD ~* Woerlein, Christoph Maxwell, Christopher NPI: 1164465647 NPI: 1568558211 MD ~* MD ~* Utah Gastroenterology - Utah Gastroenterology - NPI: 1255370771 NPI: 1114107026 Old Mill Site Old Mill Site Utah Gastroenterology - Utah Gastroenterology - St 6360 South 3000 East Ste 6360 South 3000 East Ste Old Mill Site Marks Site 310 310 6360 South 3000 East Ste 1250 East 3900 South Ste Salt Lake City, UT 84121 Salt Lake City, UT 84121 310 360 (801) 944-3144 (801) 944-3144 Salt Lake City, UT 84121 Salt Lake City, UT 84124 (801) 944-3144 (801) 263-3041 Joseph, Ronald MD ~* Shakir, Faiz MD ~ German NPI: 1033205760 NPI: 1447391131 Trowbridge, David Utah Gastroenterology - Ihc Holladay Allergy And 84124 MD ~* Old Mill Site Dermatology - Holladay Bridge Jr, Robert MD ~* NPI: 1134215809 6360 South 3000 East Ste 6272 South Highland Dr NPI: 1336374909 Utah Gastroenterology - St 310 Salt Lake City, UT 84121 Utah Gastroenterology - St Marks Site Salt Lake City, UT 84121 (801) 871-6300 Marks Site 1250 East 3900 South Ste (801) 944-3144 1250 East 3900 South Ste 360 Shakir, Faiz MD ~ 360 Salt Lake City, UT 84124 Krishnamurthy, Chaya NPI: 1447391131 Salt Lake City, UT 84124 (801) 263-3041 MD ~* Ihc Holladay Clinic - (801) 263-3041 NPI: 1679767842 Holladay Wills, Jason MD ~* Utah Gastroenterology - 6272 South Highland Dr Clark, Holly MD ~* NPI: 1871689554 Old Mill Site Salt Lake City, UT 84121 NPI: 1376639047 Utah Gastroenterology - St 6360 South 3000 East Ste (801) 871-6100 Utah Gastroenterology - St Marks Site 310 Marks Site 1250 East 3900 South Ste Salt Lake City, UT 84121 Siddoway, Roger MD ~* 1250 East 3900 South Ste 360 (801) 944-3144 NPI: 1548240310 360 Salt Lake City, UT 84124 Hindi Utah Gastroenterology - Salt Lake City, UT 84124 (801) 263-3041 Old Mill Site (801) 263-3041 Spanish Maxwell, Christopher 6360 South 3000 East Ste MD ~* 310 Joseph, Ronald MD ~* 84132 NPI: 1114107026 Salt Lake City, UT 84121 NPI: 1033205760 Fang, John MD Utah Gastroenterology - (801) 944-3144 Utah Gastroenterology - St NPI: 1134219736 Old Mill Site Italian Marks Site U Of U Gastroenterology - 6360 South 3000 East Ste 1250 East 3900 South Ste Clinic 3 310 Trowbridge, David 360 50 North Medical Dr Salt Lake City, UT 84121 MD ~* Salt Lake City, UT 84124 Salt Lake City, UT 84132 (801) 944-3144 NPI: 1134215809 (801) 263-3041 (801) 581-7802 Utah Gastroenterology - Moore, David MD ~* Old Mill Site Krishnamurthy, Chaya Peterson, Kathryn MD NPI: 1215969837 6360 South 3000 East Ste MD ~* NPI: 1225128846 Utah Gastroenterology - 310 NPI: 1679767842 U Of U Gastroenterology - Old Mill Site Salt Lake City, UT 84121 Utah Gastroenterology - St Clinic 3 6360 South 3000 East Ste (801) 944-3144 Marks Site 50 North Medical Dr 310 1250 East 3900 South Ste Salt Lake City, UT 84132 Salt Lake City, UT 84121 Wills, Jason MD ~* 360 (801) 581-7802 (801) 944-3144 NPI: 1871689554 Salt Lake City, UT 84124 Utah Gastroenterology - (801) 263-3041 Old Mill Site Hindi 6360 South 3000 East Ste 310 Salt Lake City, UT 84121 (801) 944-3144 Spanish

184 Specialty Providers / Proveedores Especializados Gastroenterology continued/seguido

Sandy Stewart, James MD ~* Hilbig, Clarke MD ~* Tooele NPI: 1104022557 NPI: 1861404758 84092 Granite Peaks Jordan Valley Tooele Barnett, Robert MD ~* Gastroenterology Pc - Gastroenterology - West 84074 NPI: 1134119357 Sandy Jordan Granite Peaks 1393 East Sego Lily Dr 3584 West 9000 South Ste Stern, Scott DO ~* Gastroenterology Pc - Sandy, UT 84092 300 NPI: 1770525826 Sandy (801) 619-9000 West Jordan, UT 84088 Oquirrh Surgical Services - 1393 East Sego Lily Dr (801) 208-1075 Tooele Sandy, UT 84092 84094 German 196 East 2000 North Ste (801) 619-9000 106 Feurer, Matthew MD ~ Hilbig, Clarke MD ~* Tooele, UT 84074 Cutler, Christopher NPI: 1508157942 NPI: 1861404758 (435) 228-0061 MD ~* Alta View Clinic Jordan Valley NPI: 1437162013 Gastroenterology - Sandy Utah 9450 South 1300 East Gastroenterology - West Granite Peaks Jordan American Fork Gastroenterology Pc - Sandy, UT 84094 3590 West 9000 South Ste Sandy (801) 501-6333 120 84003 1393 East Sego Lily Dr West Jordan, UT 84088 Reddy, Sathyavathi MD ~ Alsolaiman, Mohammad Sandy, UT 84092 (801) 208-1075 MD ~* (801) 619-9000 NPI: 1760590277 German Alta View Clinic NPI: 1215986484 Gastroenterology - Sandy Revere Health - Af - Desautels, Steven MD ~* West Valley City Gastroenterology NPI: 1790891430 9450 South 1300 East Sandy, UT 84094 84120 1175 East 50 South Ste 221 Granite Peaks American Fork, UT 84003 Gastroenterology Pc - (801) 501-6333 Hindi Karnam, Umaprasanna (801) 772-0775 Sandy MD ~* Arabic 1393 East Sego Lily Dr NPI: 1689623852 Reddy, Sathyavathi MD ~ Sandy, UT 84092 Gut Whisperer Pc - West Frantz, David MD ~* (801) 619-9000 NPI: 1760590277 Valley Ihc Sandy Clinic - Sandy NPI: 1700092004 3336 South 4155 West Ste Revere Health - Af - Heiner, Andrew MD ~* 9500 South 1300 East 306 Sandy, UT 84094 Gastroenterology NPI: 1497768014 West Valley City, UT 1175 East 50 South Ste 221 Granite Peaks (801) 501-2100 84120 Hindi American Fork, UT 84003 Gastroenterology Pc - (801) 563-5121 (801) 772-0775 Sandy French 1393 East Sego Lily Dr Shakir, Faiz MD ~ Smith, Kent MD ~* Sandy, UT 84092 NPI: 1447391131 NPI: 1336183813 Alta View Clinic Kawa, Chad MD ~* (801) 619-9000 Gut Whisperer Pc - West NPI: 1962654681 French Gastroenterology - Sandy Valley 9450 South 1300 East Revere Health - Af - 3336 South 4155 West Ste Gastroenterology Schmidt, John MD ~* Sandy, UT 84094 306 (801) 501-6333 1175 East 50 South Ste 221 NPI: 1972760106 West Valley City, UT American Fork, UT 84003 Granite Peaks 84120 West Jordan (801) 772-0775 Gastroenterology Pc - (801) 563-5121 Japanese Sandy 84088 1393 East Sego Lily Dr Buchi, Kenneth MD ~* Owens, Casey MD ~* Sandy, UT 84092 NPI: 1437348943 (801) 619-9000 NPI: 1518985696 Kenneth N Buchi Md - Revere Health - Af - West Jordan Gastroenterology 3584 West 9000 South Ste 1175 East 50 South Ste 221 300 American Fork, UT 84003 West Jordan, UT 84088 (801) 772-0775 (801) 233-8233 Korean ~ Accepting new patients/Aceptando a nuevos pacientes * Accepts Medicaid/Acepta Medicaid ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

185 Specialty Providers / Proveedores Especializados Gastroenterology continued/seguido

Lehi Owens, Casey MD ~* Bodily, Kurt MD * Thorpe, Brett MD ~* NPI: 1437348943 NPI: 1780600312 NPI: 1962432583 84043 Revere Health - Lehi - Provo Gastroenterology Provo Gastroenterology Alsolaiman, Mohammad Mountain Point Medical 1055 North 500 West 1055 North 500 West MD ~* Center Spc Building B, Ste 100 Building B, Ste 100 NPI: 1215986484 3000 North Triumph Blvd Provo, UT 84604 Provo, UT 84604 Revere Health - Lehi - Ste 100 (801) 374-1268 (801) 374-1268 Mountain Point Medical Lehi, UT 84043 Center Spc (801) 772-0775 Bodily, Kurt MD * Thorpe, Brett MD ~* 3000 North Triumph Blvd Korean NPI: 1780600312 NPI: 1962432583 Ste 100 Revere Health - Provo - Revere Health - Provo - Lehi, UT 84043 Schmidt, John MD ~* Digestive Diseases Center Digestive Diseases Center (801) 772-0775 NPI: 1972760106 1055 North 500 West Bldg 1055 North 500 West Bldg Arabic Granite Peaks B Ste 100 B Ste 100 Gastroenterology Pc - Lehi Provo, UT 84604 Provo, UT 84604 Frantz, David MD ~* 3000 North Triumph Blvd (801) 374-1268 (801) 374-1268 NPI: 1700092004 Ste 330 Revere Health - Lehi - Lehi, UT 84043 Dickinson, Thomas Washington Mountain Point Medical (801) 619-9000 MD ~* Center Spc NPI: 1376591354 Saint George 3000 North Triumph Blvd Stewart, James MD ~* Provo Gastroenterology 84790 Ste 100 NPI: 1104022557 1055 North 500 West Lehi, UT 84043 Granite Peaks Building B, Ste 100 Ammar, Tarek MD ~* (801) 772-0775 Gastroenterology Pc - Lehi Provo, UT 84604 NPI: 1649478314 French 3000 North Triumph Blvd (801) 374-1268 Ihc Redrock Digestive Ste 330 Health - St George Kawa, Chad MD ~* Lehi, UT 84043 Dickinson, Thomas 652 South Medical Center NPI: 1962654681 (801) 619-9000 MD ~* Dr Ste 330 Revere Health - Lehi - Dry NPI: 1376591354 Saint George, UT 84790 Creek Family Medicine Payson Revere Health - Provo - (435) 251-3800 3300 North Running Digestive Diseases Center Creek Way Bldg B, Ste 100 84651 1055 North 500 West Bldg Bown, James MD ~* Lehi, UT 84043 Haslem, Bryce MD ~* B Ste 100 NPI: 1629081260 (801) 772-0775 NPI: 1124286133 Provo, UT 84604 Utah Gastroenterology - St Japanese Revere Health - Payson (801) 374-1268 George Site Family Medicine 368 East Riverside Dr Ste Kawa, Chad MD ~* 97 South Professional Way Haslem, Bryce MD ~* A NPI: 1962654681 Ste 2 NPI: 1124286133 Saint George, UT 84790 Revere Health - Lehi - Payson, UT 84651 Provo Gastroenterology (435) 673-1149 Mountain Point Medical (801) 465-4898 1055 North 500 West Ctr Family Med Building B, Ste 100 Gunnerson, Allen DO ~* 3000 North Triumph Blvd Provo Provo, UT 84604 NPI: 1407081524 Ste 100 (801) 374-1268 Ihc Redrock Digestive Lehi, UT 84043 84604 Health - St George (385) 203-1215 Alsolaiman, Mohammad Haslem, Bryce MD ~* 652 South Medical Center Japanese MD ~* NPI: 1124286133 Dr Ste 330 NPI: 1215986484 Revere Health - Provo - Saint George, UT 84790 Revere Health - Provo - Digestive Diseases Center (435) 251-3800 Digestive Diseases Center 1055 North 500 West Bldg 1055 North 500 West Bldg B Ste 100 B Ste 100 Provo, UT 84604 Provo, UT 84604 (801) 374-1268 (801) 374-1268 Arabic

186 Specialty Providers / Proveedores Especializados Gastroenterology continued/seguido

Siddoway, Roger MD ~* Eliason, Kyle MD ~ Poole, Jeffrey MD ~* General Practice NPI: 1548240310 NPI: 1336374511 NPI: 1649266776 Utah Gastroenterology - St Ihc Mckay Dee Utah Digestive Health Salt Lake George Site Gastroenterology - Ogden Institute - Ogden 368 East Riverside Dr Ste 4403 Harrison Blvd Ste 6028 South Ridgeline Dr Draper A 2600 Ste 201 Saint George, UT 84790 Ogden, UT 84403 Ogden, UT 84405 84020 (435) 673-1149 (801) 387-5620 (801) 475-5400 Morgan, Max MD ~* Italian Spanish NPI: 1285699264 Gonzales, Chad MD ~* Medallus Medical - Draper Woerlein, Christoph NPI: 1669447801 Porter, Steven MD * 1126 East 12300 South MD ~* Chad M Gonzales Md Pc - NPI: 1740255819 Draper, UT 84020 NPI: 1255370771 Ogden Steven A Porter Md Pc - (801) 545-0600 Ihc Redrock Digestive 4403 Harrison Blvd Ste Ogden French, Korean, Health - St George 4410 1508 East Skyline De #600 Serbo-Croatian, Spanish 652 South Medical Center Ogden, UT 84403 Ogden, UT 84405 Dr Ste 330 (801) 387-2550 (801) 387-2550 Riverton Saint George, UT 84790 Spanish Spanish (435) 251-3800 84065 German Ziegler, Robert MD * Pugh, Brian DO ~* Morgan, Max MD ~* NPI: 1972591790 NPI: 1023005808 NPI: 1285699264 Woerlein, Christoph Ogden Clinic Professional Utah Digestive Health Medallus Medical - MD ~* Center - North Institute - Ogden Riverton NPI: 1255370771 4650 Harrison Blvd 6028 South Ridgeline Dr 13348 South Market Utah Gastroenterology - St Ogden, UT 84403 Ste 201 Center Dr Ste 100 George Site (801) 475-3000 Ogden, UT 84405 Riverton, UT 84065 368 East Riverside Dr Ste (801) 475-5400 (801) 844-1600 A 84404 Spanish French, Korean, Saint George, UT 84790 Serbo-Croatian, Spanish (435) 673-1149 Ziegler, Robert MD * Sobotka, Dennis MD ~* German NPI: 1972591790 NPI: 1932196714 Utah Ogden Clinic - Canyon Utah Digestive Health View Lehi Weber 1159 East 12Th St Institute - Ogden 6028 South Ridgeline Dr 84043 Ogden Ogden, UT 84404 Ste 201 (801) 475-3000 Child, Gary DO ~* 84403 Ogden, UT 84405 (801) 475-5400 NPI: 1063492304 Eliason, Eric DO ~ 84405 Alpine Pain Solutions Of NPI: 1760692602 Lowe, John MD ~* Vandersteen, Joshua Utah - Site Ihc Mckay Dee NPI: 1851387195 DO ~* 3051 West Maple Loop Dr Gastroenterology - Ogden Utah Digestive Health NPI: 1285959114 Ste 125 4403 Harrison Blvd Ste Institute - Ogden Ogden Clinic - 6028 Lehi, UT 84043 2600 6028 South Ridgeline Dr Ridgline Dr (801) 766-6055 Ogden, UT 84403 Ste 201 6028 Ridgeline Dr Ste 205 (801) 387-5620 Ogden, UT 84405 Ogden, UT 84405 Morgan, Max MD ~* German (801) 475-5400 (801) 475-3380 NPI: 1285699264 Medallus Medical - Thanksgiving Point 2450 Executive Pkwy Lehi, UT 84043 (801) 753-5555 French, Korean, Serbo-Croatian, Spanish

187 Specialty Providers / Proveedores Especializados

Geriatric Medicine West Jordan Wayman, Mina NP ~* Davis NPI: 1386829687 - Family Medicine 84088 Cache Valley Community Layton Chowdhary, Sandeep Health Center South - 84041 Salt Lake MD ~* Hyrum NPI: 1891726162 26 West Main St Ste 3A Harward, Lisa NP ~ Riverton Granger Medical - West Hyrum, UT 84319 NPI: 1780987719 Tanner Memorial Clinic - 84065 Jordan (435) 245-6988 3181 West 9000 South Layton Lassere, Richard MD ~ West Jordan, UT 84088 Logan 2121 North 1700 West NPI: 1376639948 (801) 352-5600 Layton, UT 84041 Ihc Southridge Clinic 84321 (801) 773-4840 Medical Specialties - Gerontology Nurse Wayman, Mina NP ~* Riverton NPI: 1386829687 Salt Lake 3723 West 12600 South Practitioner Cache Valley Community Riverton, UT 84065 Health Center - 944 South Salt Lake City (801) 285-4200 Box Elder 944 South State Hwy 89 84101 Logan, UT 84321 Lutz, Christine NP ~ Utah Brigham City (435) 755-6075 NPI: 1689830507 84302 Healthfair Plus - Salt Lake Provo Wayman, Mina NP ~* Wayman, Mina NP ~* City 84604 NPI: 1386829687 222 South Main St 5Th NPI: 1386829687 Cache Valley Community Lybbert, Angel MD ~ Box Elder Community Floor NPI: 1295171874 Health Center - Logan Salt Lake City, UT 84101 Health Center 944 South State Hwy 89 Utah Valley Senior Clinic - 5 West 200 North (407) 673-4074 Provo Logan, UT 84321 Brigham City, UT 84302 (435) 755-6075 395 West Bulldog Blvd Ste (435) 723-7999 84102 602 84341 Roberts, Julie NP ~ Provo, UT 84604 Wayman, Mina NP ~* NPI: 1730571126 (801) 373-3300 NPI: 1386829687 Bostwick, Meg NP ~ Ihc Live Well Center Salt Box Elder Community NPI: 1952785727 Lake City - Salt Lake Geriatric Medicine Health Center - Brigham Ihc Logan Cancer Clinic - 389 South 900 East City Logan Salt Lake City, UT 84102 - Internal Medicine 5 West 200 North 1350 North 500 East (385) 282-2700 Brigham City, UT 84302 Logan, UT 84341 Salt Lake (435) 723-7999 (435) 716-1130 84106 Salt Lake City Cache Harvey, Matthew NP ~ Anderson, Perrine NP ~* 84107 NPI: 1912436478 NPI: 1447222849 Hyrum Southwest Spine And Pain Legacy Village Of Sugar Skibitsky, Megan MD ~ House - Salt Lake 84319 Care Specialists - Logan NPI: 1801039730 630 East 1400 North Ste 1212 East Wilmington Ave Ihc Intermountain Senior Wayman, Mina NP ~* 135 Salt Lake City, UT 84106 Clinic - Murray NPI: 1386829687 Logan, UT 84341 (801) 486-6000 181 East Medical Tower Cache Valley Community (435) 787-8146 Dr Health Center - South 84107 Salt Lake City, UT 84107 26 West Main St Ste 3A (801) 314-4544 Wayman, Mina NP ~* Ball, Carla NP ~ Hyrum, UT 84319 NPI: 1386829687 NPI: 1376505123 (435) 245-6988 Cache Valley Community Ihc Intermountain Senior Health Center - North Clinic - Murray 1515 North 400 East Ste 181 East Medical Tower 104 Dr Logan, UT 84341 Salt Lake City, UT 84107 (435) 755-6061 (801) 314-4544

188 Specialty Providers / Proveedores Especializados Gerontology Nurse Practitioner continued/seguido

Cooper, Garet NP ~ Gynecologic Hunn, Jessica MD ~* West Jordan NPI: 1083151500 NPI: 1992978712 Ihc Int Heart Rhythm Oncology Valley Womens Health - 84088 Genetic Heart - Murray Slc 1250 E 3900 S Hunn, Jessica MD ~* Cottonwood St Davis 1250 East 3900 South Ste NPI: 1992978712 5169 South Cottonwood St 200 Valley Womens Health - Ste 510A Layton Salt Lake City, UT 84124 West Jordan Salt Lake City, UT 84107 84041 (385) 347-5450 3590 West 9000 South Ste (801) 507-3513 100 Judson, Patricia MD ~* Hunn, Jessica MD ~* West Jordan, UT 84088 Delgadillo, Jorge NP ~ NPI: 1063504983 NPI: 1992978712 (385) 347-5450 NPI: 1023530854 Center For Womens Womens Health And Intermountain Oncology - Pgu - Layton Oncology Services - Salt Judson, Patricia MD ~* Thoracic,Lung, And 1580 West Antelope Dr Ste Lake City NPI: 1063504983 Esophageal Surgery - 290 1140 E 3900 S Ste 300B Jordan Valley Internal Murray Layton, UT 84041 Salt Lake City, UT 84124 Medicine - Ste 140 5169 South Cottonwood St (801) 601-2270 (385) 347-5450 3570 West 9000 South Ste Ste 640 140 Salt Lake City, UT 84107 Salt Lake Zempolich, Karen MD ~* West Jordan, UT 84088 (801) 507-3600 Salt Lake City NPI: 1841228525 (801) 964-3865 Spanish Monarch Womens Cancer 84102 Center - Holladay Judson, Patricia MD ~* Utah Judson, Patricia MD ~* 1140 East 3900 South Ste NPI: 1063504983 NPI: 1063504983 340 Physicians Group Of Utah Provo Rocky Mountain Womens Salt Lake City, UT 84124 - West Jordan Ste 210 84604 Health Center - Salt Lake (801) 743-4730 3592 West 9000 South Ste 210 Delgadillo, Jorge NP ~ 82 South 1100 East Ste 305 Salt Lake City, UT 84102 Sandy West Jordan, UT 84088 NPI: 1023530854 (801) 208-1050 Utah Surgical Associates - (801) 214-7650 84094 Provo 84113 Gibson, Jonathan MD ~ Utah 3550 North University Ave NPI: 1376833046 Ste 250 Harris, Katherine MD ~* Ihc Alta View Nurse Lehi Provo, UT 84604 NPI: 1447588728 Midwives - Sandy 84043 (801) 374-9625 Peds Ob/Gyn Specialty 9600 South 1300 East Ste Spanish Division 310 Zempolich, Karen MD ~* 100 North Mario Capecchi Sandy, UT 84094 NPI: 1841228525 Washington Dr (801) 501-3300 Timpanogos Womens Salt Lake City, UT 84113 Portugese, Spanish Center - Lehi Saint George (801) 213-2995 3401 North Center St Ste 84770 Gibson, Jonathan MD ~ 150 84124 NPI: 1376833046 Lehi, UT 84043 Yardley, Tawni APRN ~* (801) 653-2757 NPI: 1093146912 Hunn, Jessica MD ~* Ihc Sandy Ob/Gyn - Sandy Ihc Sunset Family Practice NPI: 1992978712 9600 South 1300 East Ste - St George Valley Womens Health - 308 Orem 1739 West Sunset Blvd Gyn / Onc - Salt Lake City Sandy, UT 84094 84057 Saint George, UT 84770 1140 East 3900 South Ste (801) 501-2160 Portugese, Spanish Gibson, Jonathan MD ~ (435) 634-6000 300 NPI: 1376833046 Salt Lake City, UT 84124 Ihc Summit Ob/Gyn - (385) 347-5450 Orem 505 West 400 North Orem, UT 84057 (801) 714-3422 Portugese, Spanish ~ Accepting new patients/Aceptando a nuevos pacientes * Accepts Medicaid/Acepta Medicaid ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

189 Specialty Providers / Proveedores Especializados Gynecologic Oncology continued/seguido

Provo Weber Lin, Karen MD ~* Wilcox, Ryan MD ~* NPI: 1437361185 NPI: 1033344767 84604 Ogden Ihc Logan Cancer Clinic - Ihc Logan Cancer Clinic - Soisson, Andrew MD ~* 84403 Logan Logan NPI: 1790794568 1350 North 500 East 1350 North 500 East Ihc Summit Womens Beverly, Steven MD * Logan, UT 84341 Logan, UT 84341 Center - Provo NPI: 1700878279 (435) 716-1130 (435) 716-1130 1157 North 300 West Ste Ogden Clinic Womens 301 Center Mckay Reese, Zachary MD ~* Davis Provo, UT 84604 4403 Harrison Blvd Ste NPI: 1871735340 (801) 357-7009 4650 Ihc Logan Cancer Clinic - Layton Ogden, UT 84403 Logan 84041 Weber (801) 475-3240 1350 North 500 East Logan, UT 84341 Gray, Carl MD ~* Ogden 84414 (435) 716-1130 NPI: 1598873382 84405 Beverly, Steven MD * Utah Hematology NPI: 1700878279 Rhodes, Terence MD ~* Oncology Pc - Layton Zempolich, Karen MD ~* Ogden Clinic - Mountain NPI: 1124236310 2132 North 1700 West Ste NPI: 1841228525 View Ihc Logan Cancer Clinic - 301 St Marks Gynecology 1100 West 2700 North Logan Layton, UT 84041 Oncology Care Llc - Ogden Ogden, UT 84414 1350 North 500 East (801) 775-9990 5405 South 500 East Ste (801) 475-3000 Logan, UT 84341 203 (435) 716-1130 Iron Ogden, UT 84405 Hematology & Cedar City (801) 475-8600 Sliesoraitis, Sarunas Oncology DO ~* 84720 Gynecology NPI: 1003043704 Reese, Zachary MD ~* Cache Ihc Logan Cancer Clinic - NPI: 1871735340 Salt Lake Logan Ihc Southwest Regional Logan 1350 North 500 East Salt Lake City Cancer Clinic - Cedar City 84341 Logan, UT 84341 1303 North Main St 84107 (435) 716-1130 Cedar City, UT 84720 Gilbert, Michelle MD ~* Lithuanian (435) 868-5690 Graul, Elizabeth MD ~* NPI: 1992876452 NPI: 1417074865 Ihc Logan Cancer Clinic - Thota, Ramya MD ~ Phase Ii Center For Logan Rhodes, Terence MD ~* Womens Health - Salt Lake NPI: 1154551273 NPI: 1124236310 1350 North 500 East Ihc Logan Cancer Clinic - Ihc Southwest Regional 348 East 4500 South Ste Logan, UT 84341 Logan 200 (435) 716-1130 Cancer Clinic - Cedar City Salt Lake City, UT 84107 1350 North 500 East 1303 North Main St (801) 262-9800 Logan, UT 84341 Cedar City, UT 84720 Johnson, Richard DO ~* (435) 716-1130 (435) 868-5690 NPI: 1124253166 Hedin Goldsmith, Ihc Logan Cancer Clinic - Tudor, Brian MD ~* Kristina NP ~* Logan Wilcox, Ryan MD ~* NPI: 1235279944 NPI: 1699877308 NPI: 1033344767 1350 North 500 East Ihc Logan Cancer Clinic - Ihc Southwest Regional Granger Medical - Murray Logan, UT 84341 Logan Womens Health (435) 716-1130 Cancer Clinic - Cedar City 348 East 4500 South Ste 1350 North 500 East 1303 North Main St 200 Logan, UT 84341 Cedar City, UT 84720 Salt Lake City, UT 84107 (435) 716-1130 (435) 868-5690 (801) 268-8222

190 Specialty Providers / Proveedores Especializados Hematology & Oncology continued/seguido

Salt Lake Chandramouli, Nitin 84107 Thota, Ramya MD ~ MD ~* NPI: 1154551273 Draper Boric, Lamia MD ~* NPI: 1801845730 NPI: 1689881898 Ihc Intermountain Medical 84020 Utah Cancer Specialists Pc Utah Cancer Specialists Pc Oncology Imc - Murray - South Salt Lake - Cottonwood St 5121 South Cottonwood St Esplin, Brandt MD ~* 3838 South 700 East Ste Ste 610 NPI: 1285929430 5131 South Cottonwood St 100 Ste L2 Salt Lake City, UT 84107 Revere Health - Draper Ste Salt Lake City, UT 84106 (801) 507-3630 305 Salt Lake City, UT 84107 (801) 269-0231 (801) 263-3416 96 East Kimball Ln Ste 305 Thota, Ramya MD ~ Draper, UT 84020 Gregg, Xylina MD ~* Call, Justin MD ~* NPI: 1154551273 (801) 374-2367 NPI: 1972554459 Int Precision Genomic Tagalog NPI: 1124172697 Utah Cancer Specialists Pc Utah Cancer Specialists Pc Cancer Research Clinic - - South Salt Lake Murray Wallentine, Steven MD * - Cottonwood St 3838 South 700 East Ste 5131 South Cottonwood St 5169 South Cottonwood St NPI: 1790736122 100 Ste 610 Revere Health – Draper - Ste L2 Salt Lake City, UT 84106 Salt Lake City, UT 84107 Salt Lake City, UT 84107 Oncology (801) 269-0231 (801) 507-3630 11576 South State St Ste (801) 263-3416 103A Harker, William MD ~* Lewis, Mark MD ~ Van Meter, Margaret Draper, UT 84020 NPI: 1679522569 MD ~ (801) 374-2367 NPI: 1801051578 Utah Cancer Specialists Pc Ihc Intermountain Medical NPI: 1528231511 - South Salt Lake Ihc Intermountain Medical Salt Lake City Oncology Imc - Murray 3838 South 700 East Ste 5121 South Cottonwood St Oncology Imc - Murray 84102 100 Ste 610 5121 South Cottonwood St Salt Lake City, UT 84106 Salt Lake City, UT 84107 Ste 610 Boric, Lamia MD ~* (801) 269-0231 Salt Lake City, UT 84107 NPI: 1689881898 (801) 507-3630 (801) 507-3630 Utah Cancer Specialists Pc Kendall, Stephan MD ~* Nibley, William MD ~* - 389 South NPI: 1033293196 389 South 900 East Ste 100 NPI: 1437108974 84112 Utah Cancer Specialists Pc Utah Cancer Specialists Pc Couriel, Daniel MD ~ Salt Lake City, UT 84102 - Salt Lake (385) 282-2125 - Cottonwood St NPI: 1275627309 3838 South 700 East Ste 5131 South Cottonwood St University Of Utah Adult 100 Ste L2 Services 2000 Cir Of Hope Ormsby, Wayne MD ~* Salt Lake City, UT 84106 NPI: 1851417158 Salt Lake City, UT 84107 Dr (801) 281-6860 (801) 263-3416 2000 Circle Of Hope Dr Utah Cancer Specialists Pc Spanish - 389 South Ste 600 389 South 900 East Ste 100 Rhodes, Terence MD ~* Salt Lake City, UT 84112 Shortridge, James DO ~* NPI: 1124236310 (801) 587-6336 Salt Lake City, UT 84102 NPI: 1205148061 (385) 282-2125 Ihc Intermountain Medical French, Spanish Utah Cancer Specialists Pc Oncology Imc - Murray - South Salt Lake 84106 5121 South Cottonwood St 84113 3838 South 700 East Ste Ste 610 Call, Justin MD ~* 100 Boyer, Michael MD ~* Salt Lake City, UT 84107 NPI: 1598763112 NPI: 1124172697 Salt Lake City, UT 84106 (801) 507-3630 Utah Cancer Specialists Pc (801) 269-0231 Pediatric Bone Marrow Transplant - Pch - South Salt Lake Shortridge, James DO ~* 3838 South 700 East Ste 100 North Mario Capecchi NPI: 1205148061 Dr 100 Utah Cancer Specialists Pc Salt Lake City, UT 84106 Salt Lake City, UT 84113 - Cottonwood St (801) 662-4700 (801) 269-0231 5131 South Cottonwood St Ste L2 Salt Lake City, UT 84107 (801) 263-3416 ~ Accepting new patients/Aceptando a nuevos pacientes * Accepts Medicaid/Acepta Medicaid ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

191 Specialty Providers / Proveedores Especializados Hematology & Oncology continued/seguido

84143 Whisenant, Jonathan Esplin, Brandt MD ~* Konopa, Kelly MD ~* Asch, Julie MD ~* MD ~ NPI: 1285929430 NPI: 1033272489 NPI: 1083740070 NPI: 1861441974 Revere Health - Provo - Ihc Bmt Leukemia Ihc Blood And Marrow Ldsh Multidisciplinary Medical Oncology Program Swr - St George Transplant/Leukemia Clinic 1055 North 500 West Ste 544 South 400 East Program - Salt Lake 8Th Ave & C St 202 Bldg C Saint George, UT 84770 8Th Avenue & C Street Salt Lake City, UT 84143 Provo, UT 84604 (435) 688-4900 Salt Lake City, UT 84143 (801) 408-8998 (801) 374-2367 (801) 408-3729 Tagalog Lin, Karen MD ~* West Jordan NPI: 1437361185 Hoda, Daanish MD ~* 84088 Rich, Nathan MD ~* Ihc Southwest Regional NPI: 1043308380 NPI: 1396778148 Cancer Clinic - St George Ihc Blood And Marrow Call, Justin MD ~* Utah Cancer Specialists Pc 544 South 400 East Transplant/Leukemia NPI: 1124172697 - Provo Saint George, UT 84770 Program - Salt Lake Utah Cancer Specialists Pc 1034 North 500 West (435) 688-4900 8Th Avenue & C Street - West Jordan Provo, UT 84604 Salt Lake City, UT 84143 3592 West 9000 South Ste (801) 357-8200 Motyckova, Gabriela (801) 408-3729 200 Japanese MD ~* West Jordan, UT 84088 NPI: 1326174004 (801) 562-8732 Wallentine, Steven MD * Ihc Bmt Leukemia Konopa, Kelly MD ~* NPI: 1790736122 Program Swr - St George NPI: 1033272489 Tooele Revere Health - Provo - 544 South 400 East Ihc Blood And Marrow Medical Oncology Saint George, UT 84770 Transplant/Leukemia Tooele Program - Salt Lake 1055 North 500 West Ste (435) 688-4900 8Th Avenue & C Street 84074 202 Bldg C Provo, UT 84604 Reese, Zachary MD ~* Salt Lake City, UT 84143 Chandramouli, Nitin (801) 408-3729 (801) 374-2367 NPI: 1871735340 MD ~* Ihc Southwest Regional NPI: 1801845730 Washington Cancer Clinic - St George Motyckova, Gabriela Utah Cancer Specialists Pc 544 South 400 East MD ~* - Tooele Saint George Saint George, UT 84770 NPI: 1326174004 1244 North Main St Ste (435) 688-4900 Ihc Blood And Marrow 101 84770 Transplant/Leukemia Tooele, UT 84074 Gilbert, Michelle MD ~* Program - Salt Lake Rhodes, Terence MD ~* (435) 882-2365 NPI: 1992876452 NPI: 1124236310 8Th Avenue & C Street Ihc Southwest Regional Salt Lake City, UT 84143 Ihc Southwest Regional Utah Cancer Clinic - St George Cancer Clinic - St George (801) 408-3729 544 South 400 East Provo 544 South 400 East Saint George, UT 84770 Saint George, UT 84770 Nguyen, Andy MD ~ 84604 (435) 688-4900 NPI: 1033362694 (435) 688-4900 Ihc Blood And Marrow Chipman, Gregory Hoda, Daanish MD ~* Transplant/Leukemia MD ~* Tudor, Brian MD ~* NPI: 1043308380 NPI: 1699877308 Program - Salt Lake NPI: 1457493967 Ihc Bmt Leukemia 8Th Avenue & C Street Utah Cancer Specialists Pc Ihc Southwest Regional Program Swr - St George Cancer Clinic - St George Salt Lake City, UT 84143 - Provo 544 South 400 East (801) 408-3729 1034 North 500 West 544 South 400 East Saint George, UT 84770 Saint George, UT 84770 Provo, UT 84604 (435) 688-4900 Nibley, William MD ~* (801) 357-8200 (435) 688-4900 NPI: 1437108974 Spanish Ldsh Multidisciplinary Clinic 8Th Ave & C St Salt Lake City, UT 84143 (801) 408-8998 ~ Accepting new patients/Aceptando a nuevos pacientes * Accepts Medicaid/Acepta Medicaid ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

192 Specialty Providers / Proveedores Especializados Hematology & Oncology continued/seguido

Wilcox, Ryan MD ~* Rocky Mountain Home Davis Iron NPI: 1033344767 Care ~* Ihc Southwest Regional NPI: 1386642965 Bountiful Cedar City Cancer Clinic - St George Rocky Mountain Home 84010 84721 544 South 400 East Care - Logan Saint George, UT 84770 165 East 1400 North Ste South Davis Community Home Health Specialists (435) 688-4900 230 Hospital Home Health Llc ~* Logan, UT 84321 Agency ~ NPI: 1811226772 (435) 753-8220 NPI: 1275560062 Horizon Home Health - 84790 South Davis Community Cedar City Te, Joseph MD ~* Sunshine Terrace Home Hospital Home Health 337 South Main St Ste 130 NPI: 1700946423 Health ~* Agency - Bountifu Cedar City, UT 84721 Revere Health - Sg - NPI: 1588806780 401 South 400 East (435) 865-7481 Oncology Sunshine Terrace Home Bountiful, UT 84010 2019 East Riverside Dr Ste Health - Logan (801) 295-2361 Zion's Way Home A200 225 North 200 West Health ~* Saint George, UT 84790 Logan, UT 84321 Layton NPI: 1588930705 (435) 628-9298 (435) 752-0411 Zion's Way Home Health - Filipino, Tagalog 84041 Cedar City Cns Home Health 2002 North Main St Weber Providence Services ~* Cedar City, UT 84721 84332 NPI: 1275581597 (435) 668-0648 Ogden Cns Home Health Cns - Home Health Plus - 84405 Services ~* Layton Salt Lake 2179 North Robbins Ste 1 Gray, Carl MD ~* NPI: 1275581597 Cns - Home Health Plus - Layton, UT 84041 Salt Lake City NPI: 1598873382 (801) 774-4960 Utah Hematology Providence 84102 221 N Gateway Dr Ste G Oncology Pc - Ogden 2 Dignity Home Health Of Canyon Home Care ~* 5290 South 400 East Providence, UT 84332 NPI: 1306899265 (435) 752-3355 Utah Llc ~* Ogden, UT 84405 NPI: 1346542453 Canyon Home Care & (801) 476-1777 Dignity Home Health & Hospice - Salt Lake Encompass Home Health 450 South 900 East Ste 100 Of Utah ~* Hospice Of Utah - Layton Home Health 347 West Gordon Ave Ste Salt Lake City, UT 84102 NPI: 1114208550 (801) 485-6166 Encompass Home Health 1 Cache Of Utah - Providence Layton, UT 84041 (801) 492-4892 84106 Logan 525 West 465 North Ste 100 Access Home Care Llc ~* 84321 Providence, UT 84332 Rocky Mountain Home NPI: 1427083898 (435) 753-7001 Care ~* Access Home Care And Access Home Care Llc ~* NPI: 1386642965 NPI: 1427083898 Hospice - Milcreek Rocky Mountain Home 1398 Luck Ln Access Home Care And Care - Layton Hospice - Logan Salt Lake City, UT 84106 523 West Heritage Park (801) 495-3090 74 West 100 North Blvd Ste 3 Logan, UT 84321 Layton, UT 84041 (435) 755-6599 Access Home Care Of Slc (801) 525-4800 Llc ~ NPI: 1154575595 Access Home Care And Hospice - Draper 1398 East Luck Ln Salt Lake City, UT 84106 (801) 463-2478

193 Specialty Providers / Proveedores Especializados Home Health continued/seguido

84107 Rocky Mountain Home West Jordan Cns Home Health At Home Personal Care Care ~* 84084 Services ~* Llc ~* NPI: 1386642965 NPI: 1275581597 NPI: 1083718522 Rocky Mountain Home Cns Home Health Cns - Home Health Plus - At Home Personal Care Llc Care & Hospice - Salt Lake Services ~* Tooele - Salt Lake City City NPI: 1275581597 601 North Main St 404 East 4500 South Ste 5242 South College Dr Ste Cns - Home Health Plus - Tooele, UT 84074 A24 150 West Jordan (435) 882-3913 Salt Lake City, UT 84107 Salt Lake City, UT 84117 6271 South Dixie Dr Ste (801) 397-4950 200 Utah (801) 266-5126 West Jordan, UT 84084 (801) 967-9207 American Fork Hearts For Home Health 84119 84003 - Murray ~* Stonebridge Home Care Heartwood Home NPI: 1922006493 Solutions ~* Health ~* Applegate Homecare And Hearts For Home Health - NPI: 1417341777 NPI: 1588869838 Hospice Llc ~* Murray Service Stonebridge Home Care Heartwood Home Health - NPI: 1649223256 141 East 5600 South Ste Solutions - Salt Lake West Jordan Applegate Homecare And 110 1385 West 2200 South Ste 6671 South Redwood Rd Hospice - American Fork Salt Lake City, UT 84107 201 Ste 101 54 East Main St (888) 772-0243 Salt Lake City, UT 84119 West Jordan, UT 84084 American Fork, UT 84003 (385) 321-0594 (801) 261-9490 (800) 871-0102 84109 Home Health Specialists 84123 84088 Dignity Home Health Of Llc ~* Applegate Homecare And Utah Llc ~* NPI: 1326315672 Hospice Llc ~* Mountain View Home NPI: 1346542453 Home Health Specialists NPI: 1649223256 Health And Hospice Llc ~ Dignity Home Health Of Llc - Salt Lake City Applegate Homecare And NPI: 1972932861 Utah - American Fork 2835 East 3300 South Hospice - Salt Lake Mountain View Home 831 East 340 South Ste 230 Salt Lake City, UT 84109 5251 South Green St Ste Health And Hospice Llc - American Fork, UT 84003 West Jordan (801) 492-4892 (801) 474-0000 150 9103 South 1300 West Ste Salt Lake City, UT 84123 102 Home Health Specialists (800) 871-0102 Hearts For Home Health West Jordan, UT 84088 - American Fork ~* Llc ~* (801) 849-0556 NPI: 1811226772 Encompass Home Health NPI: 1922006493 Horizon Home Health - Of Utah ~* Hearts For Home Health & Salt Lake NPI: 1114208550 Tooele Hospice - American Fork 2835 East 3300 South Encompass Home Health Tooele Service Salt Lake City, UT 84109 Of Utah - Murray 677 Quality Dr Ste 201 (801) 474-0000 990 West Belwood Ln 84074 American Fork, UT 84003 Salt Lake City, UT 84123 Canyon Home Care ~* (801) 772-0243 84117 (801) 747-5500 NPI: 1306899265 Total Knee And Hip Dignity Home Health Of Canyon Home Care & 84124 Hospice - Tooele Rehabilitation ~* Utah Llc ~* NPI: 1598749798 NPI: 1346542453 Cns Home Health 1887 North Aaron Dr Ste D Total Knee And Hip Dignity Home Health Of Services ~* Rehabilitation - American Utah - Murray NPI: 1275581597 Tooele, UT 84074 (435) 882-5130 Fork 5320 South 900 East Ste Cns - Home Health Plus - 383 East 60 South 290 Salt Lake American Fork, UT 84003 Salt Lake City, UT 84117 1255 East 3900 South Ste (801) 576-6417 (801) 649-5038 108 Salt Lake City, UT 84124 (801) 233-6100

194 Specialty Providers / Proveedores Especializados Home Health continued/seguido

Orem Encompass Home Health Icare Home Health & Applegate Homecare And Of Utah ~* Hospice Llc ~* Hospice Llc ~* 84057 NPI: 1114208550 NPI: 1679879837 NPI: 1649223256 Canyon Home Care ~* Encompass Home Health Icare Home Health & Applegate Homecare And NPI: 1306899265 Of Utah - Orem Hospice Llc - Springville Hospice - St George Canyon Home Care & 480 East 770 North 672 West 400 South Ste 1490 East Foremaster Dr Hospice - Orem Orem, UT 84097 202 Ste 340 36 South 400 West Ste 102 (801) 221-0669 Springville, UT 84663 Saint George, UT 84790 Orem, UT 84057 (801) 228-0411 (800) 871-0102 (801) 437-0643 Payson Washington Canyon Home Care ~* Rocky Mountain Home 84651 NPI: 1306899265 Care ~* Canyon Home Care ~* Saint George Canyon Home Care & NPI: 1386642965 NPI: 1306899265 84770 Hospice - St George Rocky Mountain Home Canyon Home Care & 1240 East 100 South Ste Care & Hospice - Orem Hospice - Payson Encompass Home Health 119 473 West 1400 North 910 East 100 North Ste 175 Of Southern Utah ~* Saint George, UT 84790 Orem, UT 84057 Payson, UT 84651 NPI: 1932588043 (435) 773-6600 (801) 765-4907 (801) 754-7020 Encompass Home Health Of Southern Utah - St Cns Home Health Encompass Home Health George Services ~* 84058 640 East 700 South Ste 101 Home Health Specialists Of Utah ~* NPI: 1275581597 NPI: 1114208550 Saint George, UT 84770 Cns - Home Health Plus - Llc ~* (435) 673-8666 NPI: 1811226772 Encompass Home Health St George Horizon Home Health - Of Utah - Payson 720 South River Rd Ste 1172 East 100 North Ste Stonebridge Home Care E101 Orem Solutions ~* 495 South Orem Blvd 7A Saint George, UT 84790 Payson, UT 84651 NPI: 1417341777 (435) 652-9077 Orem, UT 84058 Stonebridge Home Care (801) 226-1919 (801) 465-4401 Solutions - St George Home Health Specialists Provo 1664 South Dixie Dr Ste Llc ~* 84097 C105 NPI: 1538436563 5 Star Home Health & 84601 Saint George, UT 84770 Home Health Specialists Hospice Llc ~* Cns Home Health (435) 674-3640 Llc - St George NPI: 1952673469 Services ~* 292 South 1470 East Ste 5 Star Home Health & NPI: 1275581597 Zion's Way Home 101 Hospice - Orem Cns - Home Health Plus - Health ~* Saint George, UT 84790 758 South 400 East Provo NPI: 1588930705 (435) 688-9202 Orem, UT 84097 667 North 890 West Zion's Way Home Health - (801) 753-9130 Provo, UT 84601 St George Home Health Specialists (801) 224-3222 1664 South Dixie Dr Ste Llc ~* 5 Star Home Health E-102 NPI: 1811226772 Utah ~* Springville Saint George, UT 84770 Horizon Home Health & NPI: 1235531583 (435) 668-0648 Hospice - St George 5 Star Home Health Utah - 84663 292 South 1470 East Ste Orem Access Home Care Llc ~* 84790 101 726 South 400 East NPI: 1427083898 5 Star Home Health & Saint George, UT 84790 Orem, UT 84097 Access Home Care And Hospice Llc ~* (435) 688-9202 (801) 753-9130 Hospice - Springville NPI: 1952673469 382 East 400 South 5 Star Home Health & Springville, UT 84663 Hospice - St George (801) 224-5222 230 North 1680 East Ste E2 Saint George, UT 84790 (801) 753-9130

195 Specialty Providers / Proveedores Especializados Home Health continued/seguido

Rocky Mountain Home Applegate Homecare And Davis Hospice And Care ~* Hospice Llc ~* NPI: 1386642965 NPI: 1649223256 Layton Palliative Medicine Rocky Mountain Home Applegate Homecare And 84041 Care - St George Hospice - Ogden 2 - Family Medicine 736 South 900 East Ste 1492 East Ridgeline Dr Ste Cns Pharmacy ~* B107 1 NPI: 1639127079 Utah Saint George, UT 84790 Ogden, UT 84405 Cns Pharmacy - Layton (435) 673-6699 (800) 871-0102 2102 North Robbins Ste Provo 102 84601 Sun Tree Home Health Canyon Home Care ~* Layton, UT 84041 (801) 774-4960 Garner, Gary MD ~* Llc ~* NPI: 1306899265 NPI: 1811067762 NPI: 1134502875 Canyon Home Care & Salt Lake Ihc Utah Valley Palliative Sun Tree Home Health Llc Hospice - Ogden Care Clinic - Provo - St George 5782 South 500 East Ste West Valley City 1034 West 500 North 1240 East 100 South Ste 100 Provo, UT 84601 18B Ogden, UT 84405 84119 (801) 357-8586 Saint George, UT 84790 (801) 334-0904 Cns Pharmacy ~* (435) 767-1171 NPI: 1639127079 84604 Cns Home Health Cns Pharmacy - West Weber Services ~* Valley City Garner, Gary MD * NPI: 1275581597 2820 South Redwood Rd NPI: 1811067762 Ogden Cns - Home Health Plus - West Valley City, UT Revere Health - Provo - 84401 Ogden 84119 Medical Oncology 5327 South Adams Ave (801) 233-2820 1055 North 500 West Ste Ivy Lane Pediatrics Inc ~* Pkwy Ste C 202 Bldg C NPI: 1083635692 Ogden, UT 84405 Utah Provo, UT 84604 Ivy Lane Pediatrics Inc (801) 476-0088 (801) 374-2367 115 Historic 25Th St Ste 2 Orem Ogden, UT 84401 Encompass Home Health Garner, Gary MD * (801) 774-9698 Of Utah ~* 84058 NPI: 1811067762 NPI: 1114208550 Cns Pharmacy ~* Revere Health - Provo - 84403 Encompass Home Health NPI: 1639127079 Radiation Oncology Hearts For Home Health Of Utah - Ogden Cns Pharmacy - Orem 1055 North 500 West Ste - Ogden ~* 5478 South Adams Ave 700 West 800 North Ste 102 NPI: 1750324927 Pkwy #1 320A Provo, UT 84604 Hearts For Home Health & Ogden, UT 84405 Orem, UT 84058 (801) 374-2367 Hospice - Ogden Service (801) 392-8880 (801) 224-8138 942 Chambers St Ste 16 Ogden, UT 84403 Home Infusion Washington (801) 475-6222 Saint George Cache 84405 84790 Access Home Care Llc ~* Logan Cns Pharmacy ~* NPI: 1427083898 84341 NPI: 1639127079 Access Home Care And Cns Pharmacy - St George Cns Pharmacy ~* 321 North Mall Dr Hospice - Ogden NPI: 1639127079 4933 South 1500 West Ste Saint George, UT 84790 Cns Pharmacy - Providence (435) 652-9077 200 221 North Gateway Dr Ste Ogden, UT 84405 G (801) 475-7500 Logan, UT 84341 (435) 752-3355

196 Specialty Providers / Proveedores Especializados

Hospice And Potter, Steven MD ~* Washington Salt Lake NPI: 1407922446 Palliative Medicine Kaysville Family Medicine 84780 Salt Lake City Pc - Kaysville Busk, Neal MD ~* 84102 - Internal Medicine 307 North 300 West Ste NPI: 1134212954 301 Revere Health - Tanvir, Fawad MD ~* Salt Lake Kaysville, UT 84037 Washington Family NPI: 1164425294 (801) 543-2221 Medicine & Urgent Care Internal Medicine Of Salt Salt Lake City Spanish 195 West Telegraph Rd Lake - Pgu - Sl Reg 84124 Washington, UT 84780 82 South 1100 East Ste 403 Salt Lake City, UT 84102 Abueg, Florentino MD ~* Layton (435) 215-0600 Spanish (801) 505-5299 NPI: 1649372558 84041 Hindi, Urdu St Marks Professional Services Llc - Holladay Potter, Steven MD ~* In Home NPI: 1407922446 Updike, Wanda MD ~* 1200 East 3900 South NPI: 1518932664 Salt Lake City, UT 84124 Davis Medical Group - Pgu Supportive Care - Layton Alpine Internal Medicine (801) 268-7766 Clinic - Salt Lake Tagalog 124 South Fairfield Rd Salt Lake Layton, UT 84041 1060 East 100 South Ste (801) 927-3080 Salt Lake City L10 Hospice Care, Salt Lake City, UT 84102 Spanish 84115 Community Based (801) 328-1260 Salt Lake Synergy Homecare ~* NPI: 1790182814 84107 Utah Salt Lake City Synergy Homecare - Site Lopansri, Bert MD ~ Orem 84107 180 East 2100 South Ste NPI: 1538261292 205 Imed Infectious Diseases 84097 Brown, Samuel MD ~ Salt Lake City, UT 84115 Dept 5 Star Home Health NPI: 1013998947 (801) 946-0355 5121 South Cottonwood St Utah ~* Intermountain Salt Lake City, UT 84107 NPI: 1235531583 Multidisciplinary Clinic Infectious Disease (801) 507-7000 5 Star Home Health Utah - 5121 South Cottonwood St Orem Salt Lake City, UT 84107 (801) 507-7000 Davis Lopansri, Bert MD ~ 726 South 400 East NPI: 1538261292 Orem, UT 84097 Layton Intermountain Medical (801) 753-9130 Washington 84041 Center - Neurology Saint George 5121 South Cottonwood St Tanvir, Fawad MD ~* Salt Lake City, UT 84107 Hospitalist 84790 NPI: 1164425294 Davis Internal Medicine - (801) 507-7000 Davis Busk, Neal MD ~* Layton NPI: 1134212954 1492 West Antelope Dr Ste 84113 Kaysville Revere Health - Sg - St 203 Keeshin, Susana MD ~* 84037 George Family Practice Layton, UT 84041 NPI: 1871780676 736 South 900 East Ste 203 (801) 773-7500 Pediatric Infectious Disease Potter, Steven MD ~* Saint George, UT 84790 NPI: 1407922446 Hindi, Urdu - Pcos (435) 673-6131 81 North Mario Capecchi Ihc Kaysville Creekside Spanish Clinic - Kaysville Dr 435 North Main St Salt Lake City, UT 84113 Busk, Neal MD ~* (801) 213-3599 Kaysville, UT 84037 NPI: 1134212954 (801) 498-6000 St George Clinic - St George Spanish 736 South 900 East Ste 203 Saint George, UT 84790 (435) 674-6068 Spanish

197 Specialty Providers / Proveedores Especializados Infectious Disease continued/seguido

Pavia, Andrew MD ~* Trachtenberg, Joel MD ~* Weber Lau, Sey MD ~* NPI: 1417047036 NPI: 1417972571 NPI: 1801824438 Pediatric Infectious Disease Internal Medicine At St Ogden Nephrology Associates - - Pcos Marks Hospital 84403 Wood Cross 81 North Mario Capecchi 1160 East 3900 South Ste 572 West 750 South Dr 1200 Adomako, Petronella Bountiful, UT 84010 Salt Lake City, UT 84113 Salt Lake City, UT 84124 MD ~ (801) 288-2634 (801) 213-3599 (801) 261-9651 NPI: 1225131287 Ihc Mckay Dee Infectious Oaks,, Joshua MD ~* 84119 84143 Disease - Ogden NPI: 1205221405 4403 Harrison Blvd Ste Bountiful Internal Kriesel, John MD ~ Lopansri, Bert MD ~ 3630 Medicine - Bountiful NPI: 1780774398 NPI: 1538261292 Ogden, UT 84403 520 Medical Dr Ste 300 Univ Of Ut Hospital Intermountain Ldsh (801) 387-7900 Bountiful, UT 84010 Infectious Disease 1525 W Physicians Billing - Salt (801) 292-1422 2100 S Lake Internal Medicine 1525 W 2100 S 8Th Avenue & C Street Salt Lake City, UT 84119 Salt Lake City, UT 84143 Kaysville (801) 213-9900 (801) 408-1006 Cache 84037 Logan Leung, Daniel MD ~ Lopansri, Bert MD ~ Memon, Kashif MD ~* 84341 NPI: 1932161668 NPI: 1104936731 NPI: 1538261292 Davis Medical Group - Univ Of Ut Hospital Ldsh Infectious Diseases Christiansen, Jason PT ~* Kaysville Infectious Disease 1525 W Dept NPI: 1447360581 349 North Flint St Ste 101 2100 S 8Th Avenue C Street Logan Physical Therapy - Kaysville, UT 84037 1525 W 2100 S Salt Lake City, UT 84143 Logan (801) 927-3080 Salt Lake City, UT 84119 (801) 408-1006 2310 North 400 East Ste C (801) 213-9900 Logan, UT 84341 Cantonese Washington (435) 752-5200 Layton Spanish 84041 Saint George 84121 Al-Rayess, Khaldoun Trachtenberg, Joel MD ~* 84790 Davis MD ~* NPI: 1417972571 Horani, Jamal MD ~* Bountiful NPI: 1003808122 Utah Physicians Care NPI: 1770585564 Davis Endocrinology And Centers Pc - Murray Ihc Dixie Infectious Disease 84010 Diabetes Llc - Layton 5630 South Waterbury Clinic - St George Doxey, Brett MD ~* 1492 West Antelope Dr Ste Way Ste B102 1380 East Medical Center NPI: 1386775682 115 Salt Lake City, UT 84121 Dr Ste 2300 Utah Gastroenterology - Layton, UT 84041 (801) 261-9651 Saint George, UT 84790 Bountiful Site (801) 776-8080 (435) 251-2620 620 East Medical Dr Ste Arabic 84124 Arabic, Bulgarian 205 Amber, Ina MD ~* Bountiful, UT 84010 Al-Rayess, Khaldoun NPI: 1760549927 (801) 298-0057 MD ~* Ina J Amber Md Llc - Salt NPI: 1003808122 Lake City Hammond, Gregory Tanner Memorial Clinic - 1151 East 3900 South Ste MD ~* Al Rayess Clinic B275 NPI: 1942374020 1492 West Antelope Dr Ste Salt Lake City, UT 84124 Silverton Group Llc - 115 (801) 268-6830 Bountiful Layton, UT 84041 401 South 400 East (801) 776-8080 Bountiful, UT 84010 Arabic (801) 295-2361

198 Specialty Providers / Proveedores Especializados Internal Medicine continued/seguido

Alexander, Gary MD ~* Iron Krishnamurthy, Chaya Krishnamurthy, Chaya NPI: 1265418024 MD ~* MD ~* Tanner Memorial Clinic - Cedar City NPI: 1679767842 NPI: 1679767842 Layton 84721 Utah Gastroenterology - Utah Gastroenterology - 2121 North 1700 West Draper - Bangerter Site Riverton Site Layton, UT 84041 Patchett, Andrew DO ~* 13953 South Bangerter 12391 South 4000 West (801) 773-4840 NPI: 1235423518 Pkwy Herriman, UT 84096 Spanish St George Kidney Care - Draper, UT 84020 (801) 285-4850 Cedar City (801) 727-4280 Hindi Brown, Ronald MD ~* 1320 North Main St Ste Hindi NPI: 1447242060 103 Riverton Northern Utah Cedar City, UT 84721 Nuttall, Marc MD ~* Cardiovascular Associates - (435) 652-1135 NPI: 1144497322 84065 Layton Revere Health – Draper - Chenworth, Eric DO ~* 2132 North 1700 West Ste Salt Lake Oncology NPI: 1700859907 200 Draper 11576 South State St Ste Wasatch Allergy And Layton, UT 84041 103A Asthma - Riverton (801) 776-0171 84020 Draper, UT 84020 13348 S Market Center Dr Doxey, Brett MD ~* (801) 374-2367 Ste 220 Redd, Matthew DO ~* NPI: 1386775682 Riverton, UT 84065 NPI: 1154642791 Utah Gastroenterology - Vacharothone, Rachot (385) 831-1861 Tanner Memorial Clinic - Draper - Bangerter Site MD ~* Spanish Layton 13953 South Bangerter NPI: 1548228497 2121 North 1700 West Pkwy Medallus Medical - Draper Digney, Bradley MD ~* Layton, UT 84041 Draper, UT 84020 1126 East 12300 South NPI: 1245527167 (801) 773-4840 (801) 727-4280 Draper, UT 84020 South Valley Primary Care (801) 545-0600 13348 South Market Redd, Matthew DO ~* Edwards Ii, Thomas Spanish, Thai Center Dr Ste 210 NPI: 1154642791 MD ~* Riverton, UT 84065 Utah Digestive Health NPI: 1639163215 Wills, Jason MD ~* (801) 987-7500 Institute - Layton Ste 310 Wasatch Cardiovascular NPI: 1871689554 2131 North 1700 West Ste Services - Draper Utah Gastroenterology - Digney, Bradley MD ~* 310 13953 South Bangerter Draper - Bangerter Site NPI: 1245527167 Layton, UT 84041 Pkwy 13953 South Bangerter Specialty Surgery Of Utah - (801) 475-5400 Draper, UT 84020 Pkwy Riverton (801) 753-4711 Draper, UT 84020 13348 South Market Tanvir, Fawad MD ~* (801) 727-4280 Center Dr Ste 210 NPI: 1164425294 Esplin, Brandt MD ~* Spanish Riverton, UT 84065 Davis Internal Medicine - NPI: 1285929430 (801) 601-4423 Layton Revere Health - Draper Ste Herriman 1492 West Antelope Dr Ste 305 84096 Hilbig, Clarke MD ~* 203 96 East Kimball Ln Ste 305 NPI: 1861404758 Layton, UT 84041 Draper, UT 84020 Doxey, Brett MD ~* Specialty Surgery Of Utah - (801) 773-7500 (801) 374-2367 NPI: 1386775682 Riverton Hindi, Urdu Tagalog Utah Gastroenterology - 13348 South Market Riverton Site Center Dr Ste 210 12391 South 4000 West Riverton, UT 84065 Herriman, UT 84096 (801) 601-4423 (801) 285-4850 German

199 Specialty Providers / Proveedores Especializados Internal Medicine continued/seguido

Lau, Sey MD ~* Hammond, Gregory 84103 Brann, William MD ~* NPI: 1801824438 MD ~* Beninati, William MD ~ NPI: 1912087826 Nephrology Associates - NPI: 1942374020 NPI: 1902880685 The Heart & Lung Institute Riverton The Heart & Lung Institute Ldsh Geriatrics - Closed Of Utah - Main Office 12511 South Creek Of Utah - Salt Lake 440 D Street Ste 202 5979 South Fashion Blvd Meadow Rd Ste 111 82 South 1100 East Ste 103 Salt Lake City, UT 84103 Salt Lake City, UT 84107 Riverton, UT 84065 Salt Lake City, UT 84101 (801) 408-8600 (801) 263-2370 (801) 288-2634 (801) 263-2370 French Gorman, Darcie MD ~ Minder, Camille MD ~* Saidi, Abdul MD ~* NPI: 1063637353 Brown, Lynette MD ~ NPI: 1518100924 NPI: 1336246230 Intermountain Avenues Gi NPI: 1902943988 Ihc Int Heart Cardiology - The Heart & Lung Institute 324 East 10Th Ave Ste 189 Intermountain Medical Riverton Of Utah - Salt Lake Salt Lake City, UT 84103 Center - Service 3741 West 12600 South Ste 82 South 1100 East Ste 103 (801) 408-5883 5121 South Cottonwood St 160A Salt Lake City, UT 84101 Salt Lake City, UT 84107 Riverton, UT 84065 (801) 263-2370 (801) 507-4637 (801) 507-3500 Arabic 84106 Kendall, Stephan MD ~* Brown, Samuel MD ~ Miner, Edward MD ~* 84102 NPI: 1033293196 NPI: 1013998947 Utah Cancer Specialists Pc NPI: 1447387386 Chenworth, Eric DO ~* Intermountain Ihc Int Heart Cardiology - - Salt Lake Multidisciplinary Clinic NPI: 1700859907 3838 South 700 East Ste Riverton Wasatch Allergy And 5121 South Cottonwood St 3741 West 12600 South Ste 100 Salt Lake City, UT 84107 Asthma - Salt Lake Salt Lake City, UT 84106 160A 24 South 1100 East Ste 201 (801) 507-7000 Riverton, UT 84065 (801) 281-6860 Salt Lake City, UT 84102 Spanish (801) 507-3500 (385) 290-1289 Chowdhary, Rasheel Russian Spanish MD ~* 84107 NPI: 1467656264 Orford, James MD ~* Christensen, Paige NP ~ Abraham, Josephine The Heart & Lung Institute NPI: 1902843931 NPI: 1891709325 MD ~* Of Utah - Pulmonary Ihc Int Heart Cardiology - Ihc Salt Lake Clinic - NPI: 1942260229 Clinic Riverton Anticoagulation Clinic Nephrology Associates - 5980 South Fashion Blvd 3741 West 12600 South Ste 389 South 900 East Salt Lake Salt Lake City, UT 84107 160A Salt Lake City, UT 84102 650 East 4500 South Ste (801) 263-2370 Riverton, UT 84065 (385) 282-2425 210 Urdu (801) 507-3500 Salt Lake City, UT 84107 Tanvir, Fawad MD ~* (801) 288-2634 Cutler, Michael DO ~ Salt Lake City NPI: 1164425294 NPI: 1417025628 84101 Internal Medicine Of Salt Brady, Bruce MD ~* Ihc Int Heart Rhythm Lake - Pgu - Sl Reg NPI: 1467474676 Genetic Heart - Murray Brann, William MD ~* 82 South 1100 East Ste 403 Utah Endocrinology Cottonwood St NPI: 1912087826 Salt Lake City, UT 84102 Associates Pllc - Salt Lake 5169 South Cottonwood St The Heart & Lung Institute (801) 505-5299 470 East 3900 South Ste Ste 510A Of Utah - Salt Lake Hindi, Urdu 200 Salt Lake City, UT 84107 82 South 1100 East Ste 103 Salt Lake City, UT 84107 (801) 507-3513 Salt Lake City, UT 84101 (801) 747-2800 (801) 263-2370 Towner, Steven MD ~ Denny Ii, Gerald MD ~* French NPI: 1063446490 NPI: 1669617429 Ihc Salt Lake Clinic - Nephrology Associates - Anticoagulation Clinic Salt Lake 389 South 900 East 650 East 4500 South Ste Salt Lake City, UT 84102 210 (385) 282-2425 Salt Lake City, UT 84107 (801) 288-2634

200 Specialty Providers / Proveedores Especializados Internal Medicine continued/seguido

Goodman, Gordon Minder, Camille MD ~* 84120 Nielson, Kenneth MD ~* MD ~* NPI: 1518100924 Brown, Ronald MD ~* NPI: 1063404929 NPI: 1750349205 Ihc Int Heart Institute NPI: 1447242060 Mountainstar Cardiology Endocrinology Of Utah - Cardiology - Murray Granger Medical - West St Marks - West Valley - Murray 5169 South Cottonwood St Valley Ste 340 5980 South Fashion Blvd Ste 520 3725 West 4100 South 3540 South 4000 West Ste Salt Lake City, UT 84107 Salt Lake City, UT 84107 Salt Lake City, UT 84120 340 (801) 912-8223 (801) 507-3500 Salt Lake City, UT 84120 (801) 965-3600 (801) 676-3776 German Hammond, Gregory Miner, Edward MD ~* Brown, Ronald MD ~* MD ~* NPI: 1447387386 NPI: 1447242060 NPI: 1942374020 Ihc Int Heart Institute Mountainstar Cardiology 84121 The Heart & Lung Institute Cardiology - Murray St Marks - West Valley - Bown, James MD ~* Of Utah - Main Office 5169 South Cottonwood St 4000 West NPI: 1629081260 5979 South Fashion Blvd Ste 520 3540 South 4000 West Ste Utah Gastroenterology - Salt Lake City, UT 84107 Salt Lake City, UT 84107 201 Old Mill Site (801) 263-2370 (801) 507-3500 Salt Lake City, UT 84120 6360 South 3000 East Ste Russian (801) 676-3776 310 Hammond, Gregory Salt Lake City, UT 84121 MD ~* Orford, James MD ~* Goodman, Gordon (801) 944-3144 NPI: 1942374020 NPI: 1902843931 MD ~* The Heart & Lung Institute Ihc Int Heart Institute NPI: 1750349205 Doxey, Brett MD ~* Of Utah - Pulmonary Cardiology - Murray Lakeside Comprehensive NPI: 1386775682 Clinic 5169 South Cottonwood St Health - West Valley Utah Gastroenterology - 5980 South Fashion Blvd Ste 520 3336 South Pioneer Pkwy Old Mill Site Salt Lake City, UT 84107 Salt Lake City, UT 84107 Ste 203 6360 South 3000 East Ste (801) 263-2370 (801) 507-3500 Salt Lake City, UT 84120 310 (801) 964-3697 Salt Lake City, UT 84121 Jones, Christopher MD ~ Porter, Brett MD ~ (801) 944-3144 NPI: 1417967837 NPI: 1295093995 Lau, Sey MD ~* Ihc Cottonwood Endocrine Ihc Intermountain Senior NPI: 1801824438 Krishnamurthy, Chaya & Diabetes Center - Clinic - Murray Nephrology Associates - MD ~* Murray 181 East Medical Tower West Valley NPI: 1679767842 181 East Medical Tower Dr 4052 West Pioneer Pkwy Utah Gastroenterology - Dr Salt Lake City, UT 84107 Ste 101 Old Mill Site Salt Lake City, UT 84107 (801) 314-4544 Salt Lake City, UT 84120 6360 South 3000 East Ste (801) 314-4500 (801) 288-2634 310 Saidi, Abdul MD ~* Salt Lake City, UT 84121 Lau, Sey MD ~* NPI: 1336246230 Nielson, Kenneth MD ~* (801) 944-3144 NPI: 1801824438 The Heart & Lung Institute NPI: 1063404929 Hindi Nephrology Associates - Of Utah - Main Office Mountainstar Cardiology Salt Lake 5979 South Fashion Blvd St Marks - West Valley - Miller, Brien DO ~ 650 East 4500 South Ste Salt Lake City, UT 84107 4000 West Utah Gastroenterology - 210 (801) 263-2370 3540 South 4000 West Ste Old Mill Site Salt Lake City, UT 84107 Arabic 201 6360 South 3000 East Ste (801) 288-2634 Salt Lake City, UT 84120 310 Sunkara, Nirmal MD ~* (801) 676-3776 Salt Lake City, UT 84121 Memon, Kashif MD ~* NPI: 1396908141 German (801) 944-3144 NPI: 1932161668 The Heart & Lung Institute Physicians Group Of Utah Of Utah - Main Office - Murray 5979 South Fashion Blvd 4252 Birkhill Blvd Salt Lake City, UT 84107 Salt Lake City, UT 84107 (801) 263-2370 (801) 268-5400

201 Specialty Providers / Proveedores Especializados Internal Medicine continued/seguido

Trowbridge, David Krishnamurthy, Chaya Trowbridge, David Minder, Camille MD ~* MD ~* MD ~* MD ~* NPI: 1518100924 NPI: 1134215809 NPI: 1679767842 NPI: 1134215809 Ihc Int Heart Cardiology - Utah Gastroenterology - Utah Gastroenterology - St Utah Gastroenterology - St Lds Hosp Old Mill Site Marks Site Marks Site 8Th Ave & C St 6360 South 3000 East Ste 1250 East 3900 South Ste 1250 East 3900 South Ste Salt Lake City, UT 84143 310 360 360 (801) 507-3500 Salt Lake City, UT 84121 Salt Lake City, UT 84124 Salt Lake City, UT 84124 (801) 944-3144 (801) 263-3041 (801) 263-3041 Miner, Edward MD ~* Hindi NPI: 1447387386 Wills, Jason MD ~* Wills, Jason MD ~* Ihc Int Heart Cardiology - NPI: 1871689554 Nielson, Kenneth MD ~* NPI: 1871689554 Lds Hosp Utah Gastroenterology - NPI: 1063404929 Utah Gastroenterology - St 8Th Ave & C St Old Mill Site The Heart Center At St Marks Site Salt Lake City, UT 84143 6360 South 3000 East Ste Marks - Millcreek 1250 East 3900 South Ste (801) 507-3500 310 1160 East 3900 South Ste 360 Russian Salt Lake City, UT 84121 2000 Salt Lake City, UT 84124 (801) 944-3144 Salt Lake City, UT 84124 (801) 263-3041 Orford, James MD ~* Spanish (801) 226-3418 Spanish NPI: 1902843931 German Ihc Int Heart Cardiology - 84124 84132 Lds Hosp Abueg, Florentino MD ~* Simpson, Robert MD ~* Balch, Heather MD ~* 8Th Ave & C St NPI: 1649372558 NPI: 1609973684 NPI: 1972892404 Salt Lake City, UT 84143 St Marks Professional Thyroid Institute Of Utah - Department Of Pediatrics (801) 507-3500 Services Llc - Holladay Slc 50 North Medical Dr 1200 East 3900 South 1377 East 3900 South Ste Salt Lake City, UT 84132 Sandy Salt Lake City, UT 84124 200 (801) 662-1000 84094 (801) 268-7766 Salt Lake City, UT 84124 Tagalog (801) 508-5880 Lundberg, Max MD ~* 84143 NPI: 1265426621 Simpson, Robert MD ~* Brown, Lynette MD ~ Granger Medical Clinic - Brown, Ronald MD ~* NPI: 1609973684 NPI: 1902943988 11333 S 1000 E Ste 100 NPI: 1447242060 Utah Addiction Medicine - Lds Hospital - Service 11333 South 1000 East Ste Granger Medical - Peak Ent - Slc 8Th Ave C St 100 Wasatch 1377 East 3900 South Ste Salt Lake City, UT 84143 Sandy, UT 84094 1160 East 3900 South Ste (801) 408-1100 1000 200 (801) 571-4100 Salt Lake City, UT 84124 Salt Lake City, UT 84124 (801) 262-1771 (801) 852-8440 Kfoury, Abdallah MD ~ Miller, Hayley MD ~* NPI: 1134132681 NPI: 1366672578 Suramaethakul, Imc Heart & Lung Ihc Sandy Clinic - Sandy Brown, Ronald MD ~* Nuttanun MD ~* Specialty Clinic 9500 South 1300 East NPI: 1447242060 NPI: 1689816605 5121 Cottonwood St Ste Sandy, UT 84094 The Heart Center At St Nuttanun Suramaethakul L1 (801) 501-2100 Marks - Millcreek Md Llc - Salt Lake Salt Lake City, UT 84143 Spanish 1160 East 3900 South Ste 1151 East 3900 South Ste (801) 507-4000 2000 French Salt Lake City, UT 84124 B275 Minder, Camille MD ~* (801) 226-3418 Salt Lake City, UT 84124 NPI: 1518100924 (801) 268-6830 Mecham, Ian MD ~* Ihc Int Heart Cardiology - NPI: 1568751519 Alta View Silverton Group Llc - Slc 9690 South 1300 East Ste 8Th Avenue C Street 200 Salt Lake City, UT 84143 Sandy, UT 84094 (801) 408-7100 (801) 507-3500 Spanish

202 Specialty Providers / Proveedores Especializados Internal Medicine continued/seguido

Miner, Edward MD ~* Junejo, Nazia MD ~* Hilbig, Clarke MD ~* Tooele NPI: 1447387386 NPI: 1346218047 NPI: 1861404758 Utah Heart Clinic - Sandy Kidney And Internal Jordan Valley Tooele 9844 South 1300 East Ste Medicine - West Jordan Gastroenterology - West 84074 350 1561 West 7000 South Ste Jordan Sandy, UT 84094 100 3584 West 9000 South Ste Hammond, Gregory (801) 507-3587 West Jordan, UT 84084 300 MD ~* Russian (801) 542-7115 West Jordan, UT 84088 NPI: 1942374020 Arabic, Persian/Farsi, (801) 208-1075 The Heart & Lung Institute Orford, James MD ~* German, Hindi, Sindi, German Of Utah - Tooele NPI: 1902843931 Urdu 2326 North 400 East Bldg Ihc Int Heart Cardiology - Hilbig, Clarke MD ~* C Ste 202 Alta View Sunkara, Nirmal MD ~* NPI: 1861404758 Tooele, UT 84074 9690 South 1300 East Ste NPI: 1396908141 Jordan Valley (801) 263-2370 200 The Heart & Lung Institute Gastroenterology - West Sandy, UT 84094 Of Utah - Jordan Valley Jordan Junejo, Nazia MD ~* (801) 507-3500 3570 West 9000 South Ste 3590 West 9000 South Ste NPI: 1346218047 100 120 Kidney And Internal South Jordan West Jordan, UT 84084 West Jordan, UT 84088 Medicine - Tooele (801) 263-2370 (801) 208-1075 1212 North Main St 84095 German Tooele, UT 84074 Vacharothone, Rachot (435) 249-0554 84088 Arabic, Persian/Farsi, MD ~* Chowdhary, Sandeep Lau, Sey MD ~* NPI: 1548228497 NPI: 1801824438 German, Hindi, Sindi, MD ~* Urdu Medallus Medical - South NPI: 1891726162 Nephrology Associates - Jordan Granger Medical - West West Jordan 10433 South Redwood Rd 3823 West 9000 South Junejo, Nazia MD ~* Jordan NPI: 1346218047 South Jordan, UT 84095 3181 West 9000 South West Jordan, UT 84088 (801) 501-0500 (801) 288-2634 Tooele Clinic Corporation - Spanish, Thai West Jordan, UT 84088 Tooele (801) 352-5600 196 East 2000 North Ste West Valley City 104 West Jordan Digney, Bradley MD ~* 84120 Tooele, UT 84074 84084 NPI: 1245527167 Brann, William MD ~* (435) 882-1644 Chowdhary, Rasheel Physicians Group Of Utah NPI: 1912087826 Arabic, Persian/Farsi, MD ~* - West Jordan Ste 304 The Heart & Lung Institute German, Hindi, Sindi, NPI: 1467656264 3584 West 9000 South Ste Of Utah - West Valley Urdu The Heart & Lung Institute 304 3336 South 4155 West Ste Of Utah - Jordan Valley West Jordan, UT 84088 203 Lau, Sey MD ~* 3570 West 9000 South Ste (801) 601-4423 West Valley City, UT NPI: 1801824438 100 84120 Nephrology Associates - West Jordan, UT 84084 Digney, Bradley MD ~* (801) 263-2370 Tooele (801) 263-2370 NPI: 1245527167 French 1244 North Main St Ste Urdu Specialty Surgery Of Utah - 101 West Jordan Hammond, Gregory Tooele, UT 84074 Hammond, Gregory 3584 West 9000 South Ste MD ~* (801) 288-2634 MD ~* 304 NPI: 1942374020 NPI: 1942374020 West Jordan, UT 84088 The Heart & Lung Institute Leither, Lindsay DO ~* The Heart & Lung Institute (801) 601-4423 Of Utah - West Valley NPI: 1285878256 Of Utah - Jordan Valley 3336 South 4155 West Ste Granger Medical - Tooele 3570 West 9000 South Ste 203 Sleep & Lung 100 West Valley City, UT 71 East 1280 North West Jordan, UT 84084 84120 Tooele, UT 84074 (801) 263-2370 (801) 263-2370 (801) 260-5864

203 Specialty Providers / Proveedores Especializados Internal Medicine continued/seguido

Peng, Wei MD ~* Hwang, Chun MD ~* 84604 Souza, Alberto NP ~ NPI: 1295831865 NPI: 1649238080 Esplin, Brandt MD ~* NPI: 1972846384 The Heart & Lung Institute Revere Health - Af - NPI: 1285929430 Southwest Spine & Pain Of Utah - Tooele Cardiology Revere Health - Provo - Center - 1085 South Bluff 2326 North 400 East Bldg 1175 East 50 South Ste 251 Medical Oncology 1085 South Bluff St Ste 200 C Ste 202 American Fork, UT 84003 1055 North 500 West Ste Saint George, UT 84770 Tooele, UT 84074 (801) 492-2815 202 Bldg C (435) 218-7778 (801) 263-2370 Korean, Portugese, Provo, UT 84604 Chinese Spanish (801) 374-2367 84790 Tagalog Bown, James MD ~* Saidi, Abdul MD ~* Lehi NPI: 1629081260 NPI: 1336246230 84043 Hwang, Chun MD ~* Utah Gastroenterology - St The Heart & Lung Institute NPI: 1649238080 George Site Of Utah - Tooele Lau, Sey MD ~* Revere Health - Provo - 368 East Riverside Dr Ste 2326 North 400 East Bldg NPI: 1801824438 Cardiology A C Ste 202 Nephrology Associates - 1055 North 500 West Ste Saint George, UT 84790 Tooele, UT 84074 Lehi (435) 673-1149 (801) 263-2370 3000 North Triumph Blvd 101 Bldg C Arabic Ste 340 Provo, UT 84604 Lehi, UT 84043 (801) 373-4366 Gleed, Kent MD ~* (801) 288-2634 Korean, Portugese, NPI: 1669449997 Sunkara, Nirmal MD ~* Spanish Revere Health - St George - NPI: 1396908141 Heart Of Dixie Cardiology The Heart & Lung Institute Orem Thorpe, Brett MD ~* 1380 East Medical Center Of Utah - Tooele Dr Ste 4100 2326 North 400 East Bldg 84057 NPI: 1962432583 Hwang, Chun MD ~* Provo Gastroenterology Saint George, UT 84790 C Ste 202 (435) 251-2900 Tooele, UT 84074 NPI: 1649238080 1055 North 500 West (801) 263-2370 Revere Health - Orem - Building B, Ste 100 Cardiology Provo, UT 84604 Leon-Forero, Carlos (801) 374-1268 Utah 700 West 800 North Ste MD ~* 230 NPI: 1932131869 American Fork Orem, UT 84057 Thorpe, Brett MD ~* Coral Desert Surgery NPI: 1962432583 Center - St George 84003 (801) 429-0620 Korean, Portugese, Revere Health - Provo - 1490 East Foremaster Dr Brady, Bruce MD ~* Spanish Digestive Diseases Center Bldg C NPI: 1467474676 1055 North 500 West Bldg Saint George, UT 84790 Utah Endocrinology Provo B Ste 100 (435) 674-5230 Associates Pllc - American Provo, UT 84604 Spanish Fork 84601 (801) 374-1268 629 Quality Dr Ste E Simpson, Robert MD ~* Leon-Forero, Carlos American Fork, UT 84003 NPI: 1609973684 Washington MD ~* (801) 747-2800 Utah Addiction Medicine - NPI: 1932131869 Peak Ent - Provo Saint George Southern Utah Kidney & Falahati-Nini, Alireza 619 North 500 West 84770 Hypertension Center - St MD ~* Provo, UT 84601 George Leon-Forero, Carlos 624 South 1000 East Ste NPI: 1417989971 (801) 852-9440 MD ~* Utah Endocrinology 103 NPI: 1932131869 Saint George, UT 84790 Associates Pllc - American Khiu - St George Fork (435) 652-1135 1173 South 250 West Ste Spanish 629 Quality Dr Ste E 402 American Fork, UT 84003 Saint George, UT 84770 (801) 747-2800 (435) 652-1135 Spanish

204 Specialty Providers / Proveedores Especializados Internal Medicine continued/seguido

Leon-Forero, Carlos Patchett, Andrew DO ~* Ivester, Charles MD ~* Interventional MD ~* NPI: 1235423518 NPI: 1376585372 NPI: 1932131869 St George Kidney Care Llc - Ogden Pulmonary Cardiology St George Kidney Care Llc - St George Associates Pllc - Ogden St George 624 South 1000 East Ste 4403 Harrison Blvd Ste Cache 624 South 1000 East Ste 103 3815 103 Saint George, UT 84790 Ogden, UT 84403 Logan Saint George, UT 84790 (435) 652-1135 (801) 387-2575 84341 (435) 652-1135 Spanish Souza, Alberto NP ~ Miller, Hayley MD ~* Katwal, Arabindra MD ~* NPI: 1972846384 NPI: 1366672578 NPI: 1710010343 Mercado, Carlos MD ~* Southwest Spine And Pain Ihc Mckay Dee Endocrine Northern Utah NPI: 1366444051 Care Specialists - St George And Diabetes Clinic - Cardiovascular Associates - Coral Desert Surgery 652 South Medical Center Ogden North Logan Center - St George Dr Ste 110 4403 Harrison Blvd Ste 2380 North 400 East Ste G 1490 East Foremaster Dr Saint George, UT 84790 3630 Logan, UT 84341 Bldg C (435) 656-2424 Ogden, UT 84403 (801) 476-6900 Saint George, UT 84790 (801) 387-7900 (435) 674-5230 Souza, Alberto NP ~ Spanish Davis NPI: 1972846384 Farmington Miller, Brien DO ~ St George Kidney Care Llc - 84405 84025 Utah Gastroenterology - St St George Redd, Matthew DO ~* George Site 624 South 1000 East Ste NPI: 1154642791 Mulamalla, Roja MD ~* 368 East Riverside Dr Ste 103 Utah Digestive Health NPI: 1396869681 A Saint George, UT 84790 Institute - Ogden Utah Cardiology Pc - Saint George, UT 84790 (435) 652-1135 6028 South Ridgeline Dr Farmington 2 (435) 673-1149 Ste 201 444 West Bourne Cir Ste Weber Ogden, UT 84405 200 Owan, Theophilus MD ~* (801) 475-5400 Farmington, UT 84025 NPI: 1982682647 Ogden (801) 776-0174 Ihc Cardiovascular & 84403 Sachdev, Shyla MD ~* Thoracic Surgery - St NPI: 1598994659 Iron George Eifling, Michael MD ~ NPI: 1295921989 Northern Utah 1380 East Medical Center Cardiovascular Associates - Cedar City Dr Ste 2600 Mckay Dee Hospital - Service Ogden 84721 Saint George, UT 84790 5405 South 500 East Ste (435) 251-2700 4401 Harrison Blvd Pulsipher, Mark MD ~* Ogden, UT 84403 204 NPI: 1689631913 (801) 627-2800 Ogden, UT 84405 Ihc Southwest Cardiology - Owan, Theophilus MD ~* (801) 479-0184 NPI: 1982682647 Cedar City Ihc Southwest Cardiology - Falahati-Nini, Alireza 110 West 1325 North Ste St George MD ~* 100 1380 East Medical Center NPI: 1417989971 Cedar City, UT 84721 Dr Ste 1500 Utah Endocrinology (435) 251-2500 Saint George, UT 84790 Associates Pllc - Ogden (435) 251-2500 5926 South Fashion Pointe Dr Ste 120 Ogden, UT 84403 (801) 747-2800

205 Specialty Providers / Proveedores Especializados Interventional Cardiology continued/seguido

Salt Lake Kenwood, Bruce DO ~* Sunkara, Nirmal MD ~* Sandy NPI: 1144279019 NPI: 1396908141 Draper The Heart & Lung Institute The Heart & Lung Institute 84094 84020 Of Utah - Salt Lake Of Utah - Main Office Meredith, Kent MD ~* 82 South 1100 East Ste 103 5979 South Fashion Blvd NPI: 1598966822 Edwards Ii, Thomas Salt Lake City, UT 84101 Salt Lake City, UT 84107 Utah Heart Clinic - Sandy MD ~* (801) 263-2370 (801) 263-2370 9844 South 1300 East Ste NPI: 1639163215 350 Wasatch Cardiovascular 84102 84120 Sandy, UT 84094 Services - Draper (801) 507-3587 13953 South Bangerter Meredith, Kent MD ~* Yaganti, Vamsee MD ~* German Pkwy NPI: 1598966822 NPI: 1255591194 Draper, UT 84020 Ihc Int Heart Cardiology - Mountainstar Cardiology (801) 753-4711 Salt Lake Clinic St Marks - West Valley - West Jordan 389 South 900 East Ste 340 84084 Khan, Sohail MD ~* Salt Lake City, UT 84102 3540 South 4000 West Ste Bekwelem, Wobo MD ~* NPI: 1235330382 (801) 507-3500 340 NPI: 1962720136 The Heart Center - Draper German Salt Lake City, UT 84120 The Heart & Lung Institute 74 East Kimballs Ln Ste (801) 676-3776 Of Utah - Jordan Valley 260 84107 Hindi, Telugu 3570 West 9000 South Ste Draper, UT 84020 Bekwelem, Wobo MD ~* 100 (801) 571-6100 NPI: 1962720136 84124 West Jordan, UT 84084 The Heart & Lung Institute Khan, Sohail MD ~* (801) 263-2370 Riverton Of Utah - Main Office NPI: 1235330382 84065 5979 South Fashion Blvd The Heart Center At St Kenwood, Bruce DO ~* Salt Lake City, UT 84107 Marks - Millcreek NPI: 1144279019 Meredith, Kent MD ~* (801) 263-2370 1160 East 3900 South Ste The Heart & Lung Institute NPI: 1598966822 2000 Of Utah - Jordan Valley Ihc Int Heart Cardiology - Elhaddi, Adam MD ~* Salt Lake City, UT 84124 3570 West 9000 South Ste Riverton NPI: 1972713568 (801) 226-3418 100 3741 West 12600 South Ste The Heart & Lung Institute West Jordan, UT 84084 160A Of Utah - Main Office Yaganti, Vamsee MD ~* (801) 263-2370 Riverton, UT 84065 5979 South Fashion Blvd NPI: 1255591194 (801) 507-3500 Salt Lake City, UT 84107 The Heart Center At St Sunkara, Nirmal MD ~* German (801) 263-2370 Marks - Millcreek NPI: 1396908141 Arabic 1160 East 3900 South Ste The Heart & Lung Institute Salt Lake City 2000 Of Utah - Jordan Valley 84101 Kenwood, Bruce DO ~* Salt Lake City, UT 84124 3570 West 9000 South Ste NPI: 1144279019 (801) 226-3418 100 Bekwelem, Wobo MD ~* The Heart & Lung Institute Hindi, Telugu West Jordan, UT 84084 NPI: 1962720136 Of Utah - Main Office (801) 263-2370 The Heart & Lung Institute 5979 South Fashion Blvd Of Utah - Salt Lake 84143 Salt Lake City, UT 84107 Meredith, Kent MD ~* 84088 82 South 1100 East Ste 103 (801) 263-2370 Salt Lake City, UT 84101 NPI: 1598966822 Khan, Sohail MD ~* (801) 263-2370 Ihc Int Heart Cardiology - NPI: 1235330382 Meredith, Kent MD ~* Lds Hosp Mountainstar Cardiology NPI: 1598966822 8Th Ave & C St St Marks - West Jordan Elhaddi, Adam MD ~* Ihc Int Heart Institute NPI: 1972713568 Salt Lake City, UT 84143 3584 West 9000 South Ste Cardiology - Murray (801) 507-3500 209 The Heart & Lung Institute 5169 South Cottonwood St Of Utah - Salt Lake German West Jordan, UT 84088 Ste 520 (801) 676-3776 82 South 1100 East Ste 103 Salt Lake City, UT 84107 Salt Lake City, UT 84101 (801) 507-3500 (801) 263-2370 German Arabic ~ Accepting new patients/Aceptando a nuevos pacientes * Accepts Medicaid/Acepta Medicaid ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

206 Specialty Providers / Proveedores Especializados Interventional Cardiology continued/seguido

West Valley City Elhaddi, Adam MD ~* Orem Washington NPI: 1972713568 84120 The Heart & Lung Institute 84057 Saint George Bekwelem, Wobo MD ~* Of Utah - Tooele Gelb, Richard MD ~* 84790 NPI: 1962720136 2326 North 400 East Bldg NPI: 1063442523 The Heart & Lung Institute C Ste 202 Mountainstar Utah Owan, Theophilus MD ~* Of Utah - West Valley Tooele, UT 84074 County Cardiology - Orem NPI: 1982682647 3336 South 4155 West Ste (801) 263-2370 698 West 800 North Ste Ihc Cardiovascular & 203 Arabic 160 Thoracic Surgery - St West Valley City, UT Orem, UT 84057 George 84120 Sunkara, Nirmal MD ~* (801) 714-6412 1380 East Medical Center (801) 263-2370 NPI: 1396908141 Dr Ste 2600 The Heart & Lung Institute Rowe, William MD ~* Saint George, UT 84790 Elhaddi, Adam MD ~* Of Utah - Tooele NPI: 1164414595 (435) 251-2700 NPI: 1972713568 2326 North 400 East Bldg Revere Health - Orem - The Heart & Lung Institute C Ste 202 Cardiology Owan, Theophilus MD ~* Of Utah - West Valley Tooele, UT 84074 700 West 800 North Ste NPI: 1982682647 3336 South 4155 West Ste (801) 263-2370 230 Ihc Southwest Cardiology - 203 Orem, UT 84057 St George West Valley City, UT Utah (801) 429-0620 1380 East Medical Center 84120 Dr Ste 1500 (801) 263-2370 American Fork Saint George, UT 84790 Provo (435) 251-2500 Arabic 84003 84604 Kenwood, Bruce DO ~* Rowe, William MD ~* Rowe, William MD ~* Pulsipher, Mark MD ~* NPI: 1144279019 NPI: 1164414595 NPI: 1164414595 NPI: 1689631913 The Heart & Lung Institute Revere Health - Af - Revere Health - Provo - Ihc Southwest Cardiology - Of Utah - West Valley Cardiology Cardiology St George 3336 South 4155 West Ste 1175 East 50 South Ste 251 1055 North 500 West Ste 1380 East Medical Center 203 American Fork, UT 84003 101 Bldg C Dr Ste 1500 West Valley City, UT (801) 492-2815 Provo, UT 84604 Saint George, UT 84790 84120 (801) 373-4366 (435) 251-2500 (801) 263-2370 Lehi 84043 Spanish Fork Weber Tooele Borchardt, Roger MD ~* 84660 Ogden Tooele NPI: 1386637833 Gelb, Richard MD ~* 84403 Wasatch Cardiovascular NPI: 1063442523 84074 Services - Lehi Dattilo Iii, Philip MD ~ Mountainstar Utah NPI: 1245452994 Bekwelem, Wobo MD ~* 3000 North Triumph Blvd County Cardiology - NPI: 1962720136 Ste 330 Ihc Mckay Dee Cardiology Spanish Fork - Ogden The Heart & Lung Institute Lehi, UT 84043 336 West 100 South Of Utah - Tooele (801) 463-7411 4403 Harrison Blvd Ste Spanish Fork, UT 84660 3490 2326 North 400 East Bldg Spanish (801) 714-6412 C Ste 202 Ogden, UT 84403 Tooele, UT 84074 (801) 387-2650 (801) 263-2370 Dattilo Iii, Philip MD ~ NPI: 1245452994 Ihc Mckay Dee Cardiology South - Ogden 4403 Harrison Blvd Ste 3400 Ogden, UT 84403 (801) 387-3400 ~ Accepting new patients/Aceptando a nuevos pacientes * Accepts Medicaid/Acepta Medicaid ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

207 Specialty Providers / Proveedores Especializados Interventional Cardiology continued/seguido

Dattilo Iii, Philip MD ~ Khodakov, Yuri MD ~ Interventional Pain Davis NPI: 1245452994 NPI: 1700099983 Ihc Mckay Dee Heart Ihc Mckay Dee Heart Medicine Layton Rhythm Specialists - Ogden Rhythm Specialists - Ogden 84041 4403 Harrison Blvd Ste 4403 Harrison Blvd Ste Salt Lake 3450 3450 Varner, Michael MD * Ogden, UT 84403 Ogden, UT 84403 Salt Lake City NPI: 1396783486 Davis Hospital (801) 387-3850 (801) 387-3850 84121 Russian Perinatologists - Layton Harb, Tareq MD ~ Shah, Rajiv MD ~* 1600 West Antelope Dr NPI: 1407851488 Lindley, Eric MD ~ NPI: 1285664185 Layton, UT 84041 Ihc Mckay Dee Heart NPI: 1629221841 Utah Pain Specialists (801) 807-1000 Rhythm Specialists - Ogden Ihc Mckay Dee Cardiology 6750 South Highland Dr 4403 Harrison Blvd Ste - Ogden Ste 100 Salt Lake Salt Lake City, UT 84121 3450 4403 Harrison Blvd Ste Draper Ogden, UT 84403 3490 (801) 685-7246 (801) 387-3850 Ogden, UT 84403 Hindi 84020 (801) 387-2650 Dildy Iii, Gary MD ~* Harb, Tareq MD ~ Magnetic NPI: 1083765226 NPI: 1407851488 Lindley, Eric MD ~ Resonance Imaging Obstetrix Medical Group Mckay Dee Hospital - NPI: 1629221841 Of Utah Pc - Draper Service Ihc Mckay Dee Cardiology (Mri) 11800 South State St 4401 Harrison Blvd South - Ogden Draper, UT 84020 Ogden, UT 84403 4403 Harrison Blvd Ste Iron (801) 545-8100 (801) 627-2800 3400 Ogden, UT 84403 Cedar City Salt Lake City Khodakov, Yuri MD ~ (801) 387-3400 NPI: 1700099983 84720 84103 Ihc Mckay Dee Cardiology 84405 Southern Utah Mri ~* Clark, Erin MD ~ - Ogden Katwal, Arabindra MD ~* NPI: 1043388861 NPI: 1457305757 4403 Harrison Blvd Ste NPI: 1710010343 Southern Utah Mri - Cedar Ihc Avenues Womens 3490 Mountainstar Cardiology City Center - Salt Lake Ogden, UT 84403 St Marks - Ogden 1335 North Northfield Rd 370 9Th Ave Ste 205 (801) 387-2650 5405 South 500 East Ste Ste 100 Salt Lake City, UT 84103 Russian 204 Cedar City, UT 84720 (801) 408-6100 Ogden, UT 84405 (435) 865-9293 Khodakov, Yuri MD ~ (801) 479-0184 Draper, Michael MD ~* NPI: 1700099983 Maternal & Fetal NPI: 1992769368 Ihc Mckay Dee Cardiology Ihc Avenues Womens South - Ogden Medicine Center - Salt Lake 4403 Harrison Blvd Ste 370 9Th Ave Ste 205 3400 Cache Salt Lake City, UT 84103 Ogden, UT 84403 (801) 408-6100 (801) 387-3400 Logan French Russian 84341 Campbell, Heather Smid, Marcela MD ~ MD ~* NPI: 1588994727 NPI: 1700860350 Ihc Avenues Womens Ihc Logan Maternal Fetal Center - Salt Lake Medicine - Logan 370 9Th Ave Ste 205 1400 North 500 East Salt Lake City, UT 84103 Logan, UT 84341 (801) 408-6100 (435) 716-1958

208 Specialty Providers / Proveedores Especializados Maternal & Fetal Medicine continued/seguido

Sullivan, Amy MD ~ Smid, Marcela MD ~ Spencer, Andrew MD ~* Richards, Douglas MD ~* NPI: 1922028166 NPI: 1588994727 NPI: 1467647537 NPI: 1992726509 Ihc Avenues Womens Ihc Maternal Fetal Obstetrix Medical Group Ihc Alta View Maternal Center - Salt Lake Medicine Specialists - Of Utah Pc - Salt Lake Fetal Medicine - Sandy 370 9Th Ave Ste 205 Murray 1140 East 3900 South Ste 9660 South 1300 East Salt Lake City, UT 84103 5121 South Cottonwood St 390 Sandy, UT 84094 (801) 408-6100 Ste 130 Salt Lake City, UT 84124 (801) 501-2332 Salt Lake City, UT 84107 (801) 743-4700 84107 (801) 507-7400 Utah 84143 Draper, Michael MD ~* Orem NPI: 1992769368 84124 Eller, Alexandra MD ~* Ihc Maternal Fetal Ball, Robert MD ~* NPI: 1922188838 84057 Medicine Specialists - NPI: 1447215751 Ihc Lds Maternal Fetal Dildy Iii, Gary MD ~* Murray Obstetrix Medical Group Medicine - Salt Lake NPI: 1083765226 5121 South Cottonwood St Of Utah Pc - Salt Lake 8Th Avenue & C Street Obstetrix Medical Group Ste 130 1140 East 3900 South Ste Salt Lake City, UT 84143 Of Utah Pc - Orem Salt Lake City, UT 84107 390 (801) 408-3446 700 West 800 North Ste (801) 507-7400 Salt Lake City, UT 84124 310 French (801) 743-4700 Gainer, Julie DO ~* Orem, UT 84057 German NPI: 1538106414 (801) 255-1937 Eller, Alexandra MD ~* Ihc Lds Maternal Fetal NPI: 1922188838 Carpenter, Jeanette Medicine - Salt Lake Weber Ihc Maternal Fetal MD ~* 8Th Avenue & C Street Medicine Specialists - NPI: 1467628263 Salt Lake City, UT 84143 Ogden Murray Obstetrix Medical Group (801) 408-3446 84403 5121 South Cottonwood St Of Utah Pc - Salt Lake Ste 130 1140 East 3900 South Ste Holmgren, Calla MD ~* Andres, Robert MD ~* Salt Lake City, UT 84107 390 NPI: 1194805002 NPI: 1356362875 (801) 507-7400 Salt Lake City, UT 84124 Ihc Lds Maternal Fetal Ihc Mckay Dee (801) 743-4700 Medicine - Salt Lake Neonatology - Ogden Gainer, Julie DO ~* 8Th Avenue & C Street 4401 Harrison Blvd NPI: 1538106414 Dildy Iii, Gary MD ~* Salt Lake City, UT 84143 Ogden, UT 84403 Ihc Int Mfm Specialists NPI: 1083765226 (801) 408-3446 (801) 387-4300 Diagnostic - Murray Obstetrix Medical Group 5121 South Cottonwood St Of Utah Pc - Salt Lake Smid, Marcela MD ~ Campbell, Heather Ste 100 1140 East 3900 South Ste NPI: 1588994727 MD ~* Salt Lake City, UT 84107 390 Ihc Lds Maternal Fetal NPI: 1700860350 (801) 507-7400 Salt Lake City, UT 84124 Medicine - Salt Lake Ihc Mckay Dee Maternal (801) 743-4700 8Th Avenue & C Street Fetal Medicine - Ogden Richards, Douglas MD ~* Salt Lake City, UT 84143 4401 Harrison Blvd Ste NPI: 1992726509 Gesteland, Katherine (801) 408-3446 4600 Ihc Intermountain Nurse MD ~* Ogden, UT 84403 Midwives - Murray NPI: 1124155007 Sandy (801) 387-4647 5121 South Cottonwood St Obstetrix Medical Group Ste 170 Of Utah Pc - Salt Lake 84094 Clark, Erin MD ~ Salt Lake City, UT 84107 1140 East 3900 South Ste Eller, Alexandra MD ~* NPI: 1457305757 (801) 507-7070 390 NPI: 1922188838 Ihc Mckay Dee Maternal Salt Lake City, UT 84124 Ihc Alta View Maternal Fetal Medicine - Ogden (801) 743-4700 Fetal Medicine - Sandy 4401 Harrison Blvd Ste 9660 South 1300 East 4600 Sandy, UT 84094 Ogden, UT 84403 (801) 501-2332 (801) 387-4647

209 Specialty Providers / Proveedores Especializados Maternal & Fetal Medicine continued/seguido

Eller, Alexandra MD ~* Davis Salt Lake Litton, Gregory MD ~* NPI: 1922188838 NPI: 1487603916 Ihc Mckay Dee Maternal Bountiful Salt Lake City Ldsh Multidisciplinary Fetal Medicine - Ogden 84010 84102 Clinic 4401 Harrison Blvd Ste 8Th Ave & C St 4600 Stinnett, Jason MD ~* Samuelson, Scott MD ~* Salt Lake City, UT 84143 Ogden, UT 84403 NPI: 1861501694 NPI: 1922288588 (801) 408-8998 (801) 387-4647 Utah Cancer Specialists Pc Utah Cancer Specialists Pc - Bountiful - 82 South Mitchell, Birgitta MD ~* 84405 520 East Medical Dr Ste 82 South 1100 East Ste 403 NPI: 1982887741 340 Salt Lake City, UT 84102 Ihc Blood And Marrow Carpenter, Jeanette Bountiful, UT 84010 (801) 933-6070 Transplant/Leukemia MD ~* (801) 296-6665 Italian Program - Salt Lake NPI: 1467628263 8Th Avenue & C Street Obstetrix Medical Group Kaysville Samuelson, Scott MD ~* Salt Lake City, UT 84143 Of Utah Pc - Ogden NPI: 1922288588 (801) 408-3729 5495 South 500 East Ste 84037 Utah Cancer Specialists Pc 100 Hansen, Vincent MD ~* - Downtown Samuelson, Scott MD ~* Ogden, UT 84405 NPI: 1528044385 333 South 900 East (801) 743-4700 NPI: 1922288588 Tanner Memorial Clinic - Salt Lake City, UT 84102 Ldsh Multidisciplinary Kaysville (801) 933-6070 Clinic Dildy Iii, Gary MD ~* 380 North 400 West Italian 8Th Ave & C St NPI: 1083765226 Kaysville, UT 84037 Salt Lake City, UT 84143 Obstetrix Medical Group (801) 773-4840 84106 (801) 408-8998 Of Utah Pc - Ogden Portugese, Spanish 5495 South 500 East Ste Kendall, Stephan MD ~* Italian 100 Layton NPI: 1033293196 Ogden, UT 84405 Utah Cancer Specialists Pc West Jordan (801) 743-4700 84041 - Salt Lake 3838 South 700 East Ste 84088 Stinnett, Jason MD ~* Frame, Richard MD ~* NPI: 1861501694 100 Medical Oncology Salt Lake City, UT 84106 NPI: 1073563516 Utah Cancer Specialists Pc Utah Cancer Specialists Pc - Layton (801) 281-6860 Cache Spanish - West Jordan 1492 West Antelope Dr Ste 3592 West 9000 South Ste 125 Logan 84107 200 84341 Layton, UT 84041 West Jordan, UT 84088 (801) 525-3022 Litton, Gregory MD ~* (801) 562-8732 Nadauld, Lincoln MD ~* NPI: 1487603916 French, Spanish NPI: 1548414097 Iron Utah Cancer Specialists Pc Ihc Logan Cancer Clinic - - Cottonwood St Utah Logan Cedar City 5131 South Cottonwood St 1350 North 500 East 84720 Ste L2 Provo Logan, UT 84341 Salt Lake City, UT 84107 (435) 716-1130 Nadauld, Lincoln MD ~* (801) 263-3416 84604 NPI: 1548414097 Chipman, Gregory Ihc Southwest Regional 84143 MD ~* Cancer Clinic - Cedar City NPI: 1457493967 1303 North Main St Frame, Richard MD ~* NPI: 1073563516 Utah Cancer Specialists Pc Cedar City, UT 84720 - Provo (435) 868-5690 Ldsh Multidisciplinary Clinic 1034 North 500 West 8Th Ave & C St Provo, UT 84604 Salt Lake City, UT 84143 (801) 357-8200 (801) 408-8998 Spanish French, Spanish

210 Specialty Providers / Proveedores Especializados Medical Oncology continued/seguido

Rich, Nathan MD ~* Nephrology Jansen, Kevin MD ~* Layton NPI: 1396778148 NPI: 1013908995 84041 Utah Cancer Specialists Pc Davis Nephrology Associates - - Provo Wood Cross Mcdonald, Ryan MD ~* 1034 North 500 West Bountiful 572 West 750 South NPI: 1194915561 Provo, UT 84604 Bountiful, UT 84010 Khiu - Layton (801) 357-8200 84010 (801) 288-2634 2132 North 1700 West Ste Japanese Anand, Sanjiv MD ~* 110 NPI: 1992991921 Lau, Sey MD ~* Layton, UT 84041 Washington Nephrology Associates - NPI: 1801824438 (801) 779-3500 Wood Cross Nephrology Associates - Spanish Saint George 572 West 750 South Wood Cross 84770 Bountiful, UT 84010 572 West 750 South Mcdonald, Ryan MD ~* (801) 288-2634 Bountiful, UT 84010 NPI: 1194915561 Mitchell, Birgitta MD ~* Hindi, Punjabi (801) 288-2634 Tanner Memorial Clinic - NPI: 1982887741 Layton Ihc Bmt Leukemia Barklow, Jeff MD ~* Morris Jr, Donald MD ~* 2121 North 1700 West Program Swr - St George NPI: 1538166640 NPI: 1306806963 Layton, UT 84041 544 South 400 East Nephrology Associates - Nephrology Associates - (801) 773-4840 Saint George, UT 84770 Wood Cross Wood Cross Spanish (435) 688-4900 572 West 750 South 572 West 750 South Bountiful, UT 84010 Bountiful, UT 84010 Salt Lake Nadauld, Lincoln MD ~* (801) 288-2634 (801) 288-2634 NPI: 1548414097 German Riverton Ihc Southwest Regional Dantis-Tan, Minerva 84065 Cancer Clinic - St George NP ~ Salameh, Hasan MD ~* 544 South 400 East NPI: 1164715124 NPI: 1578761003 Anand, Sanjiv MD ~* Saint George, UT 84770 Nephrology Associates - Nephrology Associates - NPI: 1992991921 (435) 688-4900 Wood Cross Wood Cross Nephrology Associates - 572 West 750 South 572 West 750 South Riverton Weber Bountiful, UT 84010 Bountiful, UT 84010 12511 South Creek Meadow Rd Ste 111 Ogden (801) 288-2634 (801) 288-2634 Tagalog Arabic, Spanish Riverton, UT 84065 84403 (801) 288-2634 Hindi, Punjabi Bojanower, Deanna NP ~ Dickson, Landon MD ~* Smith, Maureen NP ~ NPI: 1912168345 NPI: 1730111311 NPI: 1780886945 Barklow, Jeff MD ~* Intermountain Cancer Nephrology Associates - Nephrology Associates - Wood Cross Wood Cross NPI: 1538166640 Center - Ogden Nephrology Associates - 4403 Harrison Blvd Ste 572 West 750 South 572 West 750 South Bountiful, UT 84010 Bountiful, UT 84010 Riverton 2855 12511 South Creek Ogden, UT 84403 (801) 288-2634 (801) 288-2634 Spanish Meadow Rd Ste 111 (801) 387-7150 Riverton, UT 84065 Tien, Dave MD ~* (801) 288-2634 Chittoria, Namita MD ~ Indahyung, Ruth MD ~* NPI: 1053319657 NPI: 1659537405 NPI: 1649452772 Nephrology Associates - Intermountain Cancer Nephrology Associates - Wood Cross Center - Ogden Wood Cross 572 West 750 South 4403 Harrison Blvd Ste 572 West 750 South Bountiful, UT 84010 2855 Bountiful, UT 84010 (801) 288-2634 Ogden, UT 84403 (801) 288-2634 (801) 387-7150 Chinese, Indonesian

211 Specialty Providers / Proveedores Especializados Nephrology continued/seguido

Dantis-Tan, Minerva Morris Jr, Donald MD ~* Barklow, Jeff MD ~* Morris Jr, Donald MD ~* NP ~ NPI: 1306806963 NPI: 1538166640 NPI: 1306806963 NPI: 1164715124 Nephrology Associates - Nephrology Associates - Intermountain Nephrology Associates - Riverton Salt Lake Multidisciplinary Clinic Riverton 12511 South Creek 650 East 4500 South Ste 5121 South Cottonwood St 12511 South Creek Meadow Rd Ste 111 210 Salt Lake City, UT 84107 Meadow Rd Ste 111 Riverton, UT 84065 Salt Lake City, UT 84107 (801) 507-7000 Riverton, UT 84065 (801) 288-2634 (801) 288-2634 German (801) 288-2634 German Tagalog Cline, Richard MD ~* Morris Jr, Donald MD ~* Smith, Maureen NP ~ NPI: 1245237080 NPI: 1306806963 Dickson, Landon MD ~* NPI: 1730111311 Alpine Kidney And Nephrology Associates - NPI: 1912168345 Nephrology Associates - Hypertension - Murray Salt Lake Nephrology Associates - Riverton 154 Myrtle Ave Ste 204 650 East 4500 South Ste Riverton 12511 South Creek Salt Lake City, UT 84107 210 12511 South Creek Meadow Rd Ste 111 (801) 288-9002 Salt Lake City, UT 84107 Meadow Rd Ste 111 Riverton, UT 84065 (801) 288-2634 Riverton, UT 84065 (801) 288-2634 Dickson, Landon MD ~* German (801) 288-2634 NPI: 1912168345 Spanish Tien, Dave MD ~* Nephrology Associates - Salameh, Hasan MD ~* NPI: 1053319657 Salt Lake NPI: 1578761003 Indahyung, Ruth MD ~* Nephrology Associates - 650 East 4500 South Ste Nephrology Associates - NPI: 1649452772 Riverton 210 Salt Lake Nephrology Associates - 12511 South Creek Salt Lake City, UT 84107 650 East 4500 South Ste Riverton Meadow Rd Ste 111 (801) 288-2634 210 12511 South Creek Riverton, UT 84065 Spanish Salt Lake City, UT 84107 Meadow Rd Ste 111 (801) 288-2634 (801) 288-2634 Riverton, UT 84065 Indahyung, Ruth MD ~* Arabic, Spanish (801) 288-2634 Salt Lake City NPI: 1649452772 Chinese, Indonesian Nephrology Associates - Smith, Maureen NP ~ 84107 Salt Lake NPI: 1730111311 Jansen, Kevin MD ~* Abraham, Josephine 650 East 4500 South Ste Nephrology Associates - NPI: 1013908995 MD ~* 210 Salt Lake Nephrology Associates - NPI: 1942260229 Salt Lake City, UT 84107 650 East 4500 South Ste Riverton Nephrology Associates - (801) 288-2634 210 12511 South Creek Salt Lake Chinese, Indonesian Salt Lake City, UT 84107 Meadow Rd Ste 111 650 East 4500 South Ste (801) 288-2634 Riverton, UT 84065 210 Jansen, Kevin MD ~* (801) 288-2634 Salt Lake City, UT 84107 NPI: 1013908995 Tien, Dave MD ~* (801) 288-2634 Nephrology Associates - NPI: 1053319657 Lau, Sey MD ~* Salt Lake Nephrology Associates - NPI: 1801824438 Anand, Sanjiv MD ~* 650 East 4500 South Ste Salt Lake Nephrology Associates - NPI: 1992991921 210 650 East 4500 South Ste Riverton Nephrology Associates - Salt Lake City, UT 84107 210 12511 South Creek Salt Lake (801) 288-2634 Salt Lake City, UT 84107 Meadow Rd Ste 111 650 East 4500 South Ste (801) 288-2634 Riverton, UT 84065 210 Lau, Sey MD ~* (801) 288-2634 Salt Lake City, UT 84107 NPI: 1801824438 (801) 288-2634 Nephrology Associates - Hindi, Punjabi Salt Lake 650 East 4500 South Ste 210 Salt Lake City, UT 84107 (801) 288-2634

212 Specialty Providers / Proveedores Especializados Nephrology continued/seguido

84120 Jansen, Kevin MD ~* 84124 Dickson, Landon MD ~* Anand, Sanjiv MD ~* NPI: 1013908995 Shah, Sheetal MD ~* NPI: 1912168345 NPI: 1992991921 Nephrology Associates - NPI: 1841271491 Nephrology Associates - Nephrology Associates - West Valley Granger Medical - West Jordan West Valley 4052 West Pioneer Pkwy Wasatch 3823 West 9000 South 4052 West Pioneer Pkwy Ste 101 1160 East 3900 South Ste West Jordan, UT 84088 Ste 101 Salt Lake City, UT 84120 1000 (801) 288-2634 Salt Lake City, UT 84120 (801) 288-2634 Salt Lake City, UT 84124 Spanish (801) 288-2634 (801) 262-1771 Hindi, Punjabi Lau, Sey MD ~* Hindi Indahyung, Ruth MD ~* NPI: 1801824438 NPI: 1649452772 Barklow, Jeff MD ~* Nephrology Associates - West Jordan Nephrology Associates - NPI: 1538166640 West Valley West Jordan Nephrology Associates - 4052 West Pioneer Pkwy 84084 3823 West 9000 South West Valley Ste 101 Junejo, Nazia MD ~* West Jordan, UT 84088 4052 West Pioneer Pkwy Salt Lake City, UT 84120 NPI: 1346218047 (801) 288-2634 Ste 101 (801) 288-2634 Kidney And Internal Chinese, Indonesian Salt Lake City, UT 84120 Medicine - West Jordan (801) 288-2634 Morris Jr, Donald MD ~* 1561 West 7000 South Ste Jansen, Kevin MD ~* NPI: 1306806963 100 NPI: 1013908995 Dantis-Tan, Minerva Nephrology Associates - West Jordan, UT 84084 Nephrology Associates - NP ~ West Valley (801) 542-7115 West Jordan NPI: 1164715124 4052 West Pioneer Pkwy Arabic, Persian/Farsi, 3823 West 9000 South Nephrology Associates - Ste 101 German, Hindi, Sindi, West Jordan, UT 84088 West Valley Salt Lake City, UT 84120 Urdu (801) 288-2634 4052 West Pioneer Pkwy (801) 288-2634 Ste 101 German 84088 Lau, Sey MD ~* Salt Lake City, UT 84120 NPI: 1801824438 Smith, Maureen NP ~ Anand, Sanjiv MD ~* Nephrology Associates - (801) 288-2634 NPI: 1992991921 Tagalog NPI: 1730111311 West Jordan Nephrology Associates - Nephrology Associates - 3823 West 9000 South West Valley West Jordan West Jordan, UT 84088 Dickson, Landon MD ~* 4052 West Pioneer Pkwy 3823 West 9000 South (801) 288-2634 NPI: 1912168345 West Jordan, UT 84088 Nephrology Associates - Ste 101 Salt Lake City, UT 84120 (801) 288-2634 Morris Jr, Donald MD ~* West Valley Hindi, Punjabi 4052 West Pioneer Pkwy (801) 288-2634 NPI: 1306806963 Nephrology Associates - Ste 101 Barklow, Jeff MD ~* Salt Lake City, UT 84120 Tien, Dave MD ~* West Jordan NPI: 1053319657 NPI: 1538166640 3823 West 9000 South (801) 288-2634 Nephrology Associates - Spanish Nephrology Associates - West Jordan, UT 84088 West Valley West Jordan (801) 288-2634 4052 West Pioneer Pkwy 3823 West 9000 South German Indahyung, Ruth MD ~* Ste 101 West Jordan, UT 84088 NPI: 1649452772 (801) 288-2634 Nephrology Associates - Salt Lake City, UT 84120 Shah, Sheetal MD ~* (801) 288-2634 NPI: 1841271491 West Valley Dantis-Tan, Minerva 4052 West Pioneer Pkwy Granger Medical - West NP ~ Jordan Ste 101 NPI: 1164715124 Salt Lake City, UT 84120 3181 West 9000 South Nephrology Associates - West Jordan, UT 84088 (801) 288-2634 West Jordan Chinese, Indonesian (801) 352-5600 3823 West 9000 South Hindi West Jordan, UT 84088 (801) 288-2634 Tagalog

213 Specialty Providers / Proveedores Especializados Nephrology continued/seguido

Smith, Maureen NP ~ Dickson, Landon MD ~* Lau, Sey MD ~* Hammond, Terry MD ~* NPI: 1730111311 NPI: 1912168345 NPI: 1801824438 NPI: 1124064845 Nephrology Associates - Nephrology Associates - Nephrology Associates - Revere Health - Af - West Jordan Tooele Tooele Nephrology/Chronic 3823 West 9000 South 1244 North Main St Ste 1244 North Main St Ste Kidney Disease West Jordan, UT 84088 101 101 1175 East 50 South Ste 251 (801) 288-2634 Tooele, UT 84074 Tooele, UT 84074 American Fork, UT 84003 (801) 288-2634 (801) 288-2634 (801) 373-4623 Tien, Dave MD ~* Spanish NPI: 1053319657 Morris Jr, Donald MD ~* Lehi Nephrology Associates - Indahyung, Ruth MD ~* NPI: 1306806963 West Jordan NPI: 1649452772 Nephrology Associates - 84043 3823 West 9000 South Nephrology Associates - Tooele Anand, Sanjiv MD ~* West Jordan, UT 84088 Tooele 1244 North Main St Ste NPI: 1992991921 (801) 288-2634 1244 North Main St Ste 101 Nephrology Associates - 101 Tooele, UT 84074 Lehi Tooele Tooele, UT 84074 (801) 288-2634 3000 North Triumph Blvd (801) 288-2634 German Ste 340 Tooele Chinese, Indonesian Lehi, UT 84043 84074 Smith, Maureen NP ~ (801) 288-2634 Jansen, Kevin MD ~* NPI: 1730111311 Hindi, Punjabi Anand, Sanjiv MD ~* NPI: 1013908995 Nephrology Associates - NPI: 1992991921 Nephrology Associates - Tooele Barklow, Jeff MD ~* Nephrology Associates - Tooele 1244 North Main St Ste NPI: 1538166640 Tooele 1244 North Main St Ste 101 Nephrology Associates - 1244 North Main St Ste 101 Tooele, UT 84074 Lehi 101 Tooele, UT 84074 (801) 288-2634 3000 North Triumph Blvd Tooele, UT 84074 (801) 288-2634 Ste 340 (801) 288-2634 Tien, Dave MD ~* Lehi, UT 84043 Hindi, Punjabi Junejo, Nazia MD ~* NPI: 1053319657 (801) 288-2634 NPI: 1346218047 Nephrology Associates - Barklow, Jeff MD ~* Kidney And Internal Tooele Dantis-Tan, Minerva NPI: 1538166640 Medicine - Tooele 1244 North Main St Ste NP ~ Nephrology Associates - 1212 North Main St 101 NPI: 1164715124 Tooele Tooele, UT 84074 Tooele, UT 84074 Nephrology Associates - 1244 North Main St Ste (435) 249-0554 (801) 288-2634 Lehi 101 Arabic, Persian/Farsi, 3000 North Triumph Blvd Tooele, UT 84074 German, Hindi, Sindi, Utah Ste 340 (801) 288-2634 Urdu Lehi, UT 84043 American Fork (801) 288-2634 Dantis-Tan, Minerva Junejo, Nazia MD ~* 84003 Tagalog NP ~ NPI: 1346218047 NPI: 1164715124 Tooele Clinic Corporation - Freestone, Zachary DO ~* Dickson, Landon MD ~* Nephrology Associates - Tooele NPI: 1790070449 NPI: 1912168345 Tooele 196 East 2000 North Ste Revere Health - Af - Nephrology Associates - 1244 North Main St Ste 104 Neurology Lehi 101 Tooele, UT 84074 1175 East 50 South Ste 161 3000 North Triumph Blvd Tooele, UT 84074 (435) 882-1644 American Fork, UT 84003 Ste 340 (801) 288-2634 Arabic, Persian/Farsi, (801) 377-4623 Lehi, UT 84043 Tagalog German, Hindi, Sindi, Danish (801) 288-2634 Urdu Spanish

214 Specialty Providers / Proveedores Especializados Nephrology continued/seguido

Indahyung, Ruth MD ~* Tien, Dave MD ~* Washington Leon-Forero, Carlos NPI: 1649452772 NPI: 1053319657 MD ~* Nephrology Associates - Nephrology Associates - Saint George NPI: 1932131869 Lehi Lehi 84770 Southern Utah Kidney & 3000 North Triumph Blvd 3000 North Triumph Blvd Hypertension Center - St Ste 340 Ste 340 Leon-Forero, Carlos George Lehi, UT 84043 Lehi, UT 84043 MD ~* 624 South 1000 East Ste (801) 288-2634 (801) 288-2634 NPI: 1932131869 103 Chinese, Indonesian Khiu - St George Saint George, UT 84790 Provo 1173 South 250 West Ste (435) 652-1135 Jansen, Kevin MD ~* 402 Spanish NPI: 1013908995 84604 Saint George, UT 84770 Nephrology Associates - Almeida, Nestor MD ~* (435) 652-1135 Leon-Forero, Carlos Lehi NPI: 1891089926 Spanish MD ~* 3000 North Triumph Blvd Revere Health - Provo - NPI: 1932131869 Ste 340 Nephrology Souza, Alberto NP ~ St George Kidney Care Llc - Lehi, UT 84043 1055 North 500 West Ste NPI: 1972846384 St George (801) 288-2634 222 Southwest Spine & Pain 624 South 1000 East Ste Provo, UT 84604 Center - 1085 South Bluff 103 Lau, Sey MD ~* (801) 377-4623 1085 South Bluff St Ste 200 Saint George, UT 84790 NPI: 1801824438 French, Spanish Saint George, UT 84770 (435) 652-1135 Nephrology Associates - (435) 218-7778 Spanish Lehi Crouch, James MD ~* 3000 North Triumph Blvd NPI: 1720303753 84790 Mercado, Carlos MD ~* Ste 340 Revere Health - Provo - Almeida, Nestor MD ~* NPI: 1366444051 Lehi, UT 84043 Nephrology NPI: 1891089926 Coral Desert Surgery (801) 288-2634 1055 North 500 West Ste St George Kidney Care Llc - Center - St George 222 St George 1490 East Foremaster Dr Morris Jr, Donald MD ~* Provo, UT 84604 624 South 1000 East Ste Bldg C NPI: 1306806963 (801) 377-4623 103 Saint George, UT 84790 Nephrology Associates - Portugese Saint George, UT 84790 (435) 674-5230 Lehi (435) 652-1135 3000 North Triumph Blvd Freestone, Zachary DO ~* French, Spanish Souza, Alberto NP ~ Ste 340 NPI: 1790070449 NPI: 1972846384 Lehi, UT 84043 Revere Health - Provo - Leon-Forero, Carlos Southwest Spine And Pain (801) 288-2634 Nephrology MD ~* Care Specialists - St George German 1055 North 500 West Ste NPI: 1932131869 652 South Medical Center 222 Coral Desert Surgery Dr Ste 110 Smith, Maureen NP ~ Provo, UT 84604 Center - St George Saint George, UT 84790 NPI: 1730111311 (801) 377-4623 1490 East Foremaster Dr (435) 656-2424 Nephrology Associates - Danish Bldg C Lehi Saint George, UT 84790 Souza, Alberto NP ~ 3000 North Triumph Blvd Hammond, Terry MD ~* (435) 674-5230 NPI: 1972846384 Ste 340 NPI: 1124064845 Spanish St George Kidney Care Llc - Lehi, UT 84043 Revere Health - Provo - St George (801) 288-2634 Nephrology 624 South 1000 East Ste 1055 North 500 West Ste 103 222 Saint George, UT 84790 Provo, UT 84604 (435) 652-1135 (801) 377-4623

215 Specialty Providers / Proveedores Especializados Nephrology continued/seguido

Stinson, James MD ~ Salt Lake 84105 Reichman, Mark MD ~* NPI: 1023015260 NPI: 1942260617 Draper Levitt, Jodie MD ~* Southern Utah Kidney & NPI: 1053325365 Neurosurgical Associates Hypertension Center - St 84020 Salt Lake Region Llc - Murray George Neurosurgery Llc - Salt 5171 South Cottonwood St 624 South 1000 East Ste Pingree, James MD ~* Ste 950 NPI: 1730249582 Lake 103 1327 East 2100 South Ste Salt Lake City, UT 84107 Saint George, UT 84790 Mountainstar General (801) 507-9555 Surgery - Draper 101 (435) 652-1135 Salt Lake City, UT 84105 74 Kimballs Ln Ste 210 Rich, Charles MD ~* Draper, UT 84020 (801) 363-2473 Weber French, Spanish NPI: 1851351530 (801) 566-3062 Neurosurgical Associates Ogden French 84107 Llc - Murray 84403 5171 South Cottonwood St Salt Lake City Fox, Benjamin MD ~* Ste 950 Mcdonald, Ryan MD ~* 84102 NPI: 1184955734 Salt Lake City, UT 84107 NPI: 1194915561 Int Neurosciences Institute (801) 507-9555 Khiu - Ogden Min, Wonhong MD ~* - Murray Mandarin 4780 Old Post Rd NPI: 1053304204 5171 South Cottonwood St Ogden, UT 84403 Wasatch Brain And Spine Ste 810 84111 (801) 476-3400 Surgery - Salt Lake Salt Lake City, UT 84107 Spanish 82 South 1100 East Ste 103 (801) 507-9800 Min, Wonhong MD ~* Salt Lake City, UT 84102 NPI: 1053304204 84405 (801) 819-7287 House, Paul MD ~* Sacred Circle Health Care - Spanish Goshute - Salt Lake Senekjian, Harry MD ~* NPI: 1083704688 660 South 200 East Ste 250 NPI: 1760484596 Neurosurgical Associates Nathan, David MD ~* Llc - Murray Salt Lake City, UT 84111 Northern Utah Nephrology NPI: 1194731240 (435) 234-1194 Llc - Ogden 5171 South Cottonwood St Wasatch Brain And Spine Ste 950 Spanish 425 East 5350 South Ste Surgery - Salt Lake 320 Salt Lake City, UT 84107 82 South 1100 East Ste 103 (801) 507-9555 84113 Ogden, UT 84405 Salt Lake City, UT 84102 (801) 476-3020 Brockmeyer, Douglas (801) 819-7287 Macfarlane, John MD ~* MD ~* Neurological NPI: 1679533343 NPI: 1942390521 84103 Neurosurgical Associates Pediatric Neurosurgery Surgery Brockmeyer, Douglas Llc - Murray Specialty Services - Pch MD ~* 5171 South Cottonwood St 100 North Mario Capecchi Iron NPI: 1942390521 Ste 950 Dr Shriners Hospitals For Salt Lake City, UT 84107 Salt Lake City, UT 84113 Cedar City Children - Medical Group - (801) 507-9555 (801) 662-5340 84720 Slc 1275 East Fairfax Rd Maughan, Peter MD ~* Cheshier, Samuel MD ~* Bate, Berkeley MD ~* Salt Lake City, UT 84103 NPI: 1700066768 NPI: 1790942043 NPI: 1891969713 (801) 536-3500 Neurosurgical Associates Pediatric Neurosurgery Ihc Southern Utah Llc - Murray Specialty Services - Pch Neurosciences Institute - Mahan, Mark MD ~* 5171 South Cottonwood St 100 North Mario Capecchi Cedar City NPI: 1477733426 Ste 950 Dr 1303 North Main St Shriners Hospitals For Salt Lake City, UT 84107 Salt Lake City, UT 84113 Cedar City, UT 84720 Children - Medical Group - (801) 507-9555 (801) 662-5340 (435) 251-6800 Slc Spanish 1275 East Fairfax Rd Salt Lake City, UT 84103 (801) 536-3500

216 Specialty Providers / Proveedores Especializados Neurological Surgery continued/seguido

Dailey, Andrew MD ~* Mahan, Mark MD ~* Teja, Sandeep MD ~* Reichman, Howard NPI: 1881706596 NPI: 1477733426 NPI: 1851368765 MD ~* Pediatric Neurosurgery Pediatric Neurosurgery Wasatch Nurosurgery & NPI: 1932123940 Specialty Services - Pch Specialty Services - Pch Spine Associates At St Utah Neurological Clinic 100 North Mario Capecchi 100 North Mario Capecchi Marks Inc - Lehi Dr Dr 1220 East 3900 South Ste 3300 North Triumph Blvd Salt Lake City, UT 84113 Salt Lake City, UT 84113 4A Ste 330 (801) 662-5340 (801) 662-5340 Salt Lake City, UT 84124 Lehi, UT 84043 (801) 261-8507 (801) 357-7404 Fults Iii, Daniel MD ~* Schmidt, Meic MD ~* NPI: 1396835997 NPI: 1740365436 84132 Payson Pediatric Neurosurgery Pediatric Neurosurgery Specialty Services - Pch Specialty Services - Pch Kerr, Lynne MD ~* 84651 100 North Mario Capecchi 100 North Mario Capecchi NPI: 1578638474 Farley, Chad MD ~* Dr Dr Department Of Pediatrics NPI: 1053500314 Salt Lake City, UT 84113 Salt Lake City, UT 84113 50 North Medical Dr Rock Creek Neurosurgery (801) 662-5340 (801) 662-5340 Salt Lake City, UT 84132 Llc - Payson Spanish (801) 662-1000 15 South 1000 East Ste 84124 #225 Jensen, Randy MD ~* Utah Payson, UT 84651 Pingree, James MD ~* (801) 609-9310 NPI: 1982794582 NPI: 1730249582 American Fork Pediatric Neurosurgery Mountainstar Medical 84003 Specialty Services - Pch Group Neurosurgery - St Provo 100 North Mario Capecchi Marks Farley, Chad MD ~* 84604 Dr 1220 East 3900 South Ste NPI: 1053500314 Salt Lake City, UT 84113 Rock Creek Neurosurgery Edwards, John MD ~* 4A NPI: 1568692887 (801) 662-5340 Salt Lake City, UT 84124 Llc - American Fork 1248 East 90 North Ste 203 Utah Neurological Clinic (801) 261-8507 Inc - Physicians Plaza Kerr, Lynne MD ~* French American Fork, UT 84003 NPI: 1578638474 (801) 609-9310 1055 North 300 West Ste 400 Department Of Pediatrics - Pingree, James MD ~* Pch Tippets, Richard MD ~* Provo, UT 84604 NPI: 1730249582 (801) 357-7404 100 North Mario Capecchi St Marks Hospital NPI: 1124088802 Dr Comprehensive Spine Neurological Associates Llc Salt Lake City, UT 84113 - American Fork Gardner, Paul MD ~* Center NPI: 1821012832 (801) 662-1000 1220 East 3900 South Ste 212 South 11 East American Fork, UT 84003 Utah Neurological Clinic 1F Inc - Physicians Plaza Kerr, Lynne MD ~* Salt Lake City, UT 84124 (801) 216-8206 NPI: 1578638474 1055 North 300 West Ste (801) 262-5711 400 Pediatric Neurology - Pcos French Lehi 81 North Mario Capecchi Provo, UT 84604 84043 (801) 357-7404 Dr Pingree, James MD ~* Salt Lake City, UT 84113 NPI: 1730249582 Edwards, John MD ~* (801) 587-7575 NPI: 1568692887 Gaufin, Lynn MD ~* Wasatch Neurosurgery NPI: 1205857158 And Spine Associates At St Utah Neurological Clinic Kestle, John MD ~* Inc - Lehi Utah Neurological Clinic Marks Inc - Physicians Plaza NPI: 1871683474 1220 East 3900 South Ste 3300 North Triumph Blvd Pediatric Neurosurgery Ste 330 1055 North 300 West Ste 4E 400 Specialty Services - Pch Salt Lake City, UT 84124 Lehi, UT 84043 100 North Mario Capecchi (801) 357-7404 Provo, UT 84604 (801) 261-8507 (801) 357-7404 Dr French Salt Lake City, UT 84113 (801) 662-5340

217 Specialty Providers / Proveedores Especializados Neurological Surgery continued/seguido

Reichman, Howard Manwaring, Jotham Neurology Sweney, Matthew MD ~* MD ~* MD ~* NPI: 1568581551 NPI: 1932123940 NPI: 1679728133 Davis Pediatric Neurology - Utah Neurological Clinic Ihc Southern Utah Intermountain Layton Inc - Physicians Plaza Neurosciences Institute - St Bountiful Hospital 1055 North 300 West Ste George 201 West Layton Pkwy Ste 400 652 South Medical Center 84010 3D Provo, UT 84604 Dr Ste 420 Nelson, Alex MD ~* Layton, UT 84041 (801) 357-7404 Saint George, UT 84790 NPI: 1730405408 (801) 587-7471 (435) 251-6800 Advanced Spine Pain Smith, David MD ~* Specialists - Bountiful West Point NPI: 1770763732 Pingree, James MD ~* 520 East Medical Dr Ste Utah Neurological Clinic NPI: 1730249582 100 84015 Inc - Physicians Plaza Coral Desert Spine Center - Bountiful, UT 84010 Shoari, Mohammad 1055 North 300 West Ste St George (801) 299-2546 MD ~* 400 1490 East Foremaster Dr Italian NPI: 1740483395 Provo, UT 84604 Ste 210 Comprehensive Neurology (801) 357-7404 Saint George, UT 84790 Farmington Of Utah - West Point (435) 656-8366 3110 West 300 North Ste Washington French 84025 A Al Sadat, Ahmad MD ~* West Point, UT 84015 Saint George Weber NPI: 1104828987 (801) 773-9902 84790 Pgu - Farmington Family Persian/Farsi Ogden Medicine - Farmington Bate, Berkeley MD ~* 84403 1401 North 1075 West Ste Salt Lake NPI: 1891969713 220 Ihc Southern Utah Welling, Blake MD ~* Farmington, UT 84025 Draper Neurosciences Institute - St NPI: 1710151980 (801) 451-4538 84020 George Blake G Welling Md Pc - Arabic, Spanish 652 South Medical Center Ogden Groves, Jeffrey MD ~* Dr Ste 420 4403 Harrison Blvd Ste Layton NPI: 1629196399 Saint George, UT 84790 1815 Revere Health - Draper - (435) 251-6800 Ogden, UT 84403 84041 Neurology (801) 732-5900 Nelson, Gary MD ~* 96 East Kimballs Ln Ste Cole, Chad MD ~* NPI: 1841515517 305 NPI: 1386832970 Winters, Dennis MD ~* Pediatric Neurology - Draper, UT 84020 Utah Neurosurgery - St NPI: 1194769604 Intermountain Layton (801) 655-5670 George Dennis D Winters Md Pc - Hospital Spanish 1490 East Foremaster Dr Ogden 201 West Layton Pkwy Ste Ste 260 4403 Harrison Blvd Ste 3D Watkins, Joseph MD ~* Saint George, UT 84790 1815 Layton, UT 84041 NPI: 1659396695 (435) 688-7131 Ogden, UT 84403 (801) 587-7471 Joseph R Watkins Md Pc - (801) 732-5900 Draper Fox, Benjamin MD ~* Sadiq, Mohamed MD ~* 11762 S State St Ste 333 NPI: 1184955734 NPI: 1164410403 Draper, UT 84020 Ihc Southern Utah Tanner Memorial Clinic - (801) 666-7220 Neurosciences Institute - St Layton Spanish George 2121 North 1700 West 652 South Medical Center Layton, UT 84041 Dr Ste 420 (801) 773-4840 Saint George, UT 84790 Kannada, Urdu (435) 251-6800

218 Specialty Providers / Proveedores Especializados Neurology continued/seguido

Magna Lombardi, Thomas MD ~ Duvernay, Patrice MD ~* Constantino, Tawnya NPI: 1063611986 NPI: 1073543872 MD ~ 84044 Ihc Salt Lake Clinic - Intermountain Avenues NPI: 1891802591 Buchanan, Thomas Infusion Neurosurgery - Salt Lake Int Neurosciences Institute MD ~* 389 South 900 East 370 9Th Avenue Ste 111 - Murray NPI: 1710162227 Salt Lake City, UT 84102 Salt Lake City, UT 84103 5171 South Cottonwood St Jordan Valley Neurology (385) 282-2750 (801) 408-2233 Ste 810 Associates - Magna Salt Lake City, UT 84107 3665 South 8400 West Ste Lombardi, Thomas MD ~ Nelson, Gary MD ~* (801) 507-9800 206 NPI: 1063611986 NPI: 1841515517 Magna, UT 84044 Ihc Salt Lake Clinic - Udac - Child Development Donohue, Megan MD ~ (801) 352-8373 Neurology Program - Shriners NPI: 1245347756 Spanish 389 South 900 East Hospital Int Neurosciences Institute Salt Lake City, UT 84102 1275 East Fairfax Rd - Murray Reiser, Rebecca MD ~* (385) 282-2750 Salt Lake City, UT 84103 5171 South Cottonwood St NPI: 1639336795 (801) 587-2255 Ste 810 Jordan Valley Neurology Reichert, Walter MD ~* Salt Lake City, UT 84107 Associates - Magna NPI: 1427055615 Walker, Kevin MD ~* (801) 507-9800 3665 South 8400 West Ste Neurosci & Rehabilitation NPI: 1427235001 206 Specialists @ Slc Ihc Lds Campus Sleep Fantle, David MD ~ Magna, UT 84044 82 South 1100 East Ste 103 Avenues - Salt Lake NPI: 1205852613 (801) 352-8373 Salt Lake City, UT 84102 440 D St Ste 200 Int Neurosciences Institute (801) 505-5370 Salt Lake City, UT 84103 - Murray Riverton (801) 408-3617 5171 South Cottonwood St 84065 Shoari, Mohammad Ste 810 MD ~* 84107 Salt Lake City, UT 84107 Sweney, Matthew MD ~* NPI: 1740483395 (801) 507-9800 NPI: 1568581551 Aubuchon, Adam MD ~ Comprehensive Neurology NPI: 1336431451 Pediatric Neurology - Pcos Of Utah - Salt Lake Huan, Mengjing MD ~ 3773 West 12600 South Int Neurosciences Institute 82 South 1100 East Ste 103 - Murray NPI: 1447459151 Riverton, UT 84065 Salt Lake City, UT 84102 Int Neurosciences Institute (801) 587-7575 5171 South Cottonwood St (801) 505-5370 Ste 810 - Murray Persian/Farsi 5171 South Cottonwood St Walker, Kevin MD ~* Salt Lake City, UT 84107 (801) 507-9800 Ste 810 NPI: 1427235001 Skuster, Denise MD ~ Salt Lake City, UT 84107 Ihc Riverton Campus Sleep NPI: 1235162090 (801) 507-9800 Program - Riverton Bigelow, Jeffrey MD ~ Chinese Ihc Salt Lake Clinic - NPI: 1790962587 3723 West 12600 South Ste Infusion 480 Int Neurosciences Institute 389 South 900 East - Murray Lettich, Alyssa MD ~ Riverton, UT 84065 Salt Lake City, UT 84102 NPI: 1518194455 (801) 285-4870 5171 South Cottonwood St (385) 282-2750 Ste 810 Int Neurosciences Institute Salt Lake City, UT 84107 - Murray Salt Lake City 84103 5171 South Cottonwood St (801) 507-9800 Ste 810 84102 Butterfield, Russell Salt Lake City, UT 84107 Al Sadat, Ahmad MD ~* MD ~* Butrum, Matthew MD ~ (801) 507-9800 NPI: 1104828987 NPI: 1639352321 NPI: 1710187133 Spanish The Cardiovascular Center Udac - Child Development Int Neurosciences Institute At Salt Lake Regional Program - Shriners - Murray 82 South 1100 East Ste 103 Hospital 5171 South Cottonwood St Salt Lake City, UT 84102 1275 East Fairfax Rd Ste 810 (801) 505-5370 Salt Lake City, UT 84103 Salt Lake City, UT 84107 Arabic, Spanish (801) 587-2255 (801) 507-9800 Greek

219 Specialty Providers / Proveedores Especializados Neurology continued/seguido

Marshall, Scott MD ~ Roller, Dean MD ~ 84109 Johnson, Nicholas MD ~* NPI: 1659357093 NPI: 1770638124 Williams, Dorothy NPI: 1497969943 Int Neurosciences Institute Int Neurosciences Institute MD ~* Pediatric Neurology - Pcos - Murray - Murray NPI: 1619992708 81 North Mario Capecchi 5171 South Cottonwood St 5171 South Cottonwood St Foothill Family Clinic - Dr Ste 810 Ste 810 Salt Lake Salt Lake City, UT 84113 Salt Lake City, UT 84107 Salt Lake City, UT 84107 2295 Foothill Dr (801) 587-7575 (801) 507-9800 (801) 507-9800 Salt Lake City, UT 84109 (801) 486-3021 Johnson, Nicholas MD ~* Nelson, Alex MD ~* Rosenberg, Neil MD ~ NPI: 1497969943 NPI: 1730405408 NPI: 1285896845 Pediatric Pathology Interventional Spine & Int Neurosciences Institute 84113 Associates - Pch Pain Management - - Murray Bollo, Robert MD ~* 100 N Mario Capecchi Dr Murray 5171 South Cottonwood St NPI: 1013129584 Salt Lake City, UT 84113 5801 South Fashion Blvd Ste 810 Pediatric Neurosurgery (801) 662-2150 Ste 180 Salt Lake City, UT 84107 Specialty Services - Pch Salt Lake City, UT 84107 (801) 507-9800 100 North Mario Capecchi Nelson, Gary MD ~* (801) 262-7246 Dr NPI: 1841515517 Italian Skuster, Denise MD ~ Salt Lake City, UT 84113 Pediatric Genetics - Pcos NPI: 1235162090 (801) 662-5340 81 North Mario Capecchi Rauschkolb, Paula DO ~ Intermountain Medical Dr NPI: 1396963914 Center - Neurology Butterfield, Russell Salt Lake City, UT 84113 Int Neurosciences Institute 5121 South Cottonwood St MD ~* (801) 213-3599 - Murray Salt Lake City, UT 84107 NPI: 1639352321 5171 South Cottonwood St (801) 507-7000 Pediatric Genetics - Pcos Nelson, Gary MD ~* Ste 810 81 North Mario Capecchi NPI: 1841515517 Salt Lake City, UT 84107 Sunderman, Elizabeth Dr Pediatric Neurology - Pcos (801) 507-9800 MD ~ Salt Lake City, UT 84113 81 North Mario Capecchi NPI: 1790723195 (801) 213-3599 Dr Reichman, Jordan MD ~ Int Neurosciences Institute Greek Salt Lake City, UT 84113 NPI: 1235392747 - Murray (801) 587-7575 Int Neurosciences Institute 5171 South Cottonwood St Butterfield, Russell - Murray Ste 810 MD ~* Nelson, Gary MD ~* 5171 South Cottonwood St Salt Lake City, UT 84107 NPI: 1639352321 NPI: 1841515517 Ste 810 (801) 507-9800 Pediatric Neurology - Pcos Udac - Child Development Salt Lake City, UT 84107 81 North Mario Capecchi Program - Pch (801) 507-9800 Thomas, Katherine MD ~ Dr 100 North Mario Capecchi NPI: 1831236314 Salt Lake City, UT 84113 Dr Robinson, Glen MD ~ Int Neurosciences Institute (801) 587-7575 Salt Lake City, UT 84113 NPI: 1992017800 - Murray Greek (801) 587-2255 Int Neurosciences Institute 5171 South Cottonwood St - Murray Ste 810 Butterfield, Russell Sweney, Matthew MD ~* 5171 South Cottonwood St Salt Lake City, UT 84107 MD ~* NPI: 1568581551 Ste 810 (801) 507-9800 NPI: 1639352321 Pediatric Neurology - Pcos Salt Lake City, UT 84107 Udac - Child Development 81 North Mario Capecchi (801) 507-9800 Walker, Kevin MD ~* Program - Pch Dr NPI: 1427235001 100 North Mario Capecchi Salt Lake City, UT 84113 Ihc Intermountain Sleep Dr (801) 587-7575 Program Tosh - Murray Salt Lake City, UT 84113 5770 South 250 East Ste (801) 587-2255 340 Greek Salt Lake City, UT 84107 (801) 314-2400

220 Specialty Providers / Proveedores Especializados Neurology continued/seguido

84117 Butterfield, Russell Nelson, Gary MD ~* West Jordan Al Sadat, Ahmad MD ~* MD ~* NPI: 1841515517 84088 NPI: 1104828987 NPI: 1639352321 Udac - Neonatal Physicians Group Of Utah Udac - Heart Center Follow-Up Program - Salt Al Sadat, Ahmad MD ~* - Holladay Neurodevelopmental Lake NPI: 1104828987 4624 South Holladay Blvd Program 44 North Mario Capecchi Neuroscience & Ste 201 44 North Mario Capecchi Dr Utah Dept Of Health Rehabilitation Specialists - Salt Lake City, UT 84117 Dr Utah Dept Of Health Salt Lake City, UT 84132 West Jordan (801) 505-5370 Salt Lake City, UT 84132 (801) 587-2255 3590 West 9000 South Ste Arabic, Spanish (801) 587-2255 240 Greek Sweney, Matthew MD ~* West Jordan, UT 84088 NPI: 1568581551 (801) 352-8373 Chebeleu, Lia Ana MD ~* Arabic, Spanish NPI: 1174727739 Butterfield, Russell Pediatric Neurology Granger Medical - MD ~* 50 North Medical Dr Holladay Family Medicine NPI: 1639352321 Salt Lake City, UT 84132 Buchanan, Thomas 999 East Murray Holladay Udac - Neonatal (801) 213-3599 MD ~* Rd Ste 207 Follow-Up Program - Salt NPI: 1710162227 Lake 84143 Jordan Valley Neurology Salt Lake City, UT 84117 44 North Mario Capecchi Associates - West Jordan (801) 268-2584 Dr Utah Dept Of Health Black, Evan MD ~ 3590 West 9000 South Ste Romanian Salt Lake City, UT 84132 NPI: 1346260247 120 (801) 587-2255 Lds Hospital - Service West Jordan, UT 84088 84120 Greek 8Th Ave C St (801) 352-8373 Zimmerman, Susan Salt Lake City, UT 84143 Spanish MD ~* Matsuo, Fumisuke MD ~ (801) 408-1100 NPI: 1063444214 NPI: 1912097528 Grantz, Matthew MD ~* Granger Medical - West Dept Of Neurology School Walker, Kevin MD ~* NPI: 1134373665 Valley Of Med Univ Of Utah 50 N NPI: 1427235001 Jordan Valley Internal 3725 West 4100 South Med Drive Ihc Lds Campus Sleep Medicine - Ste 100 Salt Lake City, UT 84120 50 N Med Drive Program - Salt Lake 3570 West 9000 South Ste (801) 965-3600 Salt Lake City, UT 84132 325 8Th Ave 100 (801) 581-6393 Salt Lake City, UT 84143 West Jordan, UT 84088 84124 (801) 408-3617 (801) 569-2384 Reichert, Walter MD ~* Nelson, Gary MD ~* Sandy NPI: 1427055615 NPI: 1841515517 Grantz, Matthew MD ~* Western Neurological Udac - Child Development 84094 NPI: 1134373665 Associates - 3900 South Program - Primary Jordan Valley Neurology 44 North Mario Capecchi Walker, Kevin MD ~* Associates - West Jordan 1151 East 3900 South Ste NPI: 1427235001 3590 West 9000 South Ste B150 Dr Utah Dept Of Health Ihc Alta View Sleep Salt Lake City, UT 84124 Salt Lake City, UT 84132 120 (801) 587-2255 Program West Jordan, UT 84088 (801) 262-3441 9660 South 1300 East (801) 352-8373 Sandy, UT 84094 Nelson, Gary MD ~* (801) 501-2358 84132 NPI: 1841515517 Inglese, Christopher Butterfield, Russell Udac - Heart Center MD ~* MD ~* Neurodevelopmental NPI: 1194794792 NPI: 1639352321 Program Ambulatory Neurological Udac - Child Development 44 North Mario Capecchi Services Llc - West Jordan Program - Primary Dr Utah Dept Of Health 8541 South Redwood Rd 44 North Mario Capecchi Salt Lake City, UT 84132 Ste A1 Dr Utah Dept Of Health (801) 587-2255 West Jordan, UT 84088 Salt Lake City, UT 84132 (888) 748-7282 (801) 587-2255 Greek

221 Specialty Providers / Proveedores Especializados Neurology continued/seguido

Reichert, Walter MD ~* Utah Lehi Nelson, Gary MD ~* NPI: 1427055615 NPI: 1841515517 Neuroscience & American Fork 84043 Udac - Neonatal Rehabilitation Specialists - 84003 Reiser, Rebecca MD ~* Follow-Up Program - West Jordan NPI: 1639336795 Provo 3590 West 9000 South Ste Entezari-Taher, Neuroscience & 151 South University Ave 240 Mohammad MD ~* Rehabilitation Specialists - Ste 1610 West Jordan, UT 84088 NPI: 1992762918 Pgu - Lehi Provo, UT 84601 (801) 352-8373 Neurological Associates Llc 3000 North Triumph Blvd (801) 587-2255 - American Fork Ste 110 Reiser, Rebecca MD ~* 212 South 11 East Lehi, UT 84043 84604 American Fork, UT 84003 (801) 505-5370 NPI: 1639336795 Belliston, Scott DO ~ Jordan Valley Neurology (801) 216-8206 Persian/Farsi NPI: 1235423393 Associates - West Jordan Orem Ihc Utah Valley 3590 West 9000 South Ste Neurological - Provo 120 Nguyen, Thu MD ~* 84097 NPI: 1649204389 Reynolds, Christopher 3685 North 100 East West Jordan, UT 84088 Provo, UT 84604 (801) 352-8373 Revere Health - Af - MD ~* Neurology NPI: 1700843695 (801) 229-1054 1175 East 50 South Ste 161 Neurological Associates Llc Sweney, Matthew MD ~* Butrum, Matthew MD ~ NPI: 1568581551 American Fork, UT 84003 - Orem (801) 377-4623 498 East 800 North Ste 3B NPI: 1710187133 Ambulatory Neurological Ihc Physical Medicine & Services Llc - West Jordan Orem, UT 84097 Reynolds, Christopher (801) 763-0901 Rehabilitation - Provo 8541 South Redwood Rd 1055 North 300 West Ste Ste A1 MD ~* NPI: 1700843695 410 West Jordan, UT 84088 Payson Provo, UT 84604 (888) 748-7282 Neurological Associates Llc - American Fork 84651 (801) 357-8818 West Valley City 212 South 11 East Reynolds, Christopher American Fork, UT 84003 MD ~* Butrum, Matthew MD ~ 84120 (801) 216-8206 NPI: 1700843695 NPI: 1710187133 Shoari, Mohammad Neurological Associates Llc Ihc Utah Valley MD ~* Reynolds, Christopher - Payson Neurological - Provo NPI: 1740483395 MD ~* 41 North 400 West 3685 North 100 East Associates In Orthopaedic NPI: 1700843695 Payson, UT 84651 Provo, UT 84604 Surgery (Aos) - West Valley Neurological Associates Llc (801) 763-0901 (801) 229-1054 3336 South Pioneer Pkwy - American Fork 2 Ste 102 52 North 1100 East Provo Call, Kevin MD ~ West Valley City, UT American Fork, UT 84003 NPI: 1437352135 84120 (801) 216-8206 84601 Ihc Utah Valley (801) 568-3480 Butterfield, Russell Neurological - Provo Persian/Farsi Vine, Daniel MD ~* MD ~* 3685 North 100 East NPI: 1841219375 NPI: 1639352321 Provo, UT 84604 Utah State Development Udac - Neonatal (801) 229-1054 Center - American Fork Follow-Up Program - Russian 895 North 900 East Provo American Fork, UT 84003 151 South University Ave Call, Kevin MD ~ (801) 201-8097 Ste 1610 NPI: 1437352135 Provo, UT 84601 Ihc Utah Valley Tia/Stroke (801) 587-2255 Clinic - Provo Greek 1034 North 500 West Ste 501 Provo, UT 84604 (801) 357-8879 Russian ~ Accepting new patients/Aceptando a nuevos pacientes * Accepts Medicaid/Acepta Medicaid ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

222 Specialty Providers / Proveedores Especializados Neurology continued/seguido

Groves, Jeffrey MD ~* Zeigler Jr, Warren DO ~ De Saibro, Luciana Hoesch, Robert MD ~ NPI: 1629196399 NPI: 1952691792 MD ~* NPI: 1295889699 Revere Health - Provo - Ihc Utah Valley NPI: 1033175765 Ihc Southern Utah Internal Medicine Neurological - Provo Ihc Southwest Neurology Neurosciences Institute - St 1055 North 500 West Ste 3685 North 100 East Associates - St George George 212, Bldg C Provo, UT 84604 652 South Medical Center 652 South Medical Center Provo, UT 84604 (801) 229-1054 Dr Ste 320 Dr Ste 420 (801) 374-2362 Saint George, UT 84790 Saint George, UT 84790 Spanish Washington (435) 251-3950 (435) 251-6800 Portugese, Spanish Groves, Jeffrey MD ~* Saint George Nelson, Gary MD ~* NPI: 1629196399 84770 Geller, Amalia MD * NPI: 1841515517 Revere Health - Provo - NPI: 1932399243 Udac - Child Development Neurology Schlagel, Laura MD ~* Ihc Dixie Regional Sleep Program - Washington 1055 North 500 West Ste NPI: 1306803226 Disorders Center - St County 102 Red Rock Neurology - St George 1380 East Medical Center Provo, UT 84604 George 652 South Medical Center Dr Ste 4500 (801) 374-2362 515 South 300 East Ste 107 Dr Ste 310 Saint George, UT 84790 Spanish Saint George, UT 84770 Saint George, UT 84790 (801) 587-2255 (435) 673-5217 (435) 251-3940 Langford, Douglas MD ~* Overall, Trenton DO ~* NPI: 1659343564 84790 Geller, Amalia MD ~* NPI: 1841575032 Revere Health - Provo - Aytenfisu, Ermias MD ~ NPI: 1932399243 Ihc Southwest Neurology Neurology NPI: 1346436276 Ihc Southwest Neurology Associates - St George 1055 North 500 West Ste Ihc Southwest Neurology Associates - St George 652 South Medical Center 102 Associates - St George 652 South Medical Center Dr Ste 320 Provo, UT 84604 652 South Medical Center Dr Ste 320 Saint George, UT 84790 (801) 374-2362 Dr Ste 320 Saint George, UT 84790 (435) 251-3950 Saint George, UT 84790 (435) 251-3950 Watkins, Joseph MD ~* (435) 251-3950 Vine, Daniel MD ~* NPI: 1659396695 Grams, Raymond DO ~* NPI: 1841219375 Blue Rock Neurological Llc Butterfield, Russell NPI: 1467733220 Ihc Southwest Neurology - Provo MD ~* Ihc Southern Utah Associates - St George 3152 North University Ave NPI: 1639352321 Neurosciences Institute - St 652 South Medical Center Ste 220 Udac - Child Development George Dr Ste 320 Provo, UT 84604 Program - Washington 652 South Medical Center Saint George, UT 84790 (801) 229-1014 County Dr Ste 420 (435) 251-3950 Spanish 1380 East Medical Center Saint George, UT 84790 Dr Ste 4500 (435) 251-6800 Weber Watkins, Joseph MD * Saint George, UT 84790 Spanish NPI: 1659396695 (801) 587-2255 Ogden Joseph R Watkins Md Pc - Greek Grams, Raymond DO ~* 84401 Provo NPI: 1467733220 1055 North 300 West Ste Chandler, Justin MD ~ Ihc Southwest Neurology Butterfield, Russell 404 NPI: 1750657599 Associates - St George MD ~* Provo, UT 84604 Ihc Southwest Neurology 652 South Medical Center NPI: 1639352321 (801) 357-7401 Associates - St George Dr Ste 320 Udac - Child Development Spanish 652 South Medical Center Saint George, UT 84790 Program - Ogden Dr Ste 320 (435) 251-3950 2540 Washington Blvd Spanish Ogden, UT 84401 Saint George, UT 84790 (801) 587-2255 (435) 251-3950 Greek

223 Specialty Providers / Proveedores Especializados Neurology continued/seguido

Butterfield, Russell Hammond, Richard DO * Imani, Jahan MD ~* Salt Lake MD ~* NPI: 1174541742 NPI: 1063414969 NPI: 1639352321 Ogden Clinic Professional Skyline Pain Clinic - Ogden Riverton Udac - Neonatal Center - North 5315 South Adams Ave 84065 Follow-Up Program - 4650 Harrison Blvd Pkwy Ogden Ogden, UT 84403 Ogden, UT 84405 Morita, Denise MD ~* 2540 Washington Blvd (801) 475-3000 (801) 475-4448 NPI: 1366640864 Ogden Regional Center Other, Non-English Granger Medical - Ogden, UT 84401 Piercey, Sydney MD ~ Parkway (801) 587-2255 NPI: 1104875855 Neurology With 1288 West 12700 South Greek Ogden Clinic - 4650 South Riverton, UT 84065 Harrison Blvd Special (801) 253-0291 Nelson, Gary MD ~* 4650 Harrison Blvd NPI: 1841515517 Ogden, UT 84403 Qualifications In Trandafir, Cristina Udac - Child Development (801) 475-3000 Child Neurology MD ~* Program - Ogden NPI: 1265787626 Pediatric Neurology - Pcos 2540 Washington Blvd Squire, Trevor DO ~ Davis Ogden, UT 84401 NPI: 1992978753 3773 West 12600 South (801) 587-2255 Ihc Mckay Dee Neurology - Layton Riverton, UT 84065 Ogden (801) 587-7575 Nelson, Gary MD ~* 4403 Harrison Blvd Ste 84041 Romanian NPI: 1841515517 3855 Benedict, Susan MD ~* Udac - Neonatal Ogden, UT 84403 NPI: 1740369214 Salt Lake City Follow-Up Program - (801) 387-7880 Pediatric Neurology - 84103 Ogden Intermountain Layton 2540 Washington Blvd 84404 Hospital Filloux, Francis MD ~* Ogden Regional Center 201 West Layton Pkwy Ste NPI: 1942389515 Ogden, UT 84401 Nelson, Alex MD ~* 3D Udac - Child Development (801) 587-2255 NPI: 1730405408 Layton, UT 84041 Program - Shriners Interventional Spine & (801) 587-7471 Hospital Pain Management - Ogden 1275 East Fairfax Rd 84403 1276 Wall Ave Ste 1 Salt Lake City, UT 84103 Alldredge, Brett DO ~ Ogden, UT 84404 Filloux, Francis MD ~* (801) 587-2255 NPI: 1538435979 (801) 262-7246 NPI: 1942389515 Ihc Mckay Dee Neurology - Italian Pediatric Neurology - 84113 Ogden Intermountain Layton 4403 Harrison Blvd Ste 84405 Hospital Benedict, Susan MD ~* 3855 201 West Layton Pkwy Ste NPI: 1740369214 Ogden, UT 84403 Imani, Jahan MD ~* 3D Pediatric Neurology - Pcos (801) 387-7880 NPI: 1063414969 Layton, UT 84041 81 North Mario Capecchi Intermountain Medical (801) 587-7471 Dr Management Jahan Imani Hammond, Richard DO * Salt Lake City, UT 84113 Md - Ogden Trandafir, Cristina (801) 587-7575 NPI: 1174541742 5315 South Adams Ave Ogden Clinic - Skyline MD ~* Pkwy Ste A NPI: 1265787626 Bonkowsky, Joshua 6112 South 1550 East Ste Ogden, UT 84405 101 Pediatric Neurology - MD ~* (801) 476-4448 Intermountain Layton NPI: 1578518155 Ogden, UT 84403 Other, Non-English (801) 475-3800 Hospital Pediatric Neurology - Pcos 201 West Layton Pkwy Ste 81 North Mario Capecchi 3D Dr Layton, UT 84041 Salt Lake City, UT 84113 (801) 587-7471 (801) 587-7575 Romanian

224 Specialty Providers / Proveedores Especializados Neurology With Special Qualifications In Child Neurology continued/seguido

Filloux, Francis MD ~* Filloux, Francis MD ~* Utah Weber NPI: 1942389515 NPI: 1942389515 Pediatric Genetics - Pcos Udac - Child Development Provo Ogden 81 North Mario Capecchi Program - Primary 84601 84401 Dr 44 North Mario Capecchi Salt Lake City, UT 84113 Dr Utah Dept Of Health Benedict, Susan MD ~* Filloux, Francis MD ~* (801) 213-3599 Salt Lake City, UT 84132 NPI: 1740369214 NPI: 1942389515 (801) 587-2255 Dcsp Provo Udac - Child Development Filloux, Francis MD ~* 151 South University Ave Program - Ogden NPI: 1942389515 Filloux, Francis MD ~* Provo, UT 84601 2540 Washington Blvd Pediatric Neurology - Pcos NPI: 1942389515 (801) 370-8764 Ogden, UT 84401 81 North Mario Capecchi Udac - Heart Center (801) 587-2255 Dr Neurodevelopmental Filloux, Francis MD ~* Salt Lake City, UT 84113 Program NPI: 1942389515 Filloux, Francis MD ~* (801) 587-7575 44 North Mario Capecchi Udac - Neonatal NPI: 1942389515 Dr Utah Dept Of Health Follow-Up Program - Udac - Neonatal Filloux, Francis MD ~* Salt Lake City, UT 84132 Provo Follow-Up Program - NPI: 1942389515 (801) 587-2255 151 South University Ave Ogden Udac - Child Development Ste 1610 2540 Washington Blvd Program - Pch Filloux, Francis MD ~* Provo, UT 84601 Ogden Regional Center 100 North Mario Capecchi NPI: 1942389515 (801) 587-2255 Ogden, UT 84401 Dr Udac - Neonatal (801) 587-2255 Salt Lake City, UT 84113 Follow-Up Program - Salt 84604 (801) 587-2255 Lake Benedict, Susan MD ~* Neuro- 44 North Mario Capecchi NPI: 1740369214 musculoskeletal Trandafir, Cristina Dr Utah Dept Of Health Nfp Provo B MD ~* Salt Lake City, UT 84132 1034 North 500 West Medicine, Sports NPI: 1265787626 (801) 587-2255 Provo, UT 84604 Pediatric Neurology - Pch (801) 357-7627 Med 100 N Mario Capecchi Dr West Jordan Salt Lake City, UT 84113 Washington Salt Lake (801) 581-2955 84088 Romanian Trandafir, Cristina Saint George Salt Lake City MD ~* 84790 84102 Trandafir, Cristina NPI: 1265787626 MD ~* Ambulatory Neurological Filloux, Francis MD ~* Testa, Massimo MD ~ NPI: 1265787626 Services Llc - West Jordan NPI: 1942389515 NPI: 1699751008 Pediatric Neurology - Pcos 8541 South Redwood Rd Udac - Child Development Ihc Live Well Center Salt 81 North Mario Capecchi Ste A1 Program - Washington Lake City - Salt Lake Dr West Jordan, UT 84088 County 389 South 900 East Salt Lake City, UT 84113 (888) 748-7282 1380 East Medical Center Salt Lake City, UT 84102 (801) 587-7575 Romanian Dr Ste 4500 (385) 282-2700 Romanian Saint George, UT 84790 Italian Van Orman, Colin MD ~* (801) 587-2255 84132 NPI: 1225117898 Ambulatory Neurological Filloux, Francis MD ~* Services Llc - West Jordan NPI: 1942389515 8541 South Redwood Rd Pediatric Neurology Ste A1 50 North Medical Dr West Jordan, UT 84088 Salt Lake City, UT 84132 (888) 748-7282 (801) 213-3599

225 Specialty Providers / Proveedores Especializados

Nuclear Cardiology Washington Layton Riverton Saint George 84041 84065 Davis 84790 Stewart, Mitzy APRN ~* Aseltine, Phyllis NP ~ Layton NPI: 1538147418 NPI: 1376545251 Jones, Jamison MD ~ Davis Behavioral Health - Nephrology Associates - 84041 NPI: 1205031549 Layton 1700 West Riverton Sharma, Pawan MD ~* Revere Health - St George - 2250 North 1700 West 12511 South Creek NPI: 1114919073 Heart Of Dixie Cardiology Layton, UT 84041 Meadow Rd Ste 111 Northern Utah 1380 East Medical Center (801) 773-7060 Riverton, UT 84065 Cardiovascular Associates - Dr Ste 4100 (801) 288-2634 Layton Saint George, UT 84790 Stewart, Mitzy APRN ~* 2132 North 1700 West Ste (435) 251-2900 NPI: 1538147418 Frischknecht, Julie NP ~ 200 Davis Behavioral Health - NPI: 1689929622 Layton, UT 84041 Nurse Practitioner Layton Main St Wasatch Allergy And (801) 776-0171 934 South Main St Asthma - Riverton Hindi Davis Layton, UT 84041 13348 S Market Center Dr (801) 773-7060 Ste 220 Iron Bountiful Riverton, UT 84065 84010 Zaugg, Valerie NP ~ (385) 831-1861 Cedar City NPI: 1538617964 84720 Aseltine, Phyllis NP ~ Tanner Memorial Clinic - Salt Lake City NPI: 1376545251 Layton Jones, Jamison MD ~ Nephrology Associates - 2121 North 1700 West 84102 NPI: 1205031549 Wood Cross Layton, UT 84041 Berg, Wayne NP ~* Revere Health - Cedar City 572 West 750 South (801) 773-4840 NPI: 1851813299 1320 Bountiful, UT 84010 Granger Medical Clinic - 1320 North Main St (801) 288-2634 Salt Lake 24 South Cedar City, UT 84720 24 South 1100 East Ste 105 (435) 251-2900 Berg, Wayne NP ~* Draper Salt Lake City, UT 84102 NPI: 1851813299 84020 (801) 531-9453 Salt Lake Granger Medical - Summit Spanish, Other, Urology - Bountiful Collett, Joan NP ~ Non-English Salt Lake City 1551 South Renaissance NPI: 1164703328 84124 Towne Dr Ste 370 Revere Health - Draper - Christensen, Paige NP ~ Bountiful, UT 84010 Neurology Sharma, Pawan MD ~* NPI: 1891709325 (801) 797-9033 96 East Kimballs Ln Ste Ihc Salt Lake Clinic - NPI: 1114919073 Spanish, Other, 305 The Heart Center At St Anticoagulation Clinic Non-English Draper, UT 84020 389 South 900 East Marks - Millcreek (801) 655-5670 1160 East 3900 South Ste Salt Lake City, UT 84102 Clearfield (385) 282-2425 2000 Gonzales, Cathy NP ~* Salt Lake City, UT 84124 84015 NPI: 1861402331 Frischknecht, Julie NP ~ (801) 226-3418 Steele, Isaac NP ~ Granger Medical Clinic - Hindi NPI: 1689929622 NPI: 1386142586 Draper - 11724 Wasatch Allergy And Valley Mental Health - 11724 South State St Asthma - Salt Lake Clearfield Draper, UT 84020 24 South 1100 East Ste 201 1785 East 1450 South Ste (801) 576-2000 Salt Lake City, UT 84102 300 (385) 290-1289 Clearfield, UT 84015 (888) 949-4864

226 Specialty Providers / Proveedores Especializados Nurse Practitioner continued/seguido

84107 Jerome, Peggy NP ~ 84113 White, Heidi APRN ~* Aseltine, Phyllis NP ~ NPI: 1013001247 Hannon, Ann APRN ~* NPI: 1346330933 NPI: 1376545251 Lotus Center Inc - Salt NPI: 1730279332 Pediatric Urology - Pch Nephrology Associates - Lake City Pediatric Urology - Pch 100 North Mario Capecchi Salt Lake 348 East 4500 South Ste 100 North Mario Capecchi Dr 650 East 4500 South Ste 360 Dr Salt Lake City, UT 84113 210 Salt Lake City, UT 84107 Salt Lake City, UT 84113 (801) 662-5555 Salt Lake City, UT 84107 (385) 272-4292 (801) 662-5555 (801) 288-2634 84120 Rizzuto, Breawn NP ~ Jost, Denise NP ~ Aseltine, Phyllis NP ~ Bond-Bero, Stacey NP ~* NPI: 1023313020 NPI: 1336239938 NPI: 1376545251 NPI: 1295850626 Ihc Murray Vascular And Pediatric Vascular Surgery Nephrology Associates - Granger Medical - Asthma Vein - Murray - Pch West Valley And Allergy - Murray 5323 South Woodrow St 100 North Mario Capecchi 4052 West Pioneer Pkwy 5323 Woodrow St Ste 201 Ste 101 Dr Ste 101 Salt Lake City, UT 84107 Salt Lake City, UT 84107 Salt Lake City, UT 84113 Salt Lake City, UT 84120 (385) 722-9140 (801) 261-8346 (801) 662-2950 (801) 288-2634 Erkelens, Nicole NP ~ Webb, Susan NP ~ Lambert, Linda NP ~ Berg, Wayne NP ~* NPI: 1568756393 NPI: 1689777690 NPI: 1013060524 NPI: 1851813299 Ihc Murray Vascular And Granger Medical - Murray Pediatric Cardiothoracic Granger Medical - West Vein - Murray Womens Health Surgeons - Pcos Valley 5323 South Woodrow St 348 East 4500 South Ste 81 North Mario Capecchi 3725 West 4100 South Ste 101 200 Dr Salt Lake City, UT 84120 Salt Lake City, UT 84107 Salt Lake City, UT 84107 Salt Lake City, UT 84113 (801) 965-3600 (801) 261-8346 (801) 268-8222 (801) 662-5566 Spanish, Other, Non-English Gates, Jared NP ~ 84108 Lambert, Linda NP ~ NPI: 1275986952 Callister, Sara NP ~ NPI: 1013060524 Fawcett, Tina NP ~ Neurosurgical Associates NPI: 1083098917 Pediatric Cardiothoracic NPI: 1326422700 Llc - Murray Neurobehavior Home Surgeons - Salt Lake Granger Medical - West 5171 South Cottonwood St Program - Salt Lake 100 North Mario Capecchi Valley Ste 950 650 South Komas Dr Ste Dr 3725 West 4100 South Salt Lake City, UT 84107 200 Salt Lake City, UT 84113 Salt Lake City, UT 84120 (801) 507-9555 Salt Lake City, UT 84108 (801) 662-5566 (801) 965-3600 (801) 581-5515 Gonzales, Cathy NP ~* American Sign Language, Mueggenborg, Brenda 84123 NPI: 1861402331 Tagalog NP ~ Stewart, Mitzy APRN ~* Granger Medical - Asthma NPI: 1154371466 NPI: 1538147418 And Allergy - Murray 84111 Pediatric Bone Marrow Hopeful Beginnings - 5323 Woodrow St Ste 201 Olsen, Lisa APRN ~* Transplant - Pch Taylorsville Salt Lake City, UT 84107 NPI: 1134105364 100 North Mario Capecchi 5667 South Redwood Rd (385) 722-9140 Center For Human Dr Ste 6B Potential - Salt Lake Salt Lake City, UT 84113 Salt Lake City, UT 84123 Hedin Goldsmith, 265 East 100 South Ste 250 (801) 662-4700 (801) 979-1351 Kristina NP ~* Salt Lake City, UT 84111 NPI: 1235279944 (801) 483-2447 Tanner, Sidney APRN ~* Granger Medical - Murray NPI: 1730279365 Womens Health Pediatric Neurosurgery 348 East 4500 South Ste Specialty Services - Pch 200 100 North Mario Capecchi Salt Lake City, UT 84107 Dr (801) 268-8222 Salt Lake City, UT 84113 (801) 662-5340 ~ Accepting new patients/Aceptando a nuevos pacientes * Accepts Medicaid/Acepta Medicaid ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

227 Specialty Providers / Proveedores Especializados Nurse Practitioner continued/seguido

84124 Sandy Tooele Orem Berg, Wayne NP ~* 84094 84074 84057 NPI: 1851813299 Granger Medical - Doyle-Delgado, Kacie Aseltine, Phyllis NP ~ Gronseth, Margrit NP ~ Wasatch NP ~ NPI: 1376545251 NPI: 1700061520 1160 East 3900 South Ste NPI: 1932629946 Nephrology Associates - Wasatch Neonatal Llc - 1000 Ihc Sandy Clinic - 9450 Tooele Orem Salt Lake City, UT 84124 South 1244 North Main St Ste 730 West 800 North Ste (801) 262-1771 9450 South 1300 East 101 340B Spanish, Other, Sandy, UT 84094 Tooele, UT 84074 Orem, UT 84057 Non-English (801) 501-2100 (801) 288-2634 (801) 655-5425 South Jordan Utah Lundeen, Hayley NP ~ Bond-Bero, Stacey NP ~* NPI: 1316477342 NPI: 1295850626 84095 American Fork Granger Medical - Asthma Revere Health - Orem - Dumas, Kimberly NP ~ 84003 Cardiology And Allergy - Millcreek NPI: 1780709543 700 West 800 North Ste 1121 East 3900 South Ste Palliative Care - Clinical - Collett, Joan NP ~ 230 130 Medical Group - South NPI: 1164703328 Orem, UT 84057 Salt Lake City, UT 84124 Jordan Revere Health - Af - Cancer (801) 429-0620 (801) 281-1300 11520 South Redwood Rd Center South Jordan, UT 84095 1152 East 200 North Parry, Edward NP ~ Gonzales, Cathy NP ~* (385) 887-6000 American Fork, UT 84003 NPI: 1104370436 NPI: 1861402331 (801) 772-0698 Mountainstar Medical Granger Medical - Asthma West Jordan Group Neurosurgery - And Allergy - Millcreek Lundeen, Hayley NP ~ Orem 1121 East 3900 South Ste 84088 NPI: 1316477342 698 West 800 North Ste 130 Aseltine, Phyllis NP ~ Revere Health - Af - 210 Salt Lake City, UT 84124 NPI: 1376545251 Cardiology Orem, UT 84057 (801) 281-1300 Nephrology Associates - 1175 East 50 South Ste 251 (801) 262-5711 West Jordan American Fork, UT 84003 Steele, Isaac NP ~ 3823 West 9000 South (801) 492-2815 Provo NPI: 1386142586 West Jordan, UT 84088 Vmh - Highland Springs (801) 288-2634 Lehi 84601 Specialty A & D - Ste 100 84043 Earnshaw, Dallas NP ~ 4460 South Highland Dr Tooele NPI: 1780777649 Ste 100 Aseltine, Phyllis NP ~ Wasatch Mental Health - Salt Lake City, UT 84124 Stansbury Park NPI: 1376545251 Provo - Westpark Family (888) 949-4864 84074 Nephrology Associates - Clinic Lehi 750 North 200 West 84132 Carter, Catherine NP ~* 3000 North Triumph Blvd Provo, UT 84601 Jost, Denise NP NPI: 1245510627 Ste 340 (801) 373-4760 NPI: 1336239938 Stansbury Springs Health Lehi, UT 84043 Center (801) 288-2634 U Of U Cardiothoracic 576 East Highway 138 Ste 84604 Surgery Clinic 5 Bell, Damon NP ~ 50 North Medical Dr 350 Nielsen, Naomi NP ~ Stansbury Park, UT 84074 NPI: 1407237217 NPI: 1265963300 Salt Lake City, UT 84132 Utah Valley Senior Clinic - (801) 581-5311 (435) 843-1342 Utah Neurological Clinic Inc - Lehi Provo 3300 North Triumph Blvd 395 West Bulldog Blvd Ste Ste 330 602 Lehi, UT 84043 Provo, UT 84604 (801) 357-7404 (801) 373-3300

228 Specialty Providers / Proveedores Especializados Nurse Practitioner continued/seguido

Collett, Joan NP ~ Nielsen, Naomi NP ~ Saratoga Springs 84790 NPI: 1164703328 NPI: 1407237217 84045 Brown, Toni NP ~ Revere Health - Provo - Utah Neurological Clinic NPI: 1366951337 Medical Oncology Inc - Physicians Plaza Parry, Edward NP ~ Ihc St George Pulmonary 1055 North 500 West Ste 1055 North 300 West Ste NPI: 1104370436 Clinic - St George 202 Bldg C 400 Southwest Spine & Pain 1380 East Medical Center Provo, UT 84604 Provo, UT 84604 Care Specialists - Saratoga Dr Ste 2200 (801) 374-2367 (801) 357-7404 Springs Saint George, UT 84790 24 West Sergeant Court Dr (435) 251-2600 Colton, Chaz NP ~ Parry, Edward NP ~ Bldg NPI: 1518484005 NPI: 1104370436 Saratoga Springs, UT Ihc Utah Valley Psychiatry Southwest Spine And Pain 84045 Celani, Kindra NP ~ & Counseling - Provo Care Specialists - Provo 2 (385) 336-1157 NPI: 1639609357 1157 North 300 West 320 West River Park Dr Ihc Southwest Cardiology - Provo, UT 84604 Ste 255 Spanish Fork St George (801) 357-7525 Provo, UT 84604 1380 East Medical Center (385) 203-0246 84660 Dr Ste 1500 Parry, Edward NP ~ Saint George, UT 84790 Coy, Jenny NP ~ (435) 251-2500 NPI: 1215351416 Rawle, Nicole NP ~ NPI: 1104370436 Hearing And Balance NPI: 1669777314 Southwest Spine And Pain Institute - Provo Revere Health - Provo - Care Specialists - Spanish Fisher, Jennifer CNP ~ 1055 North 300 West Ste Dermatology & Skin Fork NPI: 1083925408 303 Cancer 336 West 100 South Ihc Dixie Regional Sleep Provo, UT 84604 1055 North 500 West Ste Spanish Fork, UT 84660 Disorders Center - St (385) 203-0246 George (801) 852-9696 111 Bldg C 652 South Medical Center Provo, UT 84604 Dr Ste 310 Coy, Jenny NP ~ (801) 374-8999 Whittaker, Kay NP ~ NPI: 1497793707 Saint George, UT 84790 NPI: 1215351416 (435) 251-3940 Peak Ent Associates Llc - Rogerson, Ann NP ~ Canyon View Family Provo NPI: 1770953317 Medicine - Spanish Fork 1055 North 300 West Ste Revere Health - Provo - 336 West 100 South Montgomery, Kelsie NP ~ 401 Cardiology Spanish Fork, UT 84660 NPI: 1437672326 Provo, UT 84604 1055 North 500 West Ste (801) 798-7301 Ihc Southwest Neurology (801) 357-7499 101 Bldg C Associates - St George Provo, UT 84604 Washington 652 South Medical Center (801) 373-4366 Dr Ste 320 Freeman, Rachel NP ~ Saint George Saint George, UT 84790 NPI: 1336697473 (435) 251-3950 Utah Surgical Associates - Rosser, Paul APRN ~* 84770 Provo NPI: 1760596175 Staheli, Deanne ARNP ~ Weber 3550 North University Ave Granger Medical - Provo NPI: 1851578777 Ste 250 1055 North 300 West Ste Ogden Provo, UT 84604 316 Ihc Behavioral Health Access Center Drmc - St 84403 (801) 374-9625 Provo, UT 84604 George (801) 357-7530 544 South 400 East Miller, Raymond NP ~ Lundeen, Hayley NP ~ Saint George, UT 84770 NPI: 1518401397 NPI: 1316477342 Williams, Lisa NP ~ (435) 688-4290 Ogden Clinic Professional Revere Health - Provo - NPI: 1831243971 Center - South Cardiology Revere Health - Provo - 4700 Harrison Blvd 1055 North 500 West Ste Dermatology & Skin Ogden, UT 84403 101 Bldg C Cancer (801) 475-3870 Provo, UT 84604 1055 North 500 West Ste (801) 373-4366 111 Bldg C Provo, UT 84604 (801) 374-8999

229 Specialty Providers / Proveedores Especializados Nurse Practitioner continued/seguido

84405 Peterson, Chase MD ~* Mcculloch, Kimberly Laine, Hannele MD ~ Egan, Stacie NP ~ NPI: 1407144702 MD ~* NPI: 1083817449 NPI: 1376062752 Ihc Bear River Specialists - NPI: 1154331585 Ihc Bountiful Clinic - Ogden Clinic - 6028 Tremonton Ihc Budge Clinic Ob/Gyn - Bountiful Ridgline Dr 935 North 1000 West Logan 390 North Main St 6028 Ridgeline Dr Ste 205 Tremonton, UT 84337 1400 North 500 East Bountiful, UT 84010 Ogden, UT 84405 (435) 207-4800 Logan, UT 84341 (801) 294-1000 (801) 475-3380 (435) 716-1920 Spanish Cache Olsen, Tandy MD ~* Mutscheller, Chelsea Erkelens, Nicole NP ~ Logan NPI: 1568756393 NPI: 1861476921 MD ~ 84341 Ihc Budge Clinic Ob/Gyn - NPI: 1184990889 Ihc Mckay Dee Vascular Logan Ihc Bountiful Clinic - And Vein - South Ogden Bertoldo, Nathan MD ~* 1400 North 500 East Bountiful 1486 East Skyline Dr NPI: 1851731558 Logan, UT 84341 390 North Main St Ogden, UT 84405 Mountainstar Medical (435) 716-1920 Bountiful, UT 84010 (801) 476-8346 Group Cache Valley Llc - (801) 294-1000 Logan Peterson, Chase MD ~* Rizzuto, Breawn NP ~ 2380 North 400 East Ste A NPI: 1407144702 Pead, William MD ~* NPI: 1023313020 Logan, UT 84341 Ihc Budge Clinic Ob/Gyn - NPI: 1639103252 Ihc Mckay Dee Vascular (435) 713-1300 Logan Ihc Bountiful Clinic - And Vein - South Ogden 1400 North 500 East Bountiful 1486 East Skyline Dr Campbell, Heather Logan, UT 84341 390 North Main St Ogden, UT 84405 MD ~* (435) 716-1920 Bountiful, UT 84010 (801) 476-8346 NPI: 1700860350 (801) 294-1000 Ihc Logan Maternal Fetal Smith, Erica MD ~* Obstetrics & Medicine - Logan NPI: 1932355468 Porter, Ryan MD ~* Gynecology 1400 North 500 East Ihc Budge Clinic Ob/Gyn - NPI: 1235387218 Logan, UT 84341 Logan Lakeview Obgyn - (435) 716-1958 1400 North 500 East Bountiful Box Elder Logan, UT 84341 620 East Medical Dr Ste Craig, Kristin MD ~* Brigham City (435) 716-1920 340 NPI: 1225043995 Bountiful, UT 84010 84302 Ihc Budge Clinic Ob/Gyn - Davis (801) 299-2229 Logan Nielsen Jr, Florin MD ~* 1400 North 500 East NPI: 1508811639 Bountiful Robinson, Lucinda MD ~ Logan, UT 84341 NPI: 1700894375 Box Elder Community (435) 716-1920 84010 Health Center - Brigham Ihc Bountiful Clinic - City Cannon, Cynthia MD ~ Bountiful 5 West 200 North Horsley, Ernest DO ~* NPI: 1700894383 390 North Main St Brigham City, UT 84302 NPI: 1003826439 Ihc Bountiful Clinic - Bountiful, UT 84010 Ihc Budge Clinic Ob/Gyn - Bountiful (801) 294-1000 (435) 723-7999 Logan 390 North Main St Tremonton 1400 North 500 East Bountiful, UT 84010 Rose, Susan MD ~ Logan, UT 84341 (801) 294-1000 NPI: 1518088087 84337 (435) 716-1920 Ihc Bountiful Clinic - Peterson, Chase MD ~* Portugese, Spanish Hansen, Brooke MD ~ Bountiful NPI: 1407144702 NPI: 1467778548 390 North Main St Ihc Bear River Family Ihc Bountiful Clinic - Bountiful, UT 84010 Medicine - Tremonton Bountiful (801) 294-1000 935 North 1000 West 390 North Main St Tremonton, UT 84337 Bountiful, UT 84010 (435) 207-4800 (801) 294-1000

230 Specialty Providers / Proveedores Especializados Obstetrics & Gynecology continued/seguido

Stowers, Mark MD ~ Wood, Sara DO ~ Bowman, Jane MD ~ Reynolds, Mary CNM ~ NPI: 1760410203 NPI: 1033147137 NPI: 1073621611 NPI: 1447263959 Ihc Bountiful Clinic - Ihc Layton Clinic - Layton Ihc Southridge Clinic Ihc Salt Lake Clinic - Bountiful 2075 University Park Blvd Ob/Gyn - Riverton Ob/Gyn 390 North Main St Layton, UT 84041 3723 West 12600 South Ste 389 South 900 East Bountiful, UT 84010 (801) 779-6200 360 Salt Lake City, UT 84102 (801) 294-1000 Riverton, UT 84065 (385) 282-2800 Syracuse (801) 285-4700 Spanish Tilly, Shannon MD ~ NPI: 1093767196 84075 Chavez, Javier MD ~* Schwartzmann, Stephanie Ihc Bountiful Clinic - Jiricko, Audrey MD ~ NPI: 1295020949 MD ~ Bountiful NPI: 1962510016 Granger Medical - Riverton NPI: 1568786507 390 North Main St Ihc Syracuse Clinic - 12391 South 4000 West Ihc Salt Lake Clinic - Bountiful, UT 84010 Syracuse Riverton, UT 84065 Infusion (801) 294-1000 745 South 2000 West (801) 302-1700 389 South 900 East Spanish Syracuse, UT 84075 Spanish Salt Lake City, UT 84102 (801) 525-2400 (385) 282-2750 Layton Cleveland, Amanda Iron MD ~* Schwartzmann, Stephanie 84041 NPI: 1487815650 MD ~ Foss, Cassandra MD ~ Cedar City Jordan River Womens NPI: 1568786507 NPI: 1851603195 84720 Health Pc - Riverton Ihc Salt Lake Clinic - Ihc Layton Clinic - Layton 13348 S Market Center Dr Ob/Gyn 2075 University Park Blvd Bilanzich, Travis MD ~* Ste 200 389 South 900 East Layton, UT 84041 NPI: 1336331958 Riverton, UT 84065 Salt Lake City, UT 84102 (801) 779-6200 Ihc Cedar City Clinic - (801) 561-2227 (385) 282-2800 Cedar City Foss, Cassandra MD ~ 1303 North Main St Ste 3C Porter, Ryan MD ~* Servoss, Allyson MD ~ NPI: 1851603195 Cedar City, UT 84720 NPI: 1235387218 NPI: 1124282504 Ihc Wasatch Ob/Gyn - (435) 868-5500 Ihc Southridge Clinic Ihc Salt Lake Clinic - Layton Ob/Gyn - Riverton Ob/Gyn 2075 Universtiy Park Blvd Gatherum, Daren DO ~* 3723 West 12600 South Ste 389 South 900 East Layton, UT 84041 NPI: 1770504284 360 Salt Lake City, UT 84102 (801) 779-6200 Ihc Cedar City Clinic - Riverton, UT 84065 (385) 282-2800 Cedar City (801) 285-4700 Jiricko, Audrey MD ~ 1303 North Main St Ste 3C Travarelli, Jennifer MD ~ NPI: 1962510016 Cedar City, UT 84720 Salt Lake City NPI: 1295026979 Ihc Layton Clinic - Layton (435) 868-5500 Ihc Salt Lake Clinic - 2075 University Park Blvd 84102 Ob/Gyn Layton, UT 84041 Salt Lake Byno, Ashley MD ~ 389 South 900 East (801) 779-6200 Riverton NPI: 1467588442 Salt Lake City, UT 84102 Ihc Salt Lake Clinic - (385) 282-2800 Judson, Patricia MD ~* 84065 Ob/Gyn NPI: 1063504983 Black, Kristen DO ~ 389 South 900 East 84103 Center For Womens NPI: 1982965034 Salt Lake City, UT 84102 (385) 282-2800 Boll, Melissa CNM ~ Oncology - Pgu - Layton Ihc Southridge Clinic NPI: 1124080775 1580 West Antelope Dr Ste Ob/Gyn - Riverton Ihc Avenues Womens 290 3723 West 12600 South Ste Judson, Patricia MD ~* Center - Salt Lake Layton, UT 84041 360 NPI: 1063504983 370 9Th Ave Ste 205 (801) 601-2270 Riverton, UT 84065 Rocky Mountain Womens Salt Lake City, UT 84103 (801) 285-4700 Health Center - Salt Lake 82 South 1100 East Ste 305 (801) 408-6100 Salt Lake City, UT 84102 (801) 214-7650

231 Specialty Providers / Proveedores Especializados Obstetrics & Gynecology continued/seguido

Cannon, Cynthia MD ~ Mutscheller, Chelsea Tilly, Shannon MD ~ Brown, Melissa MD ~ NPI: 1700894383 MD ~ NPI: 1093767196 NPI: 1508881210 Ihc Avenues Womens NPI: 1184990889 Ihc Avenues Womens Ihc Obstetrics And Center - Salt Lake Ihc Avenues Womens Center - Salt Lake Gynecology Specialists - 370 9Th Ave Ste 205 Center - Salt Lake 370 9Th Ave Ste 205 Murray Salt Lake City, UT 84103 370 9Th Ave Ste 205 Salt Lake City, UT 84103 5063 South Cottonwood St (801) 408-6100 Salt Lake City, UT 84103 (801) 408-6100 Ste 120 (801) 408-6100 Spanish Salt Lake City, UT 84107 Clark, Erin MD ~ (801) 507-1800 NPI: 1457305757 Rallison, Scott MD ~ 84104 Ihc Avenues Womens NPI: 1407899321 Porter, Troy MD ~* Desano, Alison MD ~ Center - Salt Lake Intermountain Avenues NPI: 1245310143 NPI: 1902912611 370 9Th Ave Ste 205 Midwifery & Womens Sorenson Nurse Midwifery Ihc Obstetrics And Salt Lake City, UT 84103 Health - Salt Lake Gynecology Specialists - (801) 408-6100 324 10Th Avenue Ste 184 855 West 1300 South Murray Salt Lake City, UT 84103 Salt Lake City, UT 84104 5063 South Cottonwood St Draper, Michael MD ~* (801) 408-1440 (801) 507-7070 Ste 120 NPI: 1992769368 German Spanish Salt Lake City, UT 84107 Ihc Avenues Womens (801) 507-1800 Center - Salt Lake Robinson, Lucinda MD ~ Reynolds, Mary CNM ~ 370 9Th Ave Ste 205 NPI: 1700894375 NPI: 1447263959 Draper, Michael MD ~* Salt Lake City, UT 84103 Ihc Avenues Womens Sorenson Nurse Midwifery NPI: 1992769368 (801) 408-6100 Center - Salt Lake - Salt Lake Ihc Maternal Fetal French 370 9Th Ave Ste 205 855 West 1300 South Medicine Specialists - Salt Lake City, UT 84103 Salt Lake City, UT 84104 Murray Gibbins, Karen MD ~ (801) 408-6100 (801) 507-7070 5121 South Cottonwood St NPI: 1457581688 Spanish Ste 130 Avenues Womens Center - Rose, Susan MD ~ Salt Lake City, UT 84107 Salt Lake City NPI: 1518088087 (801) 507-7400 Royer, Pamela MD ~ French 370 9Th Ave Ste 205 Ihc Avenues Womens NPI: 1114161262 Salt Lake City, UT 84103 Center - Salt Lake Community Health (801) 408-6100 370 9Th Ave Ste 205 Centers - Salt Lake City Esplin, Michael MD ~* Salt Lake City, UT 84103 1388 South Navajo St NPI: 1205916111 Hansen, Brooke MD ~ (801) 408-6100 Salt Lake City, UT 84104 Ihc Maternal Fetal NPI: 1467778548 (801) 955-2360 Medicine Specialists - Ihc Avenues Womens Stowers, Mark MD ~ Spanish Murray Center - Salt Lake NPI: 1760410203 5121 South Cottonwood St 370 9Th Ave Ste 205 Intermountain Avenues Ste 130 Salt Lake City, UT 84103 Midwifery & Womens 84107 Salt Lake City, UT 84107 (801) 408-6100 Health Boll, Melissa CNM ~ (801) 507-7400 324 10Th Avenue Ste 184 NPI: 1124080775 Spanish Laine, Hannele MD ~ Salt Lake City, UT 84103 Ihc Intermountain Nurse NPI: 1083817449 (801) 408-1440 Midwives - Murray Gibbins, Karen MD ~ Ihc Avenues Womens 5121 South Cottonwood St NPI: 1457581688 Center - Salt Lake Sullivan, Amy MD ~ Ste 170 Ihc Maternal Fetal 370 9Th Ave Ste 205 NPI: 1922028166 Salt Lake City, UT 84107 Medicine Specialists - Salt Lake City, UT 84103 Ihc Avenues Womens (801) 507-7070 Murray (801) 408-6100 Center - Salt Lake 5121 South Cottonwood St Spanish 370 9Th Ave Ste 205 Ste 130 Salt Lake City, UT 84103 Salt Lake City, UT 84107 (801) 408-6100 (801) 507-7400

232 Specialty Providers / Proveedores Especializados Obstetrics & Gynecology continued/seguido

Gravelle, Lisa MD ~ Parrett, Amelia MD ~ Zarek, Sarah MD ~ Hunn, Jessica MD ~* NPI: 1821028820 NPI: 1508008905 NPI: 1245404391 NPI: 1992978712 Ihc Obstetrics And Ihc Obstetrics And Ihc Obstetrics And Valley Womens Health - Gynecology Specialists - Gynecology Specialists - Gynecology Specialists - Slc 1250 E 3900 S Murray Murray Murray 1250 East 3900 South Ste 5063 South Cottonwood St 5063 South Cottonwood St 5063 South Cottonwood St 200 Ste 120 Ste 120 Ste 120 Salt Lake City, UT 84124 Salt Lake City, UT 84107 Salt Lake City, UT 84107 Salt Lake City, UT 84107 (385) 347-5450 (801) 507-1800 (801) 507-1800 (801) 507-1800 Hunn, Jessica MD ~* Hebert, Andrea MD ~ Pieper, Sara MD ~ 84108 NPI: 1992978712 NPI: 1437189594 NPI: 1134159106 Peterson, Charles MD Womens Health And Ihc Obstetrics And Ihc Obstetrics And NPI: 1316037930 Oncology Services - Salt Gynecology Specialists - Gynecology Specialists - Utah Center For Lake City Murray Murray Reproductive Medicine 1140 E 3900 S Ste 300B 5063 South Cottonwood St 5063 South Cottonwood St 675 Arapeen Dr Ste 205 Salt Lake City, UT 84124 Ste 120 Ste 120 Salt Lake City, UT 84108 (385) 347-5450 Salt Lake City, UT 84107 Salt Lake City, UT 84107 (801) 581-4838 (801) 507-1800 (801) 507-1800 Jensen, Kevin MD ~* Spanish Spanish NPI: 1942527734 84113 Monarch Womens Cancer Henderson, Stephanie Ponder, Rebecca MD ~ Harris, Katherine MD ~* Center - Holladay MD ~* NPI: 1669499349 NPI: 1447588728 1140 East 3900 South Ste NPI: 1982997284 Ihc Obstetrics And Peds Ob/Gyn Specialty 340 Granger Medical - Murray Gynecology Specialists - Division Salt Lake City, UT 84124 Womens Health Murray 100 North Mario Capecchi (801) 743-4730 348 East 4500 South Ste 5063 South Cottonwood St Dr Spanish 200 Ste 120 Salt Lake City, UT 84113 Salt Lake City, UT 84107 Salt Lake City, UT 84107 (801) 213-2995 Jensen, Kevin MD ~* (801) 268-8222 (801) 507-1800 NPI: 1942527734 84124 St Marks Obstetrics & Loewen, Natalie MD ~ Reynolds, Mary CNM ~ Carpenter, Jeanette Gynecology Associates - NPI: 1891763199 NPI: 1447263959 MD ~* Holladay Ihc Obstetrics And Ihc Intermountain Nurse NPI: 1467628263 1140 East 3900 South Ste Gynecology Specialists - Midwives - Murray Obstetrix Medical Group 400 Murray 5121 South Cottonwood St Of Utah Pc - Salt Lake Salt Lake City, UT 84124 5063 South Cottonwood St Ste 170 1140 East 3900 South Ste (801) 268-6811 Ste 120 Salt Lake City, UT 84107 390 Spanish Salt Lake City, UT 84107 (801) 507-7070 Salt Lake City, UT 84124 (801) 507-1800 Spanish (801) 743-4700 Kinghorn, Jennifer MD ~* Mainwaring, Robin MD ~ Royer, Pamela MD ~ Hunn, Jessica MD ~* NPI: 1750359170 NPI: 1043276033 NPI: 1114161262 NPI: 1992978712 St Marks Obstetrics & Granger Medical - Murray Ihc Obstetrics And Valley Womens Health - Gynecology Associates - Womens Health Gynecology Specialists - Gyn / Onc - Salt Lake City Holladay 348 East 4500 South Ste Murray 1140 East 3900 South Ste 1140 East 3900 South Ste 200 5063 South Cottonwood St 300 400 Salt Lake City, UT 84107 Ste 120 Salt Lake City, UT 84124 Salt Lake City, UT 84124 (801) 268-8222 Salt Lake City, UT 84107 (385) 347-5450 (801) 268-6811 (801) 507-1800 Polish Spanish

233 Specialty Providers / Proveedores Especializados Obstetrics & Gynecology continued/seguido

Moran, Linh MD ~* Esplin, Michael MD ~* Eddy, Janet MD ~* Langer, Kathleen MD ~* NPI: 1447593520 NPI: 1205916111 NPI: 1770929895 NPI: 1710959416 St Marks Obstetrics & Ihc Alta View Maternal South Valley Womens South Valley Womens Gynecology Associates - Fetal Medicine - Sandy Health Care Pc - West Health Care Pc - West Holladay 9660 South 1300 East Jordan Jordan 1140 East 3900 South Ste Sandy, UT 84094 3570 West 9000 South Ste 3570 West 9000 South Ste 400 (801) 501-2332 210 210 Salt Lake City, UT 84124 Spanish West Jordan, UT 84088 West Jordan, UT 84088 (801) 268-6811 (801) 569-2626 (801) 569-2626 Larsen, Kenneth MD ~ Spanish 84129 NPI: 1588767081 Moreland, Kimberly Reynolds, Mary CNM ~ Ihc Sandy Ob/Gyn - Sandy Hansen, Scott MD ~* MD ~* NPI: 1447263959 9600 South 1300 East Ste NPI: 1164402897 NPI: 1871572008 Ihc Taylorsville Clinic - 308 South Valley Womens South Valley Womens Taylorsville Sandy, UT 84094 Health Care Pc - West Health Care Pc - West 3845 West 4700 South (801) 501-2160 Jordan Jordan Salt Lake City, UT 84129 French 3570 West 9000 South Ste 3570 West 9000 South Ste (801) 840-2000 210 210 Spanish Walker, Kathryn MD ~* West Jordan, UT 84088 West Jordan, UT 84088 NPI: 1780795591 (801) 569-2626 (801) 569-2626 Ihc Sandy Ob/Gyn - Sandy Spanish 84132 9600 South 1300 East Ste Hunn, Jessica MD ~* Ostler, Leslie MD ~* 308 NPI: 1992978712 Oliver, Rachel MD ~* NPI: 1568683738 Sandy, UT 84094 Valley Womens Health - NPI: 1043449366 University Of Utah Hosp (801) 501-2160 West Jordan Lone Peak Obgyn - West Department Of Ob/Gyn 50 3590 West 9000 South Ste Jordan N Medical Dv West Jordan 100 8846 South Redwood Rd 50 N Medical Drive West Jordan, UT 84088 Ste E121 Salt Lake City, UT 84132 84088 (385) 347-5450 West Jordan, UT 84088 (801) 213-2995 Bechek, Frances MD ~* (801) 569-1999 Spanish NPI: 1053622555 Judson, Patricia MD ~* Spanish South Valley Womens NPI: 1063504983 84143 Health Care Pc - West Jordan Valley Internal West Valley City Gibbins, Karen MD ~ Jordan Medicine - Ste 140 84120 NPI: 1457581688 3570 West 9000 South Ste 3570 West 9000 South Ste Ihc Lds Maternal Fetal 210 140 Boll, Melissa CNM ~ Medicine - Salt Lake West Jordan, UT 84088 West Jordan, UT 84088 NPI: 1124080775 8Th Avenue & C Street (801) 569-2626 (801) 964-3865 Ihc West Valley Specialty Salt Lake City, UT 84143 Clinic - West Valley (801) 408-3446 Cleveland, Amanda Judson, Patricia MD ~* 5373 West Lake Park Blvd MD ~* NPI: 1063504983 West Valley City, UT NPI: 1487815650 Physicians Group Of Utah 84120 Sandy Jordan River Womens - West Jordan Ste 210 (801) 902-7960 84094 Health Pc - West Jordan 3592 West 9000 South Ste Coyle, Lauren MD ~ 3584 West 9000 South Ste 210 Reynolds, Mary CNM ~ NPI: 1780027821 206 West Jordan, UT 84088 NPI: 1447263959 Ihc Sandy Ob/Gyn - Sandy West Jordan, UT 84088 (801) 208-1050 Ihc West Valley Specialty 9600 South 1300 East Ste (801) 561-2227 Clinic - West Valley 308 5373 West Lake Park Blvd Sandy, UT 84094 West Valley City, UT (801) 501-2160 84120 (801) 902-7960 Spanish

234 Specialty Providers / Proveedores Especializados Obstetrics & Gynecology continued/seguido

Tooele Watabe, Bryan MD ~* Oliver, Rachel MD ~* Lawrence, Kari MD ~ NPI: 1245296623 NPI: 1043449366 NPI: 1508827072 Tooele Ihc Legacy Ob/Gyn - Timpanogos Womens New Beginnings Nurse 84074 American Fork Center - Lehi Midwifery - Orem 1159 East 200 North Ste 3401 North Center St Ste 527 West 400 North Ste 4 Mirdamadi, Meena 250 150 Orem, UT 84057 MD ~* American Fork, UT 84003 Lehi, UT 84043 (801) 714-3388 NPI: 1619395332 (801) 855-2980 (801) 653-2757 Wellsprings Women’S Care Spanish Mccarter, John MD ~* 196 East 2000 North Ste Lehi NPI: 1679761365 101 Thomas, Andrew MD ~ Valley Obstetrics And Tooele, UT 84074 84043 NPI: 1104163575 Gynecology, Provo Cnm (435) 843-3678 Jensen, Kevin MD ~* Ihc Saratoga Springs Group - Orem Spanish NPI: 1942527734 Family Practice - Saratoga 700 West 800 North Ste Timpanogos Womens Springs 200 Utah Center - Lehi 354 West State Rd 73 Orem, UT 84057 American Fork 3401 North Center St Ste Lehi, UT 84043 (801) 374-1801 150 (801) 766-4567 French 84003 Lehi, UT 84043 Spanish Jones, Ryan MD ~ (801) 653-2757 Weibell, Nicholai MD ~ NPI: 1003872433 Spanish Voss, Stephen MD ~* NPI: 1083732754 Ihc Legacy Ob/Gyn - NPI: 1982799581 University Obstetrics And American Fork Kinghorn, Jennifer Timpanogos Womens Gynecology - Provo 1159 East 200 North Ste MD ~* Center - Lehi 700 West 800 North Ste 250 NPI: 1750359170 3401 North Center St Ste 200 American Fork, UT 84003 Timpanogos Womens 150 Orem, UT 84057 (801) 855-2980 Center - Lehi Lehi, UT 84043 (801) 374-5000 French 3401 North Center St Ste (801) 653-2757 Spanish 150 Lee, Justin MD ~ Lehi, UT 84043 Wexler, Kristin DO ~* Young, Wayne MD ~ NPI: 1104913425 (801) 653-2757 NPI: 1891050928 NPI: 1952317851 Ihc American Fork Polish Timpanogos Women's Ihc Summit Ob/Gyn - Specialty - Am Fork Center - Lehi Orem 98 North 1100 East Ste 402 Madsen, Jenna DO ~* 3401 North Center St Ste 505 West 400 North American Fork, UT 84003 NPI: 1063851343 150 Orem, UT 84057 (801) 492-2320 Timpanogos Women's Lehi, UT 84043 (801) 714-3422 Center - Lehi (801) 653-2757 Thomas, Andrew MD ~ 3401 North Center St Ste Payson NPI: 1104163575 150 Orem Lehi, UT 84043 84651 Ihc Legacy Ob/Gyn - 84057 American Fork (801) 653-2757 Grover, Steven MD ~ 1159 East 200 North Ste Grover, Steven MD ~ NPI: 1144374174 250 Miller, Emma DO ~* NPI: 1144374174 Ihc Payson Clinic - Payson American Fork, UT 84003 NPI: 1609162296 Ihc Summit Ob/Gyn - 854 Turf Farm Rd Ste 1 (801) 855-2980 Mountainstar Medical Orem Payson, UT 84651 Spanish Group Timpanogos 505 West 400 North (801) 465-6200 Specialty Care - Lehi Orem, UT 84057 French 1020 South 1100 East Ste B (801) 714-3422 Lehi, UT 84043 French (801) 653-2757

235 Specialty Providers / Proveedores Especializados Obstetrics & Gynecology continued/seguido

Laraway, John MD ~* Mccarter, John MD ~* Chalmers Iv, Robert Howey, Susan MD ~* NPI: 1255378212 NPI: 1679761365 MD ~* NPI: 1639242035 Payson Womens Care - Valley Obstetrics And NPI: 1114973708 Ihc Dixie High Risk Ob - St Payson Gynecology - Provo 1900 N Ihc Womens Health George 15 South 1000 East Ste 125 1900 North State St Ste 103 Specialists - St George 544 South 400 East Payson, UT 84651 Provo, UT 84604 346 East 600 South Saint George, UT 84770 (801) 465-2559 (801) 404-5588 Saint George, UT 84770 (435) 688-4470 French (435) 688-4600 Provo Kvarfordt, Tracy MD ~* Steffen, Susan MD ~ Chun-Moon, Deborah NPI: 1053313676 84601 NPI: 1518988799 MD ~* Ihc Dixie High Risk Ob - St Mccarter, John MD ~* Ihc Summit Womens NPI: 1760553663 George NPI: 1679761365 Center - Provo Ihc Dixie High Risk Ob - St 544 South 400 East Valley Obstetrics And 1157 North 300 West Ste George Saint George, UT 84770 Gynecology - Provo 301 544 South 400 East (435) 688-4470 585 North 500 West Provo, UT 84604 Saint George, UT 84770 Spanish Provo, UT 84601 (801) 357-7009 (435) 688-4470 (801) 374-1801 Nichols, John DO ~* French Young, Wayne MD ~ Chun-Moon, Deborah NPI: 1114906252 NPI: 1952317851 MD ~* Ihc Dixie High Risk 84604 Ihc Summit Ob/Gyn - NPI: 1760553663 Fertility - St George Grover, Steven MD ~ Provo Ihc Dixie Maternal Fetal 544 South 400 East NPI: 1144374174 1157 North 300 West Ste Medicine - St George Saint George, UT 84770 Ihc Summit Womens 301 544 South 400 East (435) 688-4848 Center - Provo Provo, UT 84604 Saint George, UT 84770 1157 North 300 West Ste (801) 714-3422 (435) 688-4770 Nichols, John DO ~* 301 NPI: 1114906252 Provo, UT 84604 Spanish Fork Ellis, Diane MD ~* Ihc Dixie High Risk Ob - St (801) 357-7009 84660 NPI: 1447448865 George French Ihc Dixie High Risk Ob - St 544 South 400 East Laraway, John MD ~* George Saint George, UT 84770 Lawrence, Kari MD ~ NPI: 1255378212 544 South 400 East (435) 688-4470 NPI: 1508827072 Canyon View Womens Saint George, UT 84770 Ihc Summit Womens Care - Spanish Fork (435) 688-4470 Ott, Richard MD ~* Center - Provo 325 West Center St French NPI: 1003816927 1157 North 300 West Ste Spanish Fork, UT 84660 Ihc Womens Health 301 (801) 798-7301 Esplin, Michael MD ~* Specialists - St George Provo, UT 84604 NPI: 1205916111 346 East 600 South (801) 357-7009 Washington Ihc Dixie Maternal Fetal Saint George, UT 84770 Medicine - St George (435) 688-4600 Saint George Lee, Justin MD ~ 544 South 400 East NPI: 1104913425 84770 Saint George, UT 84770 Strebel, Robert MD ~ (435) 688-4770 NPI: 1629013248 Ihc Summit Womens Chalmers Iv, Robert Center - Provo Spanish Ihc Womens Health MD ~* Specialists - St George 1157 North 300 West Ste NPI: 1114973708 301 Fleenor, Karen MD ~* 346 East 600 South Ihc Dixie High Risk Ob - St NPI: 1295843308 Saint George, UT 84770 Provo, UT 84604 George (801) 357-7009 Ihc Dixie High Risk Ob - St (435) 688-4600 544 South 400 East George Saint George, UT 84770 544 South 400 East (435) 688-4470 Saint George, UT 84770 (435) 688-4470

236 Specialty Providers / Proveedores Especializados Obstetrics & Gynecology continued/seguido

Walker, Kathryn MD ~* Clark, Erin MD ~ Nielson, Kandice MD ~ 84414 NPI: 1780795591 NPI: 1457305757 NPI: 1720252513 Beverly, Steven MD * Ihc Dixie High Risk Ob - St Ihc Mckay Dee Maternal Ihc Wasatch Ob/Gyn - NPI: 1700878279 George Fetal Medicine - Ogden Ogden Ogden Clinic - Mountain 544 South 400 East 4401 Harrison Blvd Ste 4403 Harrison Blvd Ste View Saint George, UT 84770 4600 4815 1100 West 2700 North (435) 688-4470 Ogden, UT 84403 Ogden, UT 84403 Ogden, UT 84414 (801) 387-4647 (801) 387-8350 (801) 475-3000 Walker, Kathryn MD ~* NPI: 1780795591 Foss, Cassandra MD ~ Roberts, Audrey MD ~* Foss, Cassandra MD ~ Ihc Womens Health NPI: 1851603195 NPI: 1073953238 NPI: 1851603195 Specialists - St George Ihc Wasatch Ob/Gyn - Ogden Clinic - 4650 South Ihc Wasatch Ob/Gyn - 346 East 600 South Ogden Harrison Blvd North Ogden Saint George, UT 84770 4403 Harrison Blvd Ste 4650 Harrison Blvd 2400 North Washington (435) 688-4600 4815 Ogden, UT 84403 Blvd Ogden, UT 84403 (801) 475-3000 Ogden, UT 84414 Wong, Alice MD ~* (801) 387-8350 (801) 786-7500 NPI: 1912080896 Roberts, Audrey MD ~* Ihc Dixie High Risk Ob - St Jiricko, Audrey MD ~ NPI: 1073953238 Lister, Margit MD ~ George NPI: 1962510016 Ogden Clinic Womens NPI: 1528098571 544 South 400 East Ihc Mckay Dee Porter Center Mckay Ihc North Ogden Clinic - Saint George, UT 84770 Family Practice - Ogden 4403 Harrison Blvd Ste Ogden (435) 688-4470 4403 Harrison Blvd Ste 4650 2400 North Washington A700 Ogden, UT 84403 Blvd Weber Ogden, UT 84403 (801) 475-3240 Ogden, UT 84414 (801) 387-5300 (801) 786-7500 Ogden Wood, Sara DO ~ 84403 Lister, Margit MD ~ NPI: 1033147137 Mencer, Margret MD ~ NPI: 1528098571 Ihc Wasatch Ob/Gyn - Beverly, Steven MD * NPI: 1841558780 Ihc Wasatch Ob/Gyn - Ogden Ihc Wasatch Ob/Gyn - NPI: 1700878279 Ogden 4403 Harrison Blvd Ste Ogden Clinic Womens North Ogden 4403 Harrison Blvd Ste 4815 2400 North Washington Center Mckay 4815 Ogden, UT 84403 4403 Harrison Blvd Ste Blvd Ogden, UT 84403 (801) 387-8350 Ogden, UT 84414 4650 (801) 387-8350 Ogden, UT 84403 (801) 786-7500 (801) 475-3240 84405 Spanish Mencer, Margret MD ~ Carpenter, Jeanette NPI: 1841558780 MD ~* Moyer, Stacia MD ~ Campbell, Heather Ihc Wasatch Ob/Gyn - MD ~* NPI: 1467628263 NPI: 1760616775 Ogden Obstetrix Medical Group Ihc Wasatch Ob/Gyn - NPI: 1700860350 4403 Harrison Blvd Ste Ihc Mckay Dee Maternal Of Utah Pc - Ogden North Ogden 4815 5495 South 500 East Ste 2400 North Washington Fetal Medicine - Ogden Ogden, UT 84403 4401 Harrison Blvd Ste 100 Blvd (801) 387-8350 Ogden, UT 84405 Ogden, UT 84414 4600 Spanish Ogden, UT 84403 (801) 743-4700 (801) 786-7500 (801) 387-4647 Moyer, Stacia MD ~ NPI: 1760616775 Ihc Wasatch Ob/Gyn - Ogden 4403 Harrison Blvd Ste 4815 Ogden, UT 84403 (801) 387-8350

237 Specialty Providers / Proveedores Especializados

Obstetrics & West Jordan Davis Knowles, Jeremy OT ~* NPI: 1275872574 Gynecology Nurse 84088 Bountiful Wasatch Peak Physical Brown, Wesley MD ~* 84010 Therapy - Layton Practitioner NPI: 1932229416 1492 West Antelope Dr Ste Jordan Valley Dermatology Honey, Ronald OT ~* 100 Salt Lake Center Llc - West Jordan NPI: 1659401354 Layton, UT 84041 3570 West 9000 South Ste Ronald K Honey - (801) 825-8091 Riverton 220 Bountiful 84065 West Jordan, UT 84088 2280 South 750 East Larson, Jacob OT ~* Bountiful, UT 84010 Judd, Angela MD ~* (801) 569-1456 NPI: 1538615943 (801) 455-8163 Summit Hand Therapy Llc NPI: 1497016125 Japanese Western Gynecological Occupational - Layton 1992 West Antelope Dr Ste And Obstetrical Clinic Inc - Layton Riverton Therapist 1D 3723 West 12600 South Ste 84040 Layton, UT 84041 350 Cache (801) 773-2633 Irvin, Amy OT ~* Spanish Riverton, UT 84065 Logan NPI: 1578987574 (801) 285-4800 Alternative Behavior 84321 Strategies - Layton Salt Lake Occupational Benson, Jordan OTR ~* 2940 North Church St Ste Draper NPI: 1437687712 303 Medicine Aquaworx - Logan Layton, UT 84040 84020 209 West 300 North (801) 935-4171 Ellis, Kaylyn MD ~* Salt Lake Logan, UT 84321 NPI: 1316388564 Salt Lake City (435) 716-8535 84041 Functionabilities Inc - Abel, Linda OT ~* Draper 84107 Christensen, Brock NPI: 1528114733 12453 South 265 West Ste Brown, Wesley MD ~* OTR ~* Tanner Memorial Clinic - B NPI: 1932229416 NPI: 1780070367 Layton Draper, UT 84020 Ent Specialists Llc - Salt Aquaworx - Logan 2121 North 1700 West (801) 443-7775 Lake City 209 West 300 North Layton, UT 84041 4000 South 700 East Ste 10 Logan, UT 84321 (801) 773-4840 Quaife, August OT ~* Salt Lake City, UT 84107 (435) 716-8535 Japanese NPI: 1629475967 (801) 268-4141 Functionabilities Inc - 84341 Delong, Samuel OT ~* Draper NPI: 1780603910 12453 South 265 West Ste 84113 Holt, Debbie OT * B Book, Linda MD ~* NPI: 1528074143 Summit Hand Therapy Llc - Layton Draper, UT 84020 NPI: 1033298609 Logan Regional Hospital - (801) 443-7775 Pediatric Gastroenterology Service 1992 West Antelope Dr Ste - Pcos 1400 North 500 East 1D Logan, UT 84341 Layton, UT 84041 Shackelford, Rachel 81 North Mario Capecchi OT ~* Dr (435) 716-5320 (801) 773-2633 Chinese, Mandarin NPI: 1245760172 Salt Lake City, UT 84113 Functionabilities Inc - (801) 213-3599 Givogue, Elizabeth OT ~* Draper NPI: 1417192212 12453 South 265 West Ste Wasatch Peak Physical B Therapy - Layton Draper, UT 84020 1492 West Antelope Dr Ste (801) 443-7775 100 Layton, UT 84041 (801) 825-8091

238 Specialty Providers / Proveedores Especializados Occupational Therapist continued/seguido

Midvale Papi Baker, Kathleen 84108 Stotts, Paige OT ~* 84047 OT ~* Barrios, Kristine OT ~* NPI: 1053312744 NPI: 1679655625 NPI: 1871948513 Hand & Orthopedic West, Tiffany OT ~* Avenues Sports Therapy & Life Skills Clinic - Slc Rehabilitation Specialists - NPI: 1932521663 Hand Care - Salt Lake 540 Arapeen Drive Ste 200 Murray Mountain View Physical 370 East Ninth Ave Ste 201 Salt Lake City, UT 84108 5151 South 900 East Ste Therapy And Salt Lake City, UT 84103 (801) 585-7448 100 Rehabilitation - Midvale (801) 408-5735 Salt Lake City, UT 84117 6770 South 900 East Ste Spanish (801) 261-3321 100 84104 Midvale, UT 84047 84113 Tiley, Donna OT ~* (801) 996-3626 Nielson Jones, Kristen Manwill, Joel OT ~* NPI: 1194726786 OT ~* NPI: 1750412193 Hand & Orthopedic Salt Lake City NPI: 1568457000 General Pediatrics - Pch Rehabilitation Specialists - Rmts At Firstmed 100 North Mario Capecchi Murray 84102 Industrial - Salt Lake Dr 5151 South 900 East Ste Irvin, Amy OT ~* 441 South Redwood Rd Salt Lake City, UT 84113 100 NPI: 1578987574 Salt Lake City, UT 84104 (801) 662-1000 Salt Lake City, UT 84117 Alternative Behavior (801) 975-1403 Italian (801) 261-3321 Strategies - Salt Lake 515 South 700 East Ste 2A 84107 Manwill, Joel OT ~* 84120 Salt Lake City, UT 84102 Anderson, Sarah OT ~ NPI: 1750412193 (801) 935-4171 NPI: 1871640227 Pediatric Orthopedics Nielson Jones, Kristen Intermountain 100 North Mario Capecchi OT ~* Manwill, Joel OT ~* Multidisciplinary Clinic Dr NPI: 1568457000 NPI: 1750412193 5121 South Cottonwood St Salt Lake City, UT 84113 Rocky Mountain Therapy Alternative Behavior Salt Lake City, UT 84107 (801) 662-5600 Services - West Valley Site Strategies - Salt Lake (801) 507-7000 Italian 3540 South 4000 West Ste 515 South 700 East Ste 2A 250 Salt Lake City, UT 84102 Salt Lake City, UT 84120 Hite, Rozalynn OT ~ Manwill, Joel OT ~* (801) 417-5017 (801) 935-4171 NPI: 1831247162 NPI: 1750412193 Italian Intermountain Medical Udac - Child Development Center Physicians Group - Program - Pch Nielson Jones, Kristen Stotts, Paige OT ~* Murray Site 100 North Mario Capecchi OT ~* NPI: 1053312744 5121 South Cottonwood St Dr NPI: 1568457000 Hand & Orthopedic Salt Lake City, UT 84107 Salt Lake City, UT 84113 Rocky Mountain Therapy Rehabilitation Specialists - (801) 507-6600 (801) 587-2255 Services North Inc - Salt Lake Granger Medical Italian 3725 West 4100 South 702 East South Temple Ste Ireland Hinz, Heather 102 Salt Lake City, UT 84120 OT ~ 84117 (801) 679-0123 Salt Lake City, UT 84102 NPI: 1285936161 (801) 328-8535 Ozaki, Susan OT ~* Intermountain Medical NPI: 1386645075 84121 Center - Service Hand & Orthopedic 84103 5121 South Cottonwood St Rehabilitation Specialists - Huff, Karen OT ~* Manwill, Joel OT ~* Salt Lake City, UT 84107 Murray NPI: 1912079922 NPI: 1750412193 (801) 507-4637 5151 South 900 East Ste Mountain Land Udac - Child Development 100 Rehabilitation Inc - 1952 E Program - Shriners Salt Lake City, UT 84117 7000 S Hospital (801) 261-3321 1952 East 7000 South 1275 East Fairfax Rd Salt Lake City, UT 84121 Salt Lake City, UT 84103 (801) 942-3311 (801) 587-2255 Italian

239 Specialty Providers / Proveedores Especializados Occupational Therapist continued/seguido

Nielson Jones, Kristen Manwill, Joel OT ~* West Jordan Provo OT ~* NPI: 1750412193 NPI: 1568457000 Udac - Neonatal 84084 84601 First Med East Physical Follow-Up Program - Salt Nielson Jones, Kristen Manwill, Joel OT ~* Therapy Llc - Salt Lake Lake OT ~* NPI: 1750412193 1950 East 7000 South 44 North Mario Capecchi NPI: 1568457000 Udac - Neonatal Salt Lake City, UT 84121 Dr Utah Dept Of Health Rocky Mountain Therapy Follow-Up Program - (801) 943-3300 Salt Lake City, UT 84132 Services - Firstmed West Provo (801) 587-2255 Jordan 151 South University Ave 84129 Italian 8822 South Redwood Rd Ste 1610 Ste E122 Provo, UT 84601 Hite, Rozalynn OT ~ Sandy West Jordan, UT 84084 (801) 587-2255 NPI: 1831247162 (801) 566-7080 Italian Ihc Taylorsville Clinic - 84047 Taylorsville West, Tiffany OT ~* 84088 84604 3845 West 4700 South NPI: 1932521663 Salt Lake City, UT 84129 South Mountain Physical Mackay Clark, Deanna Bennett, Samuel OT ~ (801) 840-2000 Therapy And OT ~* NPI: 1164439691 Rehabilitation - Site NPI: 1851497580 Utah Valley Rehab Center 84132 Mountain Land - Provo 6770 South 900 East Ste Rehabilitation Inc - West 1034 North 500 West Manwill, Joel OT ~* 100 Jordan Provo, UT 84604 NPI: 1750412193 Sandy, UT 84047 1227 West 9000 South Ste (801) 357-7540 General Pediatrics - (801) 523-6376 F University Of Utah West Jordan, UT 84088 Nielson Jones, Kristen Hospital 84070 (801) 282-2200 OT ~* 50 North Medical Dr Borawski, Ashley OT ~* NPI: 1568457000 Salt Lake City, UT 84132 NPI: 1760855019 Utah Revere Health - Provo - (801) 581-2205 Neuroworx - Sandy Hand Wrist And Elbow Italian 90 West Albion Village American Fork Center Way 84003 1055 North 500 West Ste Manwill, Joel OT ~* Sandy, UT 84070 207 NPI: 1750412193 (801) 619-3670 Hines, Gordon OT ~ Provo, UT 84604 Udac - Child Development NPI: 1568477057 (801) 375-4263 Program - Primary Brierley, Aimee OT ~* American Fork Hospital - 44 North Mario Capecchi NPI: 1508262833 Service Salem Dr Utah Dept Of Health Neuroworx - Sandy 170 North 1100 East Salt Lake City, UT 84132 90 West Albion Village American Fork, UT 84003 84653 (801) 587-2255 Way (801) 855-3300 Nielson Jones, Kristen Italian Sandy, UT 84070 OT ~* (801) 619-3670 Orem NPI: 1568457000 Manwill, Joel OT ~* 84058 Revere Health - Salem - NPI: 1750412193 Muscarello, Nellie OT ~* 555 West Udac - Heart Center NPI: 1194077966 Irvin, Amy OT ~* 555 West Sr 164 North Neurodevelopmental Neuroworx - Sandy NPI: 1578987574 Salem, UT 84653 Program 90 West Albion Village Alternative Behavior (801) 465-4896 44 North Mario Capecchi Way Strategies - Orem Dr Utah Dept Of Health Sandy, UT 84070 1140 West 1130 South Salt Lake City, UT 84132 (801) 619-3670 Bldg B (801) 587-2255 Orem, UT 84058 Italian (801) 935-4171

240 Specialty Providers / Proveedores Especializados Occupational Therapist continued/seguido

Washington Moe, Lorraine OT ~ Gold, Nephi OT * Gold, Nephi OT * NPI: 1538177993 NPI: 1104005958 NPI: 1104005958 Saint George Drmc Rehab Services Ogden Clinic - Skyline Ogden Clinic - Canyon 84790 652 South Medical Center 6112 South 1550 East Ste View Dr Ste Ll10 101 1159 East 12Th St Edwards, Matthew MD ~ Saint George, UT 84790 Ogden, UT 84403 Ogden, UT 84404 NPI: 1023104619 (435) 251-2250 (801) 475-3800 (801) 475-3000 Drmc Rehab Services 652 South Medical Center Munson, Scott OT ~ Gold, Nephi OT * 84405 Dr Ste Ll10 NPI: 1104035112 NPI: 1104005958 Saint George, UT 84790 Drmc Rehab Services Ogden Clinic Professional Stanley, Sherman OT * (435) 251-2250 652 South Medical Center Center - North NPI: 1285685420 Dr Ste Ll10 4650 Harrison Blvd Wasatch Therapy Inc - Gottfredson, Gary OT ~ Saint George, UT 84790 Ogden, UT 84403 Ogden NPI: 1356357339 (435) 251-2250 (801) 475-3000 5349 South Adams Ave Ste Drmc Rehab Services A 652 South Medical Center Ogden, UT 84405 Weber Gold, Nephi OT * (801) 479-9865 Dr Ste Ll10 NPI: 1104005958 Saint George, UT 84790 Ogden Ogden Clinic Professional (435) 251-2250 84414 84401 Center - South 4700 Harrison Blvd Gold, Nephi OT * Hugunin, Ted OT ~ Manwill, Joel OT ~* Ogden, UT 84403 NPI: 1104005958 NPI: 1891700613 NPI: 1750412193 (801) 475-3870 Ogden Clinic - Mountain Drmc Rehab Services Udac - Child Development View 652 South Medical Center Program - Ogden Oversteg, Mona OT ~* 1100 West 2700 North Dr Ste Ll10 2540 Washington Blvd NPI: 1841416914 Ogden, UT 84414 Saint George, UT 84790 Ogden, UT 84401 Mona Overseg - Site (801) 475-3000 (435) 251-2250 (801) 587-2255 1771 Doxey St Italian Ogden, UT 84403 Roy Humphrey, Kerryann (801) 564-8330 OT ~ Manwill, Joel OT ~* German 84067 NPI: 1306062914 NPI: 1750412193 Gold, Nephi OT * Drmc Rehab Services Udac - Neonatal Stanley, Sherman OT * NPI: 1104005958 652 South Medical Center Follow-Up Program - NPI: 1285685420 Ogden Clinic - Roy Dr Ste Ll10 Ogden Ogden Clinic - Physical 3485 West 5200 South Saint George, UT 84790 2540 Washington Blvd Therapy Roy, UT 84067 (435) 251-2250 Ogden Regional Center 4700 Harrison Blvd (801) 475-3000 Ogden, UT 84401 Ogden, UT 84403 Manwill, Joel OT ~* (801) 587-2255 (801) 475-3000 NPI: 1750412193 Italian Oncology Udac - Child Development Program - Washington 84403 84404 Cache County Delong, Samuel OT ~* Logan 1380 East Medical Center Gold, Nephi OT * NPI: 1780603910 NPI: 1104005958 Summit Hand Therapy Llc 84341 Dr Ste 4500 Ogden Clinic - Physical Saint George, UT 84790 - Farr West Haslem, Derrick MD ~* Therapy 2850 North 2000 West Ste (801) 587-2255 4700 Harrison Blvd NPI: 1730389701 Italian 107 Ihc Logan Cancer Clinic - Ogden, UT 84403 Ogden, UT 84404 (801) 475-3000 Logan (801) 773-3633 1350 North 500 East Chinese, Mandarin Logan, UT 84341 (435) 716-1130 Spanish

241 Specialty Providers / Proveedores Especializados Oncology continued/seguido

Salt Lake Washington Ophthalmology Cache Salt Lake City Saint George Logan Box Elder 84107 84770 84321 Haslem, Derrick MD ~* Gouw, Launce MD ~* Brigham City Howard, James MD ~* NPI: 1730389701 NPI: 1689788325 84302 NPI: 1033110119 Ihc Intermountain Medical Ihc Bmt Leukemia Lewis, David MD ~* Retina Associates Of Utah Oncology Imc - Murray Program Swr - St George NPI: 1487653218 Pc - Logan 5121 South Cottonwood St 544 South 400 East Brigham Eye Specialists - 810 South 100 West Ste C Ste 610 Saint George, UT 84770 Brigham City Logan, UT 84321 Salt Lake City, UT 84107 (435) 688-4900 990 South Medical Dr Ste (801) 312-2020 (801) 507-3630 G3 Spanish Haslem, Derrick MD ~* Brigham City, UT 84302 Knudsen, Victoria MD ~* NPI: 1730389701 (435) 734-2097 NPI: 1174574800 84143 Ihc Southwest Regional Retina Associates Of Utah Gouw, Launce MD ~* Cancer Clinic - St George Turner, Scott MD ~* Pc - Logan NPI: 1689788325 544 South 400 East NPI: 1760607782 810 South 100 West Ste C Ihc Blood And Marrow Saint George, UT 84770 Brigham Eye Specialists - Logan, UT 84321 Transplant/Leukemia (435) 688-4900 Brigham City (801) 312-2020 Program - Salt Lake Spanish 990 South Medical Dr Ste 8Th Avenue & C Street G3 Kwun, Robert MD ~* Salt Lake City, UT 84143 Ostronoff, Fabiana Brigham City, UT 84302 NPI: 1457338162 (801) 408-3729 MD ~* (435) 734-2097 Retina Associates Of Utah NPI: 1811154172 Pc - Logan Ostronoff, Fabiana Ihc Bmt Leukemia Tremonton 810 South 100 West Ste C MD ~* Program Swr - St George Logan, UT 84321 NPI: 1811154172 544 South 400 East 84337 (801) 312-2020 Ihc Blood And Marrow Saint George, UT 84770 Ballif, Mark MD ~* Korean, Spanish Transplant/Leukemia (435) 688-4900 NPI: 1376522573 Program - Salt Lake Bear River Eye Center - Monson, Bryan MD ~* 8Th Avenue & C Street Petersen, Finn MD ~* Tremonton NPI: 1598962482 Salt Lake City, UT 84143 NPI: 1225164114 495 West 600 North Logan Eye Institute - Logan (801) 408-3729 Ihc Bmt Leukemia Tremonton, UT 84337 810 South 100 West Ste A Program Swr - St George (435) 257-7439 Logan, UT 84321 Petersen, Finn MD ~* 544 South 400 East German, Spanish (435) 787-7200 NPI: 1225164114 Saint George, UT 84770 Ihc Blood And Marrow (435) 688-4900 Poll, Jed MD ~* Swartz, Mano MD ~* Transplant/Leukemia Danish, German, Swedish NPI: 1376656124 NPI: 1801870670 Program - Salt Lake Bear River Eye Center - Retina Associates Of Utah 8Th Avenue & C Street Tremonton Pc - Logan Salt Lake City, UT 84143 495 West 600 North 810 South 100 West Ste C (801) 408-3729 Tremonton, UT 84337 Logan, UT 84321 Danish, German, Swedish (435) 257-7439 (801) 312-2020 German, Spanish Winward, Kirk MD ~* NPI: 1962487611 Retina Associates Of Utah Pc - Logan 810 South 100 West Ste C Logan, UT 84321 (801) 312-2020 Spanish

242 Specialty Providers / Proveedores Especializados Ophthalmology continued/seguido

84341 Davis Poll, Jed MD ~* Wilkins, Court OD ~ NPI: 1376656124 NPI: 1780679613 Nilson, Christian MD ~* Bountiful NPI: 1932321460 Utah Eye Centers - Utah Eye Centers - 84010 Bountiful Bountiful Christian D Nilson - Logan 214 West 1500 South Ste 214 West 1500 South Ste 550 East 1400 North Ste P Alldredge, Claron MD ~* 300 300 Logan, UT 84341 NPI: 1841200284 Bountiful, UT 84010 Bountiful, UT 84010 (435) 752-2020 Utah Eye Centers - (801) 476-0494 (801) 476-0494 Chinese Bountiful Japanese, Spanish 214 West 1500 South Ste Poll, Jed MD ~* Raymond, John MD ~* 300 NPI: 1376656124 Wilkins, Court OD ~ NPI: 1457371700 Bountiful, UT 84010 Utah Eye Centers - NPI: 1780679613 J Scott Raymond Md Llc - (801) 476-0494 Bountiful Hills Utah Eye Centers - Logan Spanish 214 West 1500 South Ste Bountiful Hills 550 East 1400 North Ste P 300 214 West 1500 South Ste Logan, UT 84341 Alldredge, Claron MD ~* Bountiful, UT 84010 300 (435) 753-4541 NPI: 1841200284 (801) 476-0494 Bountiful, UT 84010 Spanish Utah Eye Centers - (801) 476-0494 Bountiful Hills Sorensen, Tyler MD ~ Japanese, Spanish Siler, Jon MD ~* 214 West 1500 South Ste NPI: 1447550975 NPI: 1407885007 300 Ihc Bountiful Clinic - Wing, Robert MD ~* Cache Valley Eye Bountiful, UT 84010 Bountiful NPI: 1629064027 Associates Pllc - Logan (801) 476-0494 390 North Main St Utah Eye Centers - 1300 North 500 East Ste Spanish Bountiful, UT 84010 Bountiful 350 (801) 294-1000 214 West 1500 South Ste Logan, UT 84341 Anderson, Bradley (435) 752-7445 300 MD ~* Sykes, Scott MD ~* Bountiful, UT 84010 NPI: 1952664260 NPI: 1083693204 (801) 476-0494 Waterman, David MD ~* Utah Eye Centers - Utah Eye Centers - NPI: 1689603284 Bountiful Bountiful Hills Wing, Robert MD ~* Cache Valley Eye 214 West 1500 South Ste 214 West 1500 South Ste NPI: 1629064027 Associates Pllc - Logan 300 300 Utah Eye Centers - 1300 North 500 East Ste Bountiful, UT 84010 Bountiful, UT 84010 Bountiful Hills 350 (801) 476-0494 (801) 476-0494 214 West 1500 South Ste Logan, UT 84341 Spanish Portugese 300 (435) 752-7445 Bountiful, UT 84010 Bullard, Michael MD ~* Wilcox, Michael MD ~* (801) 476-0494 Young, Steven MD ~* NPI: 1326351727 NPI: 1053391771 NPI: 1962497685 Utah Eye Centers - Utah Eye Centers - Farmington Steven R Young Md Pc - Bountiful Hills Bountiful Logan 214 West 1500 South Ste 214 West 1500 South Ste 84025 1300 North 500 East Ste 300 300 Marx, Douglas MD ~* 220 Bountiful, UT 84010 Bountiful, UT 84010 NPI: 1013177682 Logan, UT 84341 (801) 476-0494 (435) 753-5220 (801) 476-0494 Pediatric Ophthalmology - Spanish Farmington Health Center Daynes, Todd MD ~* Wilcox, Michael MD ~* 165 North University Ave NPI: 1053412494 NPI: 1053391771 Farmington, UT 84025 Todd Daynes Md Pc - 520 Utah Eye Centers - (801) 581-2352 Medical Bountiful Hills 520 Medical Dr Ste 201 214 West 1500 South Ste Bountiful, UT 84010 300 (801) 294-8855 Bountiful, UT 84010 Spanish (801) 476-0494

243 Specialty Providers / Proveedores Especializados Ophthalmology continued/seguido

Layton Howard, James MD ~* Peterson, Jared MD ~* Wallin, Trevin MD ~* NPI: 1033110119 NPI: 1982834834 NPI: 1396885422 84041 Retina Associates Of Utah Mountain View Eye Center Insight Laser And Cataract Brinton, Gregory MD ~* Pc - Layton - Layton Eye Specialists - Layton NPI: 1053397752 2132 North 1700 West Ste 1580 West Antelope Dr Ste 2255 North 1700 West Ste Retina Associates Of Utah 130 175 100 Pc - Layton Layton, UT 84041 Layton, UT 84041 Layton, UT 84041 2132 North 1700 West Ste (801) 775-8222 (801) 773-2233 (801) 773-0690 130 Layton, UT 84041 Knudsen, Victoria MD ~* Richards, Trent MD ~* Washburn, Michael (801) 775-8222 NPI: 1174574800 NPI: 1184923807 MD ~* Japanese, Russian Retina Associates Of Utah Tanner Memorial Clinic - NPI: 1548252885 Pc - Layton Layton Insight Laser And Cataract Bullard, Michael MD ~* 2132 North 1700 West Ste 2121 North 1700 West Eye Specialists - Layton NPI: 1326351727 130 Layton, UT 84041 2255 North 1700 West Ste Utah Eye Centers - Layton Layton, UT 84041 (801) 773-4840 100 2132 North 1700 West Ste (801) 775-8222 Spanish Layton, UT 84041 303 (801) 773-0690 Layton, UT 84041 Kwun, Robert MD ~* Swartz, Mano MD ~* (801) 896-2020 NPI: 1457338162 NPI: 1801870670 Wilkins, Court OD ~ Retina Associates Of Utah Retina Associates Of Utah NPI: 1780679613 Dries, David MD ~* Pc - Layton Pc - Layton Utah Eye Centers - Layton NPI: 1407946098 2132 North 1700 West Ste 1660 West Antelope Dr Ste 2132 North 1700 West Ste Pediatric Ophthalmology - 130 325 303 Davis Vision Center Layton, UT 84041 Layton, UT 84041 Layton, UT 84041 1492 West Antelope Dr Ste (801) 775-8222 (801) 775-8222 (801) 896-2020 150 Korean, Spanish German, Spanish Japanese, Spanish Layton, UT 84041 (801) 779-7804 Nelson, Laurence MD ~* Swartz, Mano MD ~* Winward, Kirk MD ~* German, Spanish NPI: 1730165697 NPI: 1801870670 NPI: 1962487611 Tanner Memorial Clinic - Retina Associates Of Utah Retina Associates Of Utah Hess, Christian MD ~* Layton Pc - Layton Pc - Layton NPI: 1073505319 2121 North 1700 West 2132 North 1700 West Ste 2132 North 1700 West Ste Insight Laser And Cataract Layton, UT 84041 130 130 Eye Specialists - Layton (801) 773-4840 Layton, UT 84041 Layton, UT 84041 2255 North 1700 West Ste (801) 775-8222 (801) 775-8222 100 Patel, Bhupendra MD ~* German, Spanish Spanish Layton, UT 84041 NPI: 1366436412 (801) 773-0690 Insight Laser And Cataract Treft, Robert MD ~* Iron Portugese Eye Specialists - Layton NPI: 1851361539 2255 North 1700 West Ste Mountain View Eye Center Cedar City Hill, Mark MD ~* 100 - Layton 84720 NPI: 1366737819 Layton, UT 84041 1580 West Antelope Dr Ste Insight Laser And Cataract (801) 773-0690 175 Faber, David MD ~* Eye Specialists - Layton French, Hindi, Swahili, Layton, UT 84041 NPI: 1811990450 2255 North 1700 West Ste Gujarati (801) 773-2233 Rocky Mountain Retina 100 German, Spanish Consultants - Cedar City Layton, UT 84041 1811 West Royal Dr Ste 1 (801) 773-0690 Cedar City, UT 84720 Spanish (801) 264-4444 Spanish

244 Specialty Providers / Proveedores Especializados Ophthalmology continued/seguido

Goff, Mitchell MD ~* Corey, Richard MD ~* Riverton Lyndon, Tyler MD ~ NPI: 1578595153 NPI: 1568529105 NPI: 1225394984 Rocky Mountain Retina Retina And Vitreous 84065 Ihc Southridge Clinic Consultants - Cedar City Surgeons Of Utah - Draper Beson, James DO ~* Medical Specialties - 1811 West Royal Dr Ste 1 11820 South State St Ste NPI: 1114916178 Riverton Cedar City, UT 84720 320 Pediatric Ophthalmology - 3723 West 12600 South (801) 264-4444 Draper, UT 84020 Pch - Riverton Riverton, UT 84065 (801) 357-7704 3723 West 12600 South (801) 285-4200 Hurlbut-Miller, Peter Mandarin Riverton, UT 84065 MD ~* (801) 485-1460 Mamalis, Nick MD ~* NPI: 1285695940 Hoopes Jr, Phillip MD ~* NPI: 1750496220 Rocky Mountain Retina NPI: 1992794846 Crandall, Alan MD ~* Pediatric Ophthalmology - Consultants - Cedar City Hoopes Vision Correction NPI: 1083704670 Pcrh 1811 West Royal Dr Ste 1 Center - Draper Pediatric Ophthalmology - 3773 West 12600 South Cedar City, UT 84720 11820 South State St Ste Pch - Riverton Riverton, UT 84065 (801) 264-4444 200 3723 West 12600 South (801) 485-1460 Draper, UT 84020 Riverton, UT 84065 Salt Lake (801) 568-0200 (801) 485-1460 Marx, Douglas MD ~* Portugese, Spanish NPI: 1013177682 Draper Harrie, Roger MD ~* Pediatric Ophthalmology - 84020 Hoopes Sr, Phillip MD ~* NPI: 1982639787 Pcrh NPI: 1629067921 Pediatric Ophthalmology - 3773 West 12600 South Alldredge Jr, Oren MD ~* Hoopes Vision Correction Pcrh Riverton, UT 84065 NPI: 1780685412 Center - Draper 3773 West 12600 South (801) 485-1460 Hoopes Vision Correction 11820 South State St Ste Riverton, UT 84065 Center - Draper 200 (801) 485-1460 Olson, Randall MD ~* 11820 South State St Ste Draper, UT 84020 Spanish NPI: 1518057132 200 (801) 568-0200 Pediatric Ophthalmology - Draper, UT 84020 Hatch, Joseph MD ~* Pcrh (801) 568-0200 Isom, Ryan MD ~* NPI: 1720178320 3773 West 12600 South NPI: 1679756019 Pediatric Ophthalmology - Riverton, UT 84065 Bradley, Michael MD ~* Retina And Vitreous Pcrh (801) 485-1460 NPI: 1225131444 Surgeons Of Utah - Draper 3773 West 12600 South Swedish Hoopes Vision Correction 11820 South State St Ste Riverton, UT 84065 Center - Draper 320 (801) 485-1460 Owen, Leah MD ~* 11820 South State St Ste Draper, UT 84020 Spanish NPI: 1164748067 200 (801) 357-7704 Pediatric Ophthalmology - Draper, UT 84020 Spanish Larochelle, Marissa Pcrh (801) 568-0200 MD ~* 3773 West 12600 South German, Spanish Moshirfar, Majid MD ~* NPI: 1740544774 Riverton, UT 84065 NPI: 1700976313 Pediatric Ophthalmology - (801) 485-1460 Carver, John MD ~* Hoopes Vision Correction Pcrh NPI: 1669435160 Center - Draper 3773 West 12600 South Tabin, Jean MD ~* Retina And Vitreous 11820 South State St Ste Riverton, UT 84065 NPI: 1821188459 Surgeons Of Utah - Draper 200 (801) 485-1460 Pediatric Ophthalmology - 11820 South State St Ste Draper, UT 84020 Spanish Pcrh 320 (801) 568-0200 3773 West 12600 South Draper, UT 84020 Persian/Farsi Lin, Amy MD ~* Riverton, UT 84065 (801) 357-7704 NPI: 1104045566 (801) 485-1460 German Pediatric Ophthalmology - Italian Pcrh 3773 West 12600 South Riverton, UT 84065 (801) 485-1460

245 Specialty Providers / Proveedores Especializados Ophthalmology continued/seguido

Taylor, Kim MD ~* Barker, Bryce MD ~ Alldredge, Claron MD ~* Anderson, Bradley NPI: 1649360272 NPI: 1447285242 NPI: 1841200284 MD ~* Pediatric Ophthalmology - Ihc Salt Lake Clinic - Utah Eye Centers - Salt NPI: 1952664260 Pcrh Ophthalmology Lake Avenues Utah Eye Centers - 3773 West 12600 South 389 South 900 East 440 D Street Ste 210 Millcreek Riverton, UT 84065 Salt Lake City, UT 84102 Salt Lake City, UT 84103 1025 East 3300 South Ste B (801) 485-1460 (385) 282-2850 (801) 408-3705 Salt Lake City, UT 84106 Japanese Spanish (801) 476-0494 Teske, Michael MD ~* Spanish NPI: 1376633909 Dal Canto, Albert MD ~ Hartnett, Mary MD ~* Pediatric Ophthalmology - NPI: 1922075274 NPI: 1871507020 Armstrong, John MD ~* Pcrh Ihc Salt Lake Clinic - Udac - Child Development NPI: 1932188133 3773 West 12600 South Ophthalmology Program - Shriners Utah Eye Centers - Riverton, UT 84065 389 South 900 East Hospital Millcreek (801) 485-1460 Salt Lake City, UT 84102 1275 East Fairfax Rd 1025 East 3300 South Ste B (385) 282-2850 Salt Lake City, UT 84103 Salt Lake City, UT 84106 Wirostko, Barbara MD ~* Italian (801) 587-2255 (801) 476-0494 NPI: 1326045261 Pediatric Ophthalmology - Harrie, Roger MD ~* Hoffman, Robert MD ~* Ballif, Mark MD ~* Pcrh NPI: 1982639787 NPI: 1992895593 NPI: 1376522573 3773 West 12600 South Ihc Salt Lake Clinic - Udac - Child Development Utah Eye Centers - Riverton, UT 84065 Ophthalmology Program - Shriners Millcreek (801) 485-1460 389 South 900 East Hospital 1025 East 3300 South Ste B Spanish Salt Lake City, UT 84102 1275 East Fairfax Rd Salt Lake City, UT 84106 (385) 282-2850 Salt Lake City, UT 84103 (801) 476-0494 Young, Marielle MD ~* Spanish (801) 587-2255 German, Spanish NPI: 1033390877 Pediatric Ophthalmology - Oberg, Thomas MD ~* Young, Marielle MD ~* Bullard, Michael MD ~* Pcrh NPI: 1801021126 NPI: 1033390877 NPI: 1326351727 3773 West 12600 South Center For Facial Udac - Child Development Utah Eye Centers - Riverton, UT 84065 Apprearances - Salt Lake Program - Shriners Millcreek (801) 485-1460 City Hospital 1025 East 3300 South Ste B 1002 East South Temple 1275 East Fairfax Rd Salt Lake City, UT 84106 Zaugg, Brian MD ~* Ste 308 Salt Lake City, UT 84103 (801) 476-0494 NPI: 1558660308 Salt Lake City, UT 84102 (801) 587-2255 Pediatric Ophthalmology - (801) 363-3356 Dodds, David MD ~* Pch - Riverton Spanish 84106 NPI: 1881980142 3723 West 12600 South Alldredge, Claron MD ~* Salt Lake Eye Associates - Riverton, UT 84065 84103 NPI: 1841200284 Salt Lake (801) 485-1460 Alldredge, Claron MD ~* Utah Eye Centers - 1025 East 3300 South Ste B NPI: 1841200284 Millcreek Salt Lake City, UT 84106 Salt Lake City Retinapro Pc - Salt Lake 1025 East 3300 South Ste B (801) 281-2020 84102 440 D Street Ste 210 Salt Lake City, UT 84106 Salt Lake City, UT 84103 (801) 476-0494 Patel, Bhupendra MD ~* Anderson, Richard (801) 281-2020 Spanish NPI: 1366436412 MD ~* Spanish Salt Lake Eye Associates - NPI: 1295784759 Millcreek Center For Facial 1025 East 3300 South Ste B Apprearances - Salt Lake Salt Lake City, UT 84106 City (801) 585-6641 1002 East South Temple French, Hindi, Swahili, Ste 308 Gujarati Salt Lake City, UT 84102 (801) 363-3356

246 Specialty Providers / Proveedores Especializados Ophthalmology continued/seguido

Poll, Jed MD ~* Charlton, Kevin MD ~* Faber, David MD ~* Jackson, Steven MD ~* NPI: 1376656124 NPI: 1699877969 NPI: 1811990450 NPI: 1447215173 Utah Eye Centers - Rocky Mountain Eyecare Rocky Mountain Retina Cottonwood Eye & Laser Millcreek Associates Llc - Salt Lake Consultants - Murray Center Llc - Salt Lake 1025 East 3300 South Ste B 4400 South 700 East Ste 4400 South 700 East Ste 201 East 5900 South Ste Salt Lake City, UT 84106 100 200 101 (801) 476-0494 Salt Lake City, UT 84107 Salt Lake City, UT 84107 Salt Lake City, UT 84107 (801) 264-4450 (801) 264-4444 (801) 261-0726 Sykes, Scott MD ~* Spanish German NPI: 1083693204 Cionni, Robert MD ~* Utah Eye Centers - NPI: 1306833256 Goff, Mitchell MD ~* Jeppsen, Paul MD ~* Millcreek The Eye Institute Of Utah - NPI: 1578595153 NPI: 1275582033 1025 East 3300 South Ste B Salt Lake Rocky Mountain Retina Rocky Mountain Eyecare Salt Lake City, UT 84106 755 East 3900 South Consultants - Murray Associates Llc - Salt Lake (801) 476-0494 Salt Lake City, UT 84107 4400 South 700 East Ste 4400 South 700 East Ste Portugese (801) 266-2283 200 100 Salt Lake City, UT 84107 Salt Lake City, UT 84107 Wilcox, Michael MD ~* Corey, Richard MD ~* (801) 264-4444 (801) 264-4450 NPI: 1053391771 NPI: 1568529105 Spanish Utah Eye Centers - Retina And Vitreous Hurlbut-Miller, Peter Millcreek Surgeons Of Utah - Murray MD ~* Knudsen, Victoria MD ~* 1025 East 3300 South Ste B 5171 South Cottonwood St NPI: 1285695940 NPI: 1174574800 Salt Lake City, UT 84106 Ste 700 Rocky Mountain Retina Retina Associates Of Utah (801) 476-0494 Salt Lake City, UT 84107 Consultants - Murray Pc - Murray (801) 892-8200 4400 South 700 East Ste 5169 South Cottonwood St Wilkins, Court OD ~ Mandarin 200 Bldg B, Ste 630 NPI: 1780679613 Salt Lake City, UT 84107 Salt Lake City, UT 84107 Utah Eye Centers - Daynes, Todd MD ~* (801) 264-4444 (801) 312-2020 Millcreek NPI: 1053412494 1025 East 3300 South Ste B Todd Daynes Md Pc - Salt Isom, Ryan MD ~* Oberg, Thomas MD ~* Salt Lake City, UT 84106 Lake NPI: 1679756019 NPI: 1801021126 (801) 476-0494 1250 East 3900 South Ste Retina And Vitreous Oculoplastic Surgery Inc - Japanese, Spanish 310 Surgeons Of Utah - Murray Salt Lake Salt Lake City, UT 84107 5171 South Cottonwood St 755 East 3900 South 84107 (801) 263-2020 Ste 700 Salt Lake City, UT 84107 Spanish Salt Lake City, UT 84107 (801) 266-2283 Brinton, Eric MD ~* (801) 892-8200 Spanish NPI: 1326272295 Dodds, David MD ~* Spanish Retina Associates Of Utah NPI: 1881980142 Parker, Jared MD ~* Pc - Murray Olympus Eye Associates Pc Jackson, Alan MD ~* NPI: 1124146253 5169 South Cottonwood St - Murray NPI: 1467411223 Ungricht Parker Eye Bldg B, Ste 630 6065 South Fashion Blvd Cottonwood Eye & Laser Associates - Murray Salt Lake City, UT 84107 Ste 125 Center Llc - Salt Lake 5770 South 250 East Ste (801) 312-2020 Salt Lake City, UT 84107 201 East 5900 South Ste 410 Russian (801) 261-0726 101 Salt Lake City, UT 84107 Salt Lake City, UT 84107 (801) 314-4420 Carver, John MD ~* (801) 261-0726 NPI: 1669435160 Spanish Retina And Vitreous Surgeons Of Utah - Murray 5171 South Cottonwood St Ste 700 Salt Lake City, UT 84107 (801) 892-8200 German ~ Accepting new patients/Aceptando a nuevos pacientes * Accepts Medicaid/Acepta Medicaid ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

247 Specialty Providers / Proveedores Especializados Ophthalmology continued/seguido

Poll, Jed MD ~* Wilkinson, E Leigh Hoopes Sr, Phillip MD ~* Dries, David MD ~* NPI: 1376656124 MD ~* NPI: 1629067921 NPI: 1407946098 Eye Foundation Of Utah - NPI: 1962512855 Hoopes Vision Correction Pediatric Ophthalmology - Murray Rocky Mountain Eyecare Center - Salt Lake Pch 201 East 5900 South Ste Associates Llc - Salt Lake 105 East South Temple 100 North Mario Capecchi 201 4400 South 700 East Ste Salt Lake City, UT 84111 Dr Salt Lake City, UT 84107 100 (801) 568-0200 Salt Lake City, UT 84113 (801) 268-6408 Salt Lake City, UT 84107 (801) 581-2352 (801) 264-4450 84113 German, Spanish Teske, Michael MD ~* Bernstein, Paul MD ~* NPI: 1376633909 Wolsey, Darcy MD ~* NPI: 1023108651 Hartnett, Mary MD ~* Eye Foundation Of Utah - NPI: 1174575153 Pediatric Ophthalmology - NPI: 1871507020 Murray The Eye Institute Of Utah - Pch Pediatric Ophthalmology - 201 East 5900 South Ste Salt Lake 100 North Mario Capecchi Pch 201 755 East 3900 South Dr 100 North Mario Capecchi Salt Lake City, UT 84107 Salt Lake City, UT 84107 Salt Lake City, UT 84113 Dr (801) 268-6408 (801) 266-2283 Salt Lake City, UT 84113 (801) 581-2352 (801) 581-2352 Teske, Michael MD ~* Zavodni, Zachary MD ~* Chaya, Craig MD ~* NPI: 1376633909 NPI: 1235371469 NPI: 1275508160 Hartnett, Mary MD ~* The Eye Institute Of Utah - The Eye Institute Of Utah - Pediatric Ophthalmology - NPI: 1871507020 Salt Lake Salt Lake Pch Udac - Child Development 755 East 3900 South 755 East 3900 South 100 North Mario Capecchi Program - Pch Salt Lake City, UT 84107 Salt Lake City, UT 84107 Dr 100 North Mario Capecchi (801) 266-2283 (801) 266-2283 Salt Lake City, UT 84113 Dr (801) 581-2352 Salt Lake City, UT 84113 Ungricht, Albert MD ~* 84111 (801) 587-2255 NPI: 1346327236 Alldredge Jr, Oren MD ~* Christiansen, Robert Ungricht Parker Eye NPI: 1780685412 MD ~* Hoffman, Robert MD ~* Associates - Murray Hoopes Vision Correction NPI: 1114991841 NPI: 1992895593 5770 South 250 East Ste Center - Salt Lake Pediatric Ophthalmology - Pediatric Ophthalmology - 410 105 East South Temple Pch Pch Salt Lake City, UT 84107 Salt Lake City, UT 84111 100 North Mario Capecchi 100 North Mario Capecchi (801) 314-4420 (801) 568-0200 Dr Dr German Salt Lake City, UT 84113 Salt Lake City, UT 84113 (801) 581-2352 Bradley, Michael MD ~* (801) 581-2352 Weber, Charles MD ~* NPI: 1225131444 NPI: 1942447016 Hoopes Vision Correction Crum, Alison MD ~* Hoffman, Robert MD ~* The Eye Institute Of Utah - Center - Salt Lake NPI: 1275739096 NPI: 1992895593 Salt Lake 105 East South Temple Pediatric Ophthalmology - Udac - Child Development 755 East 3900 South Salt Lake City, UT 84111 Pch Program - Pch Salt Lake City, UT 84107 (801) 568-0200 100 North Mario Capecchi 100 North Mario Capecchi (801) 266-2283 Dr German, Spanish Dr Salt Lake City, UT 84113 Salt Lake City, UT 84113 (801) 587-2255 Wilcox, Michael MD ~* Hoopes Jr, Phillip MD ~* (801) 581-2352 NPI: 1053391771 NPI: 1992794846 Eye Foundation Of Utah - Hoopes Vision Correction Jacoby, Rachael MD ~* Murray Center - Salt Lake NPI: 1265659213 201 East 5900 South Ste 105 East South Temple Pediatric Ophthalmology - 201 Salt Lake City, UT 84111 Pch Salt Lake City, UT 84107 (801) 568-0200 100 North Mario Capecchi (801) 268-6408 Dr Portugese, Spanish Salt Lake City, UT 84113 (801) 581-2352

248 Specialty Providers / Proveedores Especializados Ophthalmology continued/seguido

Larochelle, Marissa Shakoor, Akbar MD ~* Zabriskie, Norman 84120 MD ~* NPI: 1669675229 MD ~* Davis, Andrew MD ~* NPI: 1740544774 Pediatric Ophthalmology - NPI: 1063502656 NPI: 1922012582 Pediatric Ophthalmology Pch Pediatric Ophthalmology - Salt Lake Retina - West 100 North Mario Capecchi 100 North Mario Capecchi Pch Valley Dr Dr 100 North Mario Capecchi 4155 West 3465 South Ste Salt Lake City, UT 84113 Salt Lake City, UT 84113 Dr 4 (801) 581-2352 (801) 581-2352 Salt Lake City, UT 84113 Salt Lake City, UT 84120 Spanish Hindi, Urdu (801) 581-2352 (801) 964-1000 Spanish German, Hungarian Martin, Elizabeth MD ~* Simpson, Rachel MD ~* NPI: 1609219021 NPI: 1982041372 84117 Gee, Christopher MD ~* Pediatric Ophthalmology Pediatric Ophthalmology Bowman, Adam MD ~* NPI: 1831372499 100 North Mario Capecchi 100 North Mario Capecchi NPI: 1184846131 Salt Lake Retina - West Dr Dr Mountain Valley Eye Valley Salt Lake City, UT 84113 Salt Lake City, UT 84113 Institute Pc - Holladay 2 4155 West 3465 South Ste (801) 581-2352 (801) 581-2352 1548 East 4500 South Ste 4 105 Salt Lake City, UT 84120 Marx, Douglas MD ~* Smith, Christopher Salt Lake City, UT 84117 (801) 964-1000 NPI: 1013177682 MD ~* (801) 424-3090 Pediatric Ophthalmology NPI: 1356780076 Mehr, Douglas MD ~* 100 North Mario Capecchi Pediatric Ophthalmology Fassio, John MD ~* NPI: 1720070899 Dr 100 North Mario Capecchi NPI: 1689671638 Granger Medical - West Salt Lake City, UT 84113 Dr Mountain Valley Eye Valley (801) 581-2352 Salt Lake City, UT 84113 Institute Pc - Holladay 2 3725 West 4100 South (801) 581-2352 1548 East 4500 South Ste Salt Lake City, UT 84120 Owen, Leah MD ~* 105 (801) 965-3600 NPI: 1164748067 Young, Marielle MD ~* Salt Lake City, UT 84117 Portugese, Spanish Pediatric Ophthalmology - NPI: 1033390877 (801) 424-3090 Pch Pediatric Ophthalmology - Mehr, Douglas MD ~* 100 North Mario Capecchi Pch Smith, Stacy MD ~* NPI: 1720070899 Dr 100 North Mario Capecchi NPI: 1639348899 Salt Lake Retina - West Salt Lake City, UT 84113 Dr Mountain Valley Eye Valley (801) 581-2352 Salt Lake City, UT 84113 Institute Pc - Holladay 2 4155 West 3465 South Ste (801) 581-2352 1548 East 4500 South Ste 4 Patel, Bhupendra MD ~* 105 Salt Lake City, UT 84120 NPI: 1366436412 Young, Marielle MD ~* Salt Lake City, UT 84117 (801) 964-1000 Pediatric Ophthalmology - NPI: 1033390877 (801) 424-3090 Portugese, Spanish Pch Udac - Child Development 100 North Mario Capecchi Program - Pch 84119 Oberg, Thomas MD ~* Dr 100 North Mario Capecchi NPI: 1801021126 Salt Lake City, UT 84113 Dr Williams, Lloyd MD ~* Granger Medical - West (801) 581-2352 Salt Lake City, UT 84113 NPI: 1730333741 Valley French, Hindi, Swahili, (801) 587-2255 Standard Optical - 3725 West 4100 South Gujarati Parkway 1901 West Parkway Blvd Salt Lake City, UT 84120 Salt Lake City, UT 84119 (801) 965-3600 (801) 886-2020 Spanish

249 Specialty Providers / Proveedores Especializados Ophthalmology continued/seguido

Pingree, Michael MD ~* Mehr, Douglas MD ~* Hartnett, Mary MD ~* Young, Marielle MD ~* NPI: 1982716031 NPI: 1720070899 NPI: 1871507020 NPI: 1033390877 Michael F Pingree Md Pc - Advanced Eye Care - Salt Udac - Heart Center Udac - Child Development West Valley Lake Neurodevelopmental Program - Primary 3465 South 4155 West Ste 1250 East 3900 South Ste Program 44 North Mario Capecchi 5 310 44 North Mario Capecchi Dr Utah Dept Of Health Salt Lake City, UT 84120 Salt Lake City, UT 84124 Dr Utah Dept Of Health Salt Lake City, UT 84132 (801) 966-0081 (801) 263-2020 Salt Lake City, UT 84132 (801) 587-2255 Spanish Portugese, Spanish (801) 587-2255 Young, Marielle MD ~* Smith, Robert MD ~* Oberg, Thomas MD ~* Hartnett, Mary MD ~* NPI: 1033390877 NPI: 1578675633 NPI: 1801021126 NPI: 1871507020 Udac - Heart Center Granger Medical - West Advanced Eye Care - Salt Udac - Neonatal Neurodevelopmental Valley Lake Follow-Up Program - Salt Program 3725 West 4100 South 1250 East 3900 South Ste Lake 44 North Mario Capecchi Salt Lake City, UT 84120 310 44 North Mario Capecchi Dr Utah Dept Of Health (801) 965-3600 Salt Lake City, UT 84124 Dr Utah Dept Of Health Salt Lake City, UT 84132 French (801) 263-2020 Salt Lake City, UT 84132 (801) 587-2255 Spanish (801) 587-2255 84121 Young, Marielle MD ~* Swartz, Mano MD ~* Hoffman, Robert MD ~* NPI: 1033390877 Christiansen, Gregory NPI: 1801870670 NPI: 1992895593 Udac - Neonatal MD ~* Retina Associates Of Utah Udac - Child Development Follow-Up Program - Salt NPI: 1831175629 Pc - Holladay Program - Primary Lake Clarus Vision Clinic - Salt 1250 East 3900 South Ste 44 North Mario Capecchi 44 North Mario Capecchi Lake City 410 Dr Utah Dept Of Health Dr Utah Dept Of Health 6344 South 900 East Salt Lake City, UT 84124 Salt Lake City, UT 84132 Salt Lake City, UT 84132 Salt Lake City, UT 84121 (801) 312-2020 (801) 587-2255 (801) 587-2255 (801) 892-8222 German, Spanish Hoffman, Robert MD ~* Sandy Dodds, David MD ~* Wapner, Francis MD ~* NPI: 1992895593 NPI: 1881980142 NPI: 1023110681 Udac - Heart Center 84093 Olympus Eye Associates Pc Advanced Eye Care - Salt Neurodevelopmental Chou, Stella MD ~* - Salt Lake 2 Lake Program NPI: 1649450628 5872 South 900 East Ste 1250 East 3900 South Ste 44 North Mario Capecchi Avec Eye Center - Sandy 100 310 Dr Utah Dept Of Health 8789 South Highland Dr Salt Lake City, UT 84121 Salt Lake City, UT 84124 Salt Lake City, UT 84132 Ste 100 (801) 261-0726 (801) 263-2020 (801) 587-2255 Sandy, UT 84093 (801) 943-4999 84124 84132 Hoffman, Robert MD ~* Chinese Daynes, Todd MD ~* Hartnett, Mary MD ~* NPI: 1992895593 NPI: 1053412494 NPI: 1871507020 Udac - Neonatal 84094 Advanced Eye Care - Salt Udac - Child Development Follow-Up Program - Salt Dal Canto, Albert MD ~ Lake Program - Primary Lake NPI: 1922075274 1250 East 3900 South Ste 44 North Mario Capecchi 44 North Mario Capecchi Ihc Alta View Plastic 310 Dr Utah Dept Of Health Dr Utah Dept Of Health Surgery Specialists - Sandy Salt Lake City, UT 84124 Salt Lake City, UT 84132 Salt Lake City, UT 84132 9450 South 1300 East (801) 263-2020 (801) 587-2255 (801) 587-2255 Sandy, UT 84094 Spanish (801) 501-6250 Italian

250 Specialty Providers / Proveedores Especializados Ophthalmology continued/seguido

Tempest, Mathew MD ~* West Jordan Griffeth, Michael MD * Lehi NPI: 1427020221 NPI: 1891799839 Alta View Clinic Eye Care - 84088 Griffeth Vision Group - 84043 Sandy Davis, Andrew MD ~* Tooele Parsons, Matthew MD ~* 9450 South 1300 East NPI: 1922012582 2376 North 400 East Ste NPI: 1063483071 Sandy, UT 84094 Salt Lake Retina - West 101 Excel Eye Center - Lehi (801) 501-6333 Jordan Tooele, UT 84074 220 North 1200 East Ste Spanish 3855 West 7800 South Ste (435) 843-8333 101 100 Spanish Lehi, UT 84043 Tempest, Mathew MD ~* West Jordan, UT 84088 (801) 341-6200 NPI: 1427020221 (801) 260-0034 Mehr, Douglas MD ~* Cantonese Alta View Eye Care Center German, Hungarian NPI: 1720070899 - Sandy Salt Lake Retina - Tooele Smalley, Aaron MD ~* 9720 South 1300 East Ste Gee, Christopher MD ~* 2376 North 400 East Ste NPI: 1346467115 E210 NPI: 1831372499 101 Excel Eye Center - Lehi Sandy, UT 84094 Salt Lake Retina - West Tooele, UT 84074 220 North 1200 East Ste (801) 572-0631 Jordan (801) 260-0034 101 Spanish 3855 West 7800 South Ste Portugese, Spanish Lehi, UT 84043 100 (801) 341-6200 South Jordan West Jordan, UT 84088 Utah Spanish (801) 260-0034 84009 American Fork Orem Williams, Lloyd MD ~* Mehr, Douglas MD ~* 84003 NPI: 1730333741 NPI: 1720070899 84057 Standard Optical - South Salt Lake Retina - West Gunther, Jonathan Wilkinson, Justin MD ~* Jordan Jordan MD ~* NPI: 1396937074 11514 South 4000 West 3855 West 7800 South Ste NPI: 1023073459 Excel Eye Center - 820 N Bldg H Ste 103 100 Excel Eye Center - 980 W Orem South Jordan, UT 84009 West Jordan, UT 84088 American Fork 820 North 980 West (801) 727-8711 (801) 260-0034 12 North 1100 East Orem, UT 84057 Portugese, Spanish American Fork, UT 84003 (801) 426-9800 84095 (801) 756-9627 Spanish Tooele Davis, Brian MD ~* Hunsaker, Jesse MD ~* Yeates, Scott MD ~* NPI: 1679583470 Tooele NPI: 1104895507 NPI: 1588818645 Davis Vision Center - 84074 Excel Eye Center - Excel Eye Center - 820 N South Jordan American Fork 980 W Orem 1325 West South Jordan Davis, Andrew MD ~* 12 North 1100 East 820 North 980 West Pkwy Ste 103 NPI: 1922012582 American Fork, UT 84003 Orem, UT 84057 South Jordan, UT 84095 Salt Lake Retina - Tooele (801) 756-9627 (801) 426-9800 (801) 285-4000 2376 North 400 East Ste Spanish 101 Ririe, Peter MD ~* 84058 Tooele, UT 84074 NPI: 1063856920 Wapner, Francis MD ~* (801) 260-0034 Excel Eye Center - Young, Marielle MD ~* NPI: 1023110681 German, Hungarian American Fork NPI: 1033390877 Advanced Eye Care - West 12 North 1100 East Pediatric Ophthalmology - Jordan 2 Gee, Christopher MD ~* American Fork, UT 84003 Parkway Health Center 3556 West 9800 South Ste NPI: 1831372499 (801) 756-9627 145 West 1300 South 104 Salt Lake Retina - Tooele Armenian Orem, UT 84058 South Jordan, UT 84095 2376 North 400 East Ste (801) 234-8600 (801) 676-2020 101 Tooele, UT 84074 (801) 260-0034

251 Specialty Providers / Proveedores Especializados Ophthalmology continued/seguido

Payson 84604 Donaldson, Stephen Kwun, Robert MD ~* 84651 Brinton, Gregory MD ~* MD ~* NPI: 1457338162 NPI: 1053397752 NPI: 1578552634 Retina Associates Of Utah Donaldson, Stephen Retina Associates Of Utah Stephen L Donaldson Md Pc - Provo MD ~* Pc - Provo Pc - Provo 1055 North 300 West Ste NPI: 1578552634 1055 North 300 West Ste 1055 North 500 West Ste 420 Revere Health - Payson 420 201 Provo, UT 84604 Family Medicine Provo, UT 84604 Provo, UT 84604 (801) 357-7999 97 South Professional Way (801) 357-7999 (801) 375-6565 Korean, Spanish Ste 2 Japanese, Russian Payson, UT 84651 Gardiner, Jeffrey DO ~* Lloyd, Michael MD ~* (801) 465-4898 Carver, John MD ~* NPI: 1336465566 NPI: 1124239009 NPI: 1669435160 Utah Valley Eye Center - Utah Valley Eye Center - Schmutz, Joseph MD ~* Retina And Vitreous Provo Provo NPI: 1477870814 Surgeons Of Utah - Provo 1055 North 300 West Ste 1055 North 300 West Ste Excel Eye Center - Payson 1055 North 300 West Ste 204 204 1172 East 100 North Ste 4 210 Provo, UT 84604 Provo, UT 84604 Payson, UT 84651 Provo, UT 84604 (801) 357-7373 (801) 357-7373 (801) 465-2575 (801) 357-7704 Spanish German Gunther, Jonathan Lohner, William MD ~* MD ~* NPI: 1992764187 Provo NPI: 1023073459 Excel Eye Center - Provo Cook, Loran MD ~ Excel Eye Center - Provo 1735 North State St 84601 NPI: 1801893375 1735 North State St Provo, UT 84604 Hartnett, Mary MD ~* Utah Valley Eye Center - Provo, UT 84604 (801) 379-2904 NPI: 1871507020 Provo (801) 379-2904 Udac - Neonatal 1055 North 300 West Ste 204 Myers, Thomas MD ~* Follow-Up Program - Howard, James MD ~* NPI: 1023074093 Provo Provo, UT 84604 (801) 357-7373 NPI: 1033110119 Riverwood Eye Center - 151 South University Ave Retina Associates Of Utah Provo Ste 1610 Pc - Provo 280 West River Park Dr Provo, UT 84601 Corey, Richard MD ~* 1055 North 300 West Ste Ste 220 (801) 587-2255 NPI: 1568529105 420 Provo, UT 84604 Retina And Vitreous Provo, UT 84604 (801) 224-3565 Hoffman, Robert MD ~* Surgeons Of Utah - Provo (801) 357-7999 Japanese NPI: 1992895593 1055 North 300 West Ste Udac - Neonatal 210 Provo, UT 84604 Isom, Ryan MD ~* Nelson, Duane MD ~* Follow-Up Program - NPI: 1679756019 NPI: 1841296498 Provo (801) 357-7704 Mandarin Retina And Vitreous Utah Valley Eye Center - 151 South University Ave Surgeons Of Utah - Provo Provo Ste 1610 1055 North 300 West Ste 1055 North 300 West Ste Provo, UT 84601 Donaldson, Stephen 210 204 (801) 587-2255 MD ~* Provo, UT 84604 Provo, UT 84604 NPI: 1578552634 (801) 357-7704 (801) 357-7373 Young, Marielle MD ~* Revere Health - Provo - Ophthalmology Ste 201 Spanish NPI: 1033390877 Noble, Larry MD ~* Udac - Neonatal 1055 North 500 West Ste 201 Knudsen, Victoria MD ~* NPI: 1588734537 Follow-Up Program - NPI: 1174574800 Larry Noble Md, Mph, Pc - Provo Provo, UT 84604 (801) 375-6565 Retina Associates Of Utah Provo 151 South University Ave Pc - Provo 1055 North 300 West Ste Ste 1610 1055 North 300 West Ste 204 Provo, UT 84601 420 Provo, UT 84604 (801) 587-2255 Provo, UT 84604 (801) 357-7373 (801) 357-7999 Korean

252 Specialty Providers / Proveedores Especializados Ophthalmology continued/seguido

Parsons, Matthew MD ~* Wilkinson, Justin MD ~* Spanish Fork Faber, David MD ~* NPI: 1063483071 NPI: 1396937074 NPI: 1811990450 Excel Eye Center - Provo Excel Eye Center - Provo 84660 Rocky Mountain Retina 1735 North State St 1735 North State St Call, Conley MD ~* Consultants - St George Provo, UT 84604 Provo, UT 84604 NPI: 1073594818 1085 South Bluff St (801) 379-2904 (801) 379-2904 Avalon Oculoplastics Pc - Saint George, UT 84770 Cantonese Spanish Spanish Fork (801) 264-4444 78 East 900 North Spanish Schmutz, Mason MD ~* Winward, Kirk MD ~* Spanish Fork, UT 84660 NPI: 1952664468 NPI: 1962487611 (801) 794-4964 Goff, Mitchell MD ~* Excel Eye Center - Provo Retina Associates Of Utah Spanish NPI: 1578595153 1735 North State St Pc - Provo Rocky Mountain Retina Provo, UT 84604 1055 North 300 West Ste Schmutz, Joseph MD ~* Consultants - St George (801) 379-2904 420 NPI: 1477870814 1085 South Bluff St Portugese, Spanish Provo, UT 84604 Excel Eye Center - Spanish Saint George, UT 84770 (801) 357-7999 Fork (801) 264-4444 Smalley, Aaron MD ~* Spanish 325 West Center St Ste 204 NPI: 1346467115 Spanish Fork, UT 84660 Hurlbut-Miller, Peter Excel Eye Center - Provo Saratoga Springs (801) 465-2575 MD ~* 1735 North State St Spanish NPI: 1285695940 Provo, UT 84604 84045 Rocky Mountain Retina (801) 379-2904 Ririe, Peter MD ~* Washington Consultants - St George Spanish NPI: 1063856920 1085 South Bluff St Excel Eye Center - Saratoga Hurricane Saint George, UT 84770 Swartz, Mano MD ~* Springs 84737 (801) 264-4444 NPI: 1801870670 1305 North Commerce Dr Retina Associates Of Utah Ste 120 Hendrix, Jason MD ~* Jacoby, Rachael MD ~* Pc - Provo Saratoga Springs, UT NPI: 1831117167 NPI: 1265659213 1055 North 300 West Ste 84045 Revere Health – Hurricane Richens Eye Center - St 420 (801) 379-2929 - Opthalmology George - 161 W Provo, UT 84604 Armenian 52 South 850 West Ste 161 West 200 North Ste (801) 357-7999 202A 200 German, Spanish Schmutz, Mason MD ~* Hurricane, UT 84737 Saint George, UT 84770 NPI: 1952664468 (435) 628-4507 (435) 674-0832 Theurer, James MD ~* Excel Eye Center - Saratoga NPI: 1083685101 Springs Slade, David MD ~* Jones, Brenda MD ~* Excel Eye Center - Provo 1305 North Commerce Dr NPI: 1598918666 NPI: 1588663645 1735 North State St Ste 120 Revere Health – Hurricane Richens Eye Center - St Provo, UT 84604 Saratoga Springs, UT - Opthalmology George - 161 W (801) 379-2904 84045 52 South 850 West Ste 161 West 200 North Ste Spanish (801) 379-2929 202A 200 Portugese, Spanish Hurricane, UT 84737 Saint George, UT 84770 Ward, Matthew MD ~* (435) 628-4507 (435) 674-0832 NPI: 1023251881 Yeates, Scott MD ~* Spanish Riverwood Eye Center - NPI: 1588818645 Saint George Provo Excel Eye Center - Saratoga 84770 Jones, Brenda MD ~* 280 West River Park Dr Springs NPI: 1588663645 Ste 220 1305 North Commerce Dr Elliott, Richard MD ~* Richens Eye Center - St Provo, UT 84604 Ste 120 NPI: 1184708703 George - 1930 W (801) 224-3565 Saratoga Springs, UT Richens Eye Center - St 1930 West Sunset Blvd Ste Romanian 84045 George - 161 W 106 (801) 379-2929 161 West 200 North Ste 200 Saint George, UT 84770 Saint George, UT 84770 (435) 628-1112 (435) 674-0832 Spanish ~ Accepting new patients/Aceptando a nuevos pacientes * Accepts Medicaid/Acepta Medicaid ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

253 Specialty Providers / Proveedores Especializados Ophthalmology continued/seguido

May, Shawno MD ~* 84790 Hollifield, Rodney MD ~* Patel, Bhupendra MD ~* NPI: 1922098276 Edwards, Jayson MD ~* NPI: 1528012721 NPI: 1366436412 Richens Eye Center - St NPI: 1568697464 Retina Consultants Of Dixie Ophthalmic George - 161 W Dixie Ophthalmic Southern Utah - St George Specialists And Laser Eye 161 West 200 North Ste Specialists & Laser Eye 1791 East 280 North Center - St Georg 200 Center - St George Saint George, UT 84790 1791 East 280 North Saint George, UT 84770 1791 East 280 North (702) 369-0200 Saint George, UT 84790 (435) 674-0832 Saint George, UT 84790 (435) 656-2020 (435) 656-2020 Jaussi, Walter MD ~ French, Hindi, Swahili, Patel, Bhupendra MD ~* Spanish NPI: 1790896660 Gujarati NPI: 1366436412 Dixie Ophthalmic Surgical Care Associates Of Hartnett, Mary MD ~* Specialists & Laser Eye Patel, Bhupendra MD * St George - St George NPI: 1871507020 Center - St George NPI: 1366436412 676 South Bluff St Udac - Child Development 1791 East 280 North Southern Utah Eye Saint George, UT 84770 Program - Washington Saint George, UT 84790 Physicians - Saint George (435) 215-0014 County (435) 656-2020 1791 East 280 North French, Hindi, Swahili, 1380 East Medical Center Saint George, UT 84790 Gujarati Dr Ste 4500 Jayne, Russell MD ~* (435) 656-2020 Saint George, UT 84790 NPI: 1689671687 French, Hindi, Swahili, Richens, Sharon MD ~* (801) 587-2255 Retina Consultants Of Gujarati NPI: 1497769368 Southern Utah - St George Richens Eye Center - St Hendrix, Jason MD ~* 1791 East 280 North Patel, Bhupendra MD ~* George - 161 W NPI: 1831117167 Saint George, UT 84790 NPI: 1366436412 161 West 200 North Ste Revere Health - Sg - (702) 369-0200 St George Eye Center - St 200 Ophthalmology German George Saint George, UT 84770 1054 East Riverside Dr Ste 1054 East Riverside Dr Ste (435) 674-0832 201 Loo, Roy MD ~* 201 Saint George, UT 84790 NPI: 1417996802 Saint George, UT 84790 Tarbet, Kristin MD ~* (435) 628-4507 Retina Consultants Of (435) 628-4507 NPI: 1083659262 Southern Utah - St George French, Hindi, Swahili, Gujarati Richens Eye Center - St Hendrix, Jason MD ~* 1791 East 280 North George - 161 W NPI: 1831117167 Saint George, UT 84790 161 West 200 North Ste St George Eye Center - St (702) 369-0200 Patel, Bhupendra MD ~* 200 George NPI: 1366436412 Saint George, UT 84770 1054 East Riverside Dr Ste Lord, Ron MD ~* Surgical Care Associates (435) 674-0832 201 NPI: 1790991107 Inc - St George Saint George, UT 84790 Retina Associates Of 1054 East Riverside Dr Ste Teske, Michael MD ~* (435) 628-4507 Southern Utah Pc - St 201 NPI: 1376633909 George Saint George, UT 84790 (435) 215-0004 Richens Eye Center - St Hoffman, Robert MD ~* 230 North 1680 East Bldg George - 161 W F French, Hindi, Swahili, NPI: 1992895593 Gujarati 161 West 200 North Ste Udac - Child Development Saint George, UT 84790 200 Program - Washington (435) 868-4167 Saint George, UT 84770 County Patel, Bhupendra MD ~* (435) 674-0832 1380 East Medical Center Parker, Robert MD ~* NPI: 1366436412 Dr Ste 4500 NPI: 1386685311 Zion Eye Institute - Dixie Saint George, UT 84790 Retina Consultants Of Ophthalmic Specialists (801) 587-2255 Southern Utah - St George 1791 East 280 North 1791 East 280 North Saint George, UT 84790 Saint George, UT 84790 (435) 215-0014 (702) 369-0200 French, Hindi, Swahili, Gujarati

254 Specialty Providers / Proveedores Especializados Ophthalmology continued/seguido

Reyes, Marcos MD ~* Young, Marielle MD ~* Hoffman, Robert MD ~* Brodstein, David MD ~* NPI: 1942485842 NPI: 1033390877 NPI: 1992895593 NPI: 1912989518 Dixie Ophthalmic Udac - Child Development Udac - Child Development Country Hills Eye Center - Specialists & Laser Eye Program - Washington Program - Ogden Ogden Center - St George County 2540 Washington Blvd 875 Country Hills Dr 1791 East 280 North 1380 East Medical Center Ogden, UT 84401 Ogden, UT 84403 Saint George, UT 84790 Dr Ste 4500 (801) 587-2255 (801) 399-1149 (435) 656-2020 Saint George, UT 84790 Spanish Spanish (801) 587-2255 Hoffman, Robert MD ~* NPI: 1992895593 Bullard, Michael MD ~* Schliesser, Joshua MD ~* Washington Udac - Neonatal NPI: 1326351727 NPI: 1235440470 Follow-Up Program - Utah Eye Centers - Mount Dixie Ophthalmic 84780 Ogden Ogden Specialists & Laser Eye Hendrix, Jason MD ~* 2540 Washington Blvd 4360 Washington Blvd Center - St George NPI: 1831117167 Ogden Regional Center Ogden, UT 84403 1791 East 280 North Revere Health - Ogden, UT 84401 (801) 476-0494 Saint George, UT 84790 Washington Family (801) 587-2255 (435) 656-2020 Medicine & Urgent Care Clayson, Fred MD ~* 195 West Telegraph Rd Young, Marielle MD ~* NPI: 1194756718 Slade, David MD ~* Washington, UT 84780 NPI: 1033390877 Clayson Williams Eye NPI: 1598918666 (435) 215-0600 Udac - Neonatal Center - Ogden Revere Health - Sg - Follow-Up Program - 4403 Harrison Blvd Ste Ophthalmology Slade, David MD ~* Ogden 3600 1054 East Riverside Dr Ste NPI: 1598918666 2540 Washington Blvd Ogden, UT 84403 201 Revere Health - Ogden Regional Center (801) 387-3550 Saint George, UT 84790 Washington Family Ogden, UT 84401 German (435) 628-4507 Medicine & Urgent Care (801) 587-2255 195 West Telegraph Rd Dastrup, Benjamin Slade, David MD ~* Washington, UT 84780 84403 MD ~* (435) 215-0600 NPI: 1598918666 Alldredge, Claron MD ~* NPI: 1073797809 St George Eye Center - St NPI: 1841200284 Country Hills Eye Center - George Weber Utah Eye Centers - Mount Ogden 1054 East Riverside Dr Ste 875 Country Hills Dr Ogden Ogden 201 4360 Washington Blvd Ogden, UT 84403 Saint George, UT 84790 84401 Ogden, UT 84403 (801) 399-1149 (435) 628-4507 Hartnett, Mary MD ~* (801) 476-0494 Spanish Gunther, Jonathan Thach, Allen MD ~* NPI: 1871507020 MD ~* Udac - Child Development NPI: 1457305625 Armstrong, John MD ~* NPI: 1023073459 Retina Consultants Of Program - Ogden Country Hills Eye Center - 2540 Washington Blvd NPI: 1932188133 Southern Utah - St George Utah Eye Centers - Mount Ogden 1791 East 280 North Ogden, UT 84401 875 Country Hills Dr (801) 587-2255 Ogden Saint George, UT 84790 4360 Washington Blvd Ogden, UT 84403 (702) 369-0200 (801) 399-1149 Hartnett, Mary MD ~* Ogden, UT 84403 (801) 476-0494 Wickens, Jason MD ~ NPI: 1871507020 Lever, Jackson MD ~* Udac - Neonatal NPI: 1003860313 Ballif, Mark MD ~* NPI: 1831329309 Retina Consultants Of Follow-Up Program - Country Hills Eye Center - Ogden NPI: 1376522573 Southern Utah - St George Utah Eye Centers - Mount Ogden 1791 East 280 North 2540 Washington Blvd 875 Country Hills Dr Ogden Regional Center Ogden Saint George, UT 84790 4360 Washington Blvd Ogden, UT 84403 (702) 369-0200 Ogden, UT 84401 (801) 399-1149 (801) 587-2255 Ogden, UT 84403 (801) 476-0494 German, Spanish ~ Accepting new patients/Aceptando a nuevos pacientes * Accepts Medicaid/Acepta Medicaid ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

255 Specialty Providers / Proveedores Especializados Ophthalmology continued/seguido

Poll, Jed MD ~* Williams, Brice MD ~* Salt Lake Chandler, Jason DMD ~ NPI: 1376656124 NPI: 1154574390 NPI: 1114134004 Utah Eye Centers - Mount Clayson Williams Eye Salt Lake City Oral And Maxillofacial Ogden Center - Ogden 84121 Surgeons Of Utah - 4360 Washington Blvd 4403 Harrison Blvd Ste Bountiful Ogden, UT 84403 3600 Maxfield, Matthew 469 East Medical Dr Ste (801) 476-0494 Ogden, UT 84403 DMD ~ 202 (801) 387-3550 NPI: 1851528244 Bountiful, UT 84010 Richards, Bradley MD ~* Spanish Judd E Partridge Dmd Llc - (801) 299-8531 NPI: 1457333064 Salt Lake City Spanish Country Hills Eye Center - 84404 6710 South Blackstone Rd Ogden Ste 104 Liston, Todd DDS ~ 875 Country Hills Dr Turner, Scott MD ~* Salt Lake City, UT 84121 NPI: 1598835506 Ogden, UT 84403 NPI: 1760607782 (801) 943-8703 Oral And Maxillofacial (801) 399-1149 Farr West Eye Specialists - Spanish Surgeons Of Utah - Farr West Bountiful 2850 North 2000 West Ste Oral And Richards, Scott MD ~ 202 469 East Medical Dr Ste NPI: 1447232806 Ogden, UT 84404 Maxillofacial 202 Ihc Mckay Dee (801) 731-6326 Bountiful, UT 84010 Neonatology - Ogden Surgery Dentist (801) 299-8531 4401 Harrison Blvd 84405 Ogden, UT 84403 Cache Layton (801) 387-4300 Hoffman, Robert MD ~* Japanese NPI: 1992895593 Logan 84040 Nfp Ogden Austin, Blaine DDS ~ Sykes, Scott MD ~* 5475 South 500 East 84341 NPI: 1669446258 NPI: 1083693204 Ogden, UT 84405 Matson, Scott DMD ~ Blaine D Austin Dds - Utah Eye Centers - Mount (801) 479-2541 NPI: 1942474440 Ogden Ogden Logan Oral Surgery - 1811 Forestridge Dr 4360 Washington Blvd Oral & Logan Layton, UT 84040 Ogden, UT 84403 3125 North Main St Ste (801) 759-4378 (801) 476-0494 Maxillofacial 103 Spanish Portugese Logan, UT 84341 Surgery (435) 239-7212 84041 Wilcox, Michael MD ~* Russian Davis Broadbent, Michael NPI: 1053391771 DMD ~ Utah Eye Centers - Mount Layton Davis NPI: 1205049459 Ogden Bountiful Oral And Maxillofacial 4360 Washington Blvd 84041 Surgeons Of Utah - Layton Ogden, UT 84403 Mccormick, Adam 84010 2297 North Hillfield Rd (801) 476-0494 DDS ~* Broadbent, Michael Ste A105 NPI: 1144456542 DMD ~ Layton, UT 84041 Wilkins, Court OD ~ Oral And Maxillofacial NPI: 1205049459 (801) 779-0506 NPI: 1780679613 Surgeons Of Utah - Layton Oral And Maxillofacial Utah Eye Centers - Mount 2297 North Hillfield Rd Surgeons Of Utah - Chandler, Jason DMD ~ Ogden Ste A105 Bountiful NPI: 1114134004 4360 Washington Blvd Layton, UT 84041 469 East Medical Dr Ste Oral And Maxillofacial Ogden, UT 84403 (801) 779-0506 202 Surgeons Of Utah - Layton (801) 476-0494 Spanish Bountiful, UT 84010 2297 North Hillfield Rd Japanese, Spanish (801) 299-8531 Ste A105 Layton, UT 84041 (801) 779-0506 Spanish

256 Specialty Providers / Proveedores Especializados Oral And Maxillofacial Surgery Dentist continued/seguido

Liston, Todd DDS ~ 84124 Weber Chandler, Jason DMD ~ NPI: 1598835506 NPI: 1114134004 Egbert, Cameron DDS ~ Ogden Oral And Maxillofacial NPI: 1033320957 Oral And Maxillofacial Surgeons Of Utah - Layton 84403 Surgeons Of Utah - 2297 North Hillfield Rd Summit Oral And Pleasant View Ste A105 Maxillofacial Surgery Pllc - Broadbent, Michael 2711 North Hwy 89 Ste Layton, UT 84041 Salt Lake City DMD ~ 200 (801) 779-0506 1250 East 3900 South Ste NPI: 1205049459 Ogden, UT 84414 210 Oral And Maxillofacial Salt Lake City, UT 84124 (801) 782-7175 Salt Lake Surgeons Of Utah - Ogden Spanish (801) 265-1500 3590 Harrison Blvd Ste 2 Salt Lake City Ogden, UT 84403 Liston, Todd DDS ~ Utah (801) 392-7176 84102 NPI: 1598835506 Provo Oral And Maxillofacial Egbert, Cameron DDS ~ Chandler, Jason DMD ~ Surgeons Of Utah - NPI: 1033320957 84601 NPI: 1114134004 Pleasant View The Center Of Dental Crawford, Gary DDS ~ Oral And Maxillofacial 2711 North Hwy 89 Ste Professionals - Slc NPI: 1649353715 Surgeons Of Utah - Ogden 200 3798 South 700 East Ste 6 Oral Maxillofacial Surgery 3590 Harrison Blvd Ste 2 Ogden, UT 84414 Salt Lake City, UT 84102 - Provo Ogden, UT 84403 (801) 782-7175 (801) 747-8015 777 North 500 West Ste (801) 392-7176 102 Spanish Orthopaedic Hand 84107 Provo, UT 84601 Roberts, Greg DDS ~ (801) 375-4707 Liston, Todd DDS ~ Surgery NPI: 1356358535 Spanish NPI: 1598835506 Greg A Roberts Pc - Oral And Maxillofacial Salt Lake Murray Mcbee, William DDS ~* Surgeons Of Utah - Ogden 3590 Harrison Blvd Ste 2 Salt Lake City 622 East 4500 South Ste NPI: 1093898157 Ogden, UT 84403 202 Oral Maxillofacial Surgery 84103 Salt Lake City, UT 84107 - Provo (801) 392-7176 (801) 479-8200 777 North 500 West Ste Raemisch, Michael MD ~ 102 Roberts, Greg DDS ~ NPI: 1588603039 84117 Provo, UT 84601 NPI: 1356358535 Ihc Orthopedic Specialty (801) 375-4707 Greg A Roberts Pc - Ogden Group - Lds Campus - Salt Hopkin, Dustin DDS ~ 5742 South 1475 East Ste Lake NPI: 1265690028 100 324 10Th Ave Ste 100 Dustin J Hopkin Dds Oral Spanish Fork Ogden, UT 84403 Salt Lake City, UT 84103 & Maxillofacial Surgery - 84660 (801) 479-8200 (801) 408-8700 Site Egbert, Cameron DDS ~ 2180 East 4500 South Ste 84414 84107 285 NPI: 1033320957 Salt Lake City, UT 84117 Summit Oral And Broadbent, Michael Raemisch, Michael MD ~ (801) 277-3942 Maxillofacial Surgery Pllc - DMD ~ NPI: 1588603039 Portugese, Spanish Spanish Fork NPI: 1205049459 Ihc Orthopedic Specialty 642 East Kirby Ln Ste 101 Oral And Maxillofacial Group - Imc - Murray Spanish Fork, UT 84660 Surgeons Of Utah - 5169 South Cottonwood St (801) 798-9500 Pleasant View Ste 430 2711 North Hwy 89 Ste Salt Lake City, UT 84107 200 (801) 507-3475 Ogden, UT 84414 (801) 782-7175

257 Specialty Providers / Proveedores Especializados Orthopaedic Hand Surgery continued/seguido

84108 Kazmers, Nikolas MD ~* Orthopaedic Nelson, Keith MD ~* NPI: 1578874715 NPI: 1245229954 Feller, Ross MD ~ Surgery NPI: 1265725493 Pediatric Orthopedics Alpine Orthopaedic Pediatric Orthopaedics - 100 North Mario Capecchi Specialists - Brigham City Dr Box Elder 1030 South Medical Dr Ste Orthopaedic Center Salt Lake City, UT 84113 A 590 South Wakara Way Brigham City Salt Lake City, UT 84108 (801) 662-5600 Brigham City, UT 84302 (801) 587-7109 84302 (435) 723-9700 Kazmers, Nikolas MD ~* NPI: 1578874715 Bitner, Matthew MD ~* Peterson, David MD ~* Grasu, Beatrice MD ~ Pediatric Orthopedics - NPI: 1467563866 NPI: 1417268368 NPI: 1386936649 Pcos Sumko/Bitner Orthopaedic Alpine Orthopaedic Pediatric Orthopaedics - 81 North Mario Capecchi & Sports Medicine Clinic Specialists - Brigham City Orthopaedic Center Dr Pllc - Bri 1030 South Medical Dr Ste 590 South Wakara Way Salt Lake City, UT 84113 990 Medical Dr Ste G4 A Salt Lake City, UT 84108 (801) 662-5600 Brigham City, UT 84302 Brigham City, UT 84302 (801) 587-7109 (435) 734-2151 (435) 723-9700 Washington 84113 Felix, Brent MD ~* Tremonton Saint George NPI: 1851383350 Feller, Ross MD ~ 84337 NPI: 1265725493 84790 Alpine Orthopaedic Pediatric Orthopedics Specialists - Brigham City Bitner, Matthew MD ~* 100 North Mario Capecchi Slade, Dirk MD ~* 1030 South Medical Dr Ste NPI: 1467563866 Dr NPI: 1164564860 A Sumko/Bitner Orthopaedic Salt Lake City, UT 84113 Ihc Zion Orthopaedics & Brigham City, UT 84302 & Sports Medicine Clinic (801) 662-5600 Sports Medicine - St George (435) 723-9700 Pllc - Tre 652 South Medical Center 935 North 1000 West Feller, Ross MD ~ Dr Ste 400 Hicken, Gregory MD ~* Tremonton, UT 84337 NPI: 1265725493 Saint George, UT 84790 NPI: 1225027931 (435) 734-2151 Pediatric Orthopedics - (435) 251-2650 Alpine Orthopaedic Pcos Specialists - Brigham City Higbee, Daniel MD ~* 81 North Mario Capecchi Weber 1030 South Medical Dr Ste NPI: 1669702429 Dr A Sumko/Bitner Orthopaedic Salt Lake City, UT 84113 Ogden Brigham City, UT 84302 & Sports Medicine Clinic (801) 662-5600 84405 (435) 723-9700 Pllc - Tre Larsen, Kenna MD ~ 935 North 1000 West Grasu, Beatrice MD ~ Higbee, Daniel MD ~* Tremonton, UT 84337 NPI: 1073723375 NPI: 1669702429 NPI: 1386936649 Utah Orthopaedics - (435) 734-2151 Pediatric Orthopedics Sumko/Bitner Orthopaedic Washington Terrace & Sports Medicine Clinic 100 North Mario Capecchi 5782 Adams Ave Pkwy Hunt, Wilson PA ~* Dr Pllc - Bri NPI: 1871503201 Ogden, UT 84405 990 Medical Dr Ste G4 Salt Lake City, UT 84113 (801) 917-8000 Ihc Bear River Family (801) 662-5600 Brigham City, UT 84302 Medicine - Tremonton (435) 734-2151 935 North 1000 West Grasu, Beatrice MD ~ Tremonton, UT 84337 NPI: 1386936649 Larson, Brad MD ~* (435) 207-4800 Pediatric Orthopedics - NPI: 1396733507 Pcos Alpine Orthopaedic 81 North Mario Capecchi Specialists - Brigham City Dr 1030 South Medical Dr Ste Salt Lake City, UT 84113 A (801) 662-5600 Brigham City, UT 84302 (435) 723-9700

258 Specialty Providers / Proveedores Especializados Orthopaedic Surgery continued/seguido

Vernon, Brian MD ~* King, Bryan MD ~* Peterson, David MD ~* Heflin, John MD ~* NPI: 1265639280 NPI: 1194735670 NPI: 1417268368 NPI: 1588840102 Ihc Bear River Specialists - Ihc Logan Regional Alpine Orthopaedic Mountain View Tremonton Orthopedics - Logan Specialists - Logan Orthopedics & Sports 935 North 1000 West 1350 North 500 East 2310 North 400 East Ste A Medicine - Clinton Tremonton, UT 84337 Logan, UT 84341 Logan, UT 84341 1477 North 2000 West Ste (435) 207-4800 (435) 716-2800 (435) 787-2000 B Spanish Clearfield, UT 84015 Larson, Brad MD ~* Rowley, David MD ~* (801) 475-5683 Cache NPI: 1396733507 NPI: 1679701718 Alpine Orthopaedic Alpine Orthopaedic Heflin, John MD ~* Logan Specialists - Logan Specialists - Logan NPI: 1588840102 84341 2310 North 400 East Ste A 2310 North 400 East Ste A Revere Health - Clinton - Logan, UT 84341 Logan, UT 84341 Orthopedics Felix, Brent MD ~* (435) 787-2000 (435) 787-2000 1477 North 2000 West Ste NPI: 1851383350 Spanish B Alpine Orthopaedic Murray, David MD ~* Clearfield, UT 84015 Specialists - Logan NPI: 1417967902 Vernon, Brian MD ~* (801) 475-5683 2310 North 400 East Ste A Budge Clinic Radiology NPI: 1265639280 Logan, UT 84341 Physicians - Logan Ihc Logan Regional Hunter, Joshua MD ~* (435) 787-2000 1350 North 500 East Orthopedics - Logan NPI: 1861634081 Logan, UT 84341 1350 North 500 East Davis Orthopedics & Sports Hicken, Gregory MD ~* (435) 752-0422 Logan, UT 84341 Medicine - Pgu - Clinton NPI: 1225027931 (435) 716-2800 1407 North 2000 West Ste Alpine Orthopaedic Murray, David MD ~* Spanish F Specialists - Logan NPI: 1417967902 Clearfield, UT 84015 2310 North 400 East Ste A Ihc Logan Regional Providence (801) 773-3900 Logan, UT 84341 Orthopedics - Logan (435) 787-2000 1350 North 500 East 84332 Watson, Brent MD ~* Logan, UT 84341 Higginbotham, Thomas NPI: 1225129158 Higginbotham, Thomas (435) 716-2800 MD ~* Davis Orthopedics & Sports MD ~* NPI: 1588673800 Medicine - Pgu - Clinton NPI: 1588673800 Nelson, Keith MD ~* Ihc South Cache Valley 1407 North 2000 West Ste Ihc Logan Regional NPI: 1245229954 Clinic - Providence F Orthopedics - Logan Alpine Orthopaedic 190 South Hwy 165 Clearfield, UT 84015 1350 North 500 East Specialists - Logan Providence, UT 84332 (801) 773-3900 Logan, UT 84341 2310 North 400 East Ste A (435) 755-3300 French (435) 716-2800 Logan, UT 84341 Spanish Spanish (435) 787-2000 Williams, Benjamin Davis MD ~* Hooley, Eric MD ~* Olson, Matthew DO ~* NPI: 1013184431 NPI: 1548230014 NPI: 1730403494 Clearfield Davis Orthopedics & Sports Ihc Logan Regional Ihc Logan Regional 84015 Medicine - Pgu - Clinton Orthopedics - Logan Orthopedics - Logan 1407 North 2000 West Ste 1350 North 500 East 1350 North 500 East English, Christopher F Logan, UT 84341 Logan, UT 84341 MD ~* Clearfield, UT 84015 (435) 716-2800 (435) 716-2800 NPI: 1538331871 (801) 773-3900 Davis Orthopedics & Sports Spanish Medicine - Pgu - Clinton 1407 North 2000 West Ste F Clearfield, UT 84015 (801) 773-3900

259 Specialty Providers / Proveedores Especializados Orthopaedic Surgery continued/seguido

Layton English, Christopher Hofmann, Aaron MD ~* Madsen, Wes MD ~* MD ~* NPI: 1801986401 NPI: 1649396409 84040 NPI: 1538331871 Hofmann Arthritis Tanner Memorial Clinic - Dee, Michael MD ~* Davis Orthopedics & Sports Institute Pllc - Layton 1580 Layton NPI: 1710106653 Medicine - Pgu - Layton West 2121 North 1700 West Tanner Memorial Clinic - 2132 North 1700 West Ste 1580 West Antelope Dr Ste Layton, UT 84041 Layton 2 230 200 (801) 773-4840 1750 East 3100 North Layton, UT 84041 Layton, UT 84041 Spanish Layton, UT 84040 (801) 773-3900 (801) 355-6468 (801) 773-4840 Mangiapani, Daniel Khmer Heflin, John MD ~* Hofmann, Aaron MD ~* MD ~* NPI: 1588840102 NPI: 1801986401 NPI: 1912263880 Heflin, John MD ~* Pediatric Orthopaedics - Hofmann Arthritis Hofmann Arthritis NPI: 1588840102 Intermountain Layton Institute Pllc - Layton 1600 Institute Pllc - Antelope Dr Mountain View Hospital West 1492 West Antelope Drive Orthopedics & Sports 201 West Layton Pkwy Ste 1600 West Antelope Dr Ste 110 Medicine - Layton 3B Layton, UT 84041 Layton, UT 84041 2950 North Church St Ste Layton, UT 84041 (801) 355-6468 (801) 355-6468 101B (801) 662-5600 Layton, UT 84040 Holmes, Stephanie Mcclure, Philip MD ~* (801) 475-5683 Hendry, Travis MD ~* MD ~* NPI: 1740418912 NPI: 1124235312 NPI: 1720033079 Pediatric Orthopaedics - Heflin, John MD ~* Ihc Layton Clinic - Layton Pediatric Orthopaedics - Intermountain Layton NPI: 1588840102 2075 University Park Blvd Intermountain Layton Hospital Revere Health - Layton - Layton, UT 84041 Hospital 201 West Layton Pkwy Ste Orthopedics (801) 779-6200 201 West Layton Pkwy Ste 3B 2950 North Church St Ste Portugese, Spanish 3B Layton, UT 84041 101B Layton, UT 84041 (801) 662-5600 Layton, UT 84040 Hendry, Travis MD ~* (801) 662-5600 (801) 475-5683 NPI: 1124235312 Rice, Robert MD ~* Ihc Mckay Dee Orthopedic Hunter, Joshua MD ~* NPI: 1730166182 84041 & Sports Medicine - Layton NPI: 1861634081 Tanner Memorial Clinic - Cook, David MD ~* 2075 University Park Blvd Davis Orthopedics & Sports Layton NPI: 1285610048 Layton, UT 84041 Medicine - Pgu - Layton 2121 North 1700 West Tanner Memorial Clinic - (801) 779-6200 2132 North 1700 West Ste Layton, UT 84041 Layton Portugese, Spanish 230 (801) 773-4840 2121 North 1700 West Layton, UT 84041 Spanish Layton, UT 84041 Hendry, Travis MD ~* (801) 773-3900 (801) 773-4840 NPI: 1124235312 Saltzman, Charles MD ~* Layton Parkway Jee, Kenneth MD ~* NPI: 1962583146 Donigan, Jonathan Orthopedics And Sports NPI: 1679559538 Pediatric Orthopaedics - MD ~* Medicine - Layton Tanner Memorial Clinic - Intermountain Layton NPI: 1750599171 201 West Layton Pkwy Ste Layton Hospital Tanner Memorial Clinic - 1B 2121 North 1700 West 201 West Layton Pkwy Ste Layton Layton, UT 84041 Layton, UT 84041 3B 2121 North 1700 West (801) 543-6775 (801) 773-4840 Layton, UT 84041 Layton, UT 84041 Portugese, Spanish French (801) 662-5600 (801) 773-4840

260 Specialty Providers / Proveedores Especializados Orthopaedic Surgery continued/seguido

Schaeffer, Jordan MD ~* Svagr, Bohus MD ~* Iron 84721 NPI: 1679732929 NPI: 1164408118 Cedar City Allen, Lex MD ~* Hofmann Arthritis Tanner Memorial Clinic - NPI: 1629242359 Institute Pllc - Layton 1580 Layton 84720 West 2121 North 1700 West Ihc Southern Utah Ortho 1580 West Antelope Dr Ste Layton, UT 84041 Cain Jr, James MD ~ Sports Med - Cedar City 200 (801) 773-4840 NPI: 1235133257 166 West 1325 North Ste Layton, UT 84041 Czech, German, Russian, Ihc Southern Utah 150 (801) 355-6468 Spanish Neurosciences Institute - Cedar City, UT 84721 Cedar City (435) 586-6962 Schaeffer, Jordan MD ~* Tensmeyer, Daniel 1303 North Main St NPI: 1679732929 MD ~* Cedar City, UT 84720 Delcore, Randy MD ~* Hofmann Arthritis NPI: 1750517215 (435) 251-6800 NPI: 1205926748 Institute Pllc - Layton 1600 Layton Parkway Cedar Orthopaedic Surgery West Orthopedics And Sports Cain Jr, James MD ~ Specialty Clinic 1600 West Antelope Dr Medicine - Layton NPI: 1235133257 1335 Northfield Rd Ste 200 Layton, UT 84041 201 West Layton Pkwy Ste Intermountain Southwest Cedar City, UT 84721 (801) 355-6468 1B Spine & Pain Center - (435) 586-1003 Layton, UT 84041 Cedar City Smith, John MD ~* (801) 543-6775 1303 North Main St Nakken, Robert MD ~* NPI: 1255432001 Cedar City, UT 84720 NPI: 1033244207 Pediatric Orthopaedics - Watson, Brent MD ~* (435) 868-5055 Ihc Southern Utah Ortho Intermountain Layton NPI: 1225129158 Sports Med - Cedar City Hospital Davis Orthopedics & Sports Clark, Randy MD ~* 166 West 1325 North Ste 201 West Layton Pkwy Ste Medicine - Pgu - Layton NPI: 1679781140 150 3B 2132 North 1700 West Ste Revere Health - Coral Cedar City, UT 84721 Layton, UT 84041 230 Desert Orthopedic - Cedar (435) 586-6962 (801) 662-5600 Layton, UT 84041 City Swedish (801) 773-3900 965 South Main St Ste A Stevens, David MD ~* French Cedar City, UT 84720 Salt Lake (800) 239-9393 NPI: 1902941479 Cottonwood Heights Tanner Memorial Clinic - Williams, Benjamin Spanish Layton MD ~* 84121 2121 North 1700 West NPI: 1013184431 Johnson, Dayne PA ~ Paulos, Leon MD ~* Layton, UT 84041 Davis Orthopedics & Sports NPI: 1669505178 NPI: 1992700330 (801) 773-4840 Medicine - Pgu - Layton Southwest Spine And Pain Paulos Toronto Spanish 2132 North 1700 West Ste Care Specialists - Cedar Orthopedics And Sports 230 City Medicine Stevens, Peter MD ~* Layton, UT 84041 1303 North Main St 6322 South 3000 East Ste NPI: 1881649929 (801) 773-3900 Cedar City, UT 84720 140 Pediatric Orthopaedics - Spanish (435) 586-2229 Cottonwood Heights, UT Intermountain Layton 84121 Hospital Woiczik, Marcella MD ~* Stouffer, Mark MD ~* (801) 408-8123 201 West Layton Pkwy Ste NPI: 1053408708 NPI: 1316131790 3B Pediatric Orthopaedics - Ihc Southern Utah Draper Layton, UT 84041 Intermountain Layton Neurosciences Institute - (801) 662-5600 Hospital Cedar City 84020 201 West Layton Pkwy Ste 1303 North Main St Hohl, Justin MD ~* 3B Cedar City, UT 84720 NPI: 1639371149 Layton, UT 84041 (435) 251-6800 Mountainstar General (801) 662-5600 Spanish Surgery - Draper 74 Kimballs Ln Ste 210 Draper, UT 84020 (801) 566-3062

261 Specialty Providers / Proveedores Especializados Orthopaedic Surgery continued/seguido

Mangiapani, Daniel Riverton Holmes, Stephanie Richards, Daniel DO ~* MD ~* MD ~* NPI: 1649455403 NPI: 1912263880 84065 NPI: 1720033079 Granger Medical - Riverton Hofmann Arthritis Amundsen, Spencer Pediatric Orthopedics - 12391 South 4000 West Institute Pllc - Draper MD ~* Pcrh Riverton, UT 84065 11613 South State St NPI: 1841517257 3741 West 12600 South (801) 302-1700 Draper, UT 84020 Core South Bangerter Riverton, UT 84065 (801) 355-6468 Health Center - Riverton (801) 285-1440 Sessions, Wade MD ~* 13348 South Market NPI: 1659483816 West, Kristoffer MD ~* Center Dr Ste 120 Jones, Kevin MD ~* Core South Bangerter NPI: 1285898650 Riverton, UT 84065 NPI: 1750599114 Health Center - Riverton Mountainstar General (385) 887-7100 Pediatric Orthopedics - 13348 South Market Surgery - Draper Pcrh Center Dr Ste 120 74 Kimballs Ln Ste 210 Beck Jr, Charles MD ~* 3741 West 12600 South Riverton, UT 84065 Draper, UT 84020 NPI: 1528124815 Riverton, UT 84065 (385) 887-7100 (801) 566-3062 Specialty Surgery Of Utah - (801) 285-1440 Spanish Riverton Silvero, Peter MD ~* 13348 South Market Machen, Michael MD ~* NPI: 1699844001 Winterton, Paul MD ~* Center Dr Ste 210 NPI: 1366418386 Core South Bangerter NPI: 1013963651 Riverton, UT 84065 Pediatric Orthopedics - Health Center - Riverton Paul W Winterton Md - (801) 601-4423 Pcrh 13348 South Market Draper 3741 West 12600 South Center Dr Ste 120 96 East Kimball Ln Ste 407 Gorman, Troy MD ~ Riverton, UT 84065 Riverton, UT 84065 Draper, UT 84020 NPI: 1306032719 (801) 285-1440 (385) 887-7100 (801) 561-3101 Ihc Orthopedic Specialty Spanish Group - Riverton Campus - Smith, John MD ~* Magna Riverton Mackey, Richard MD ~* NPI: 1255432001 3723 West 12600 South Ste NPI: 1992923874 Pediatric Orthopedics - 84044 460 Core South Bangerter Pcrh Silvero, Peter MD ~* Riverton, UT 84065 Health Center - Riverton 3741 West 12600 South NPI: 1699844001 (801) 285-4650 13348 South Market Riverton, UT 84065 Associates In Orthopaedic Spanish Center Dr Ste 120 (801) 285-1440 Surgery - Magna Riverton, UT 84065 3665 South 8400 West Ste Hatch, Mark MD ~* (385) 887-7100 Tyser, Andrew MD ~* 200 NPI: 1821318494 NPI: 1154596864 Magna, UT 84044 Core South Bangerter Muir, Traske MD ~* Pediatric Orthopedics - (801) 964-3925 Health Center - Riverton NPI: 1144369935 Pcrh 13348 South Market Core South Bangerter 3741 West 12600 South Winter, Bret MD ~* Center Dr Ste 120 Health Center - Riverton Riverton, UT 84065 NPI: 1427252865 Riverton, UT 84065 13348 South Market (801) 285-1440 Magna Center For Family (385) 887-7100 Center Dr Ste 120 Medicine - Magna Riverton, UT 84065 Salt Lake City 3665 South 8400 West Ste Heflin, John MD ~* (385) 887-7100 110 NPI: 1588840102 84102 Magna, UT 84044 Pediatric Orthopedics - Randall, Robert MD ~* Cooper, Andrew MD ~* (801) 250-9638 Pcrh NPI: 1073566717 NPI: 1477547164 3741 West 12600 South Pediatric Orthopedics - Salt Lake Regional Riverton, UT 84065 Pcrh Comprehensive (801) 285-1440 3741 West 12600 South Orthopedics & Sports Med Riverton, UT 84065 82 South 1100 East Ste 403 (801) 285-1440 Salt Lake City, UT 84102 (801) 533-2002

262 Specialty Providers / Proveedores Especializados Orthopaedic Surgery continued/seguido

Dal Canto, Richard Hunter, Joshua MD ~* Williams, Benjamin Kimball, Gordon MD ~* MD ~* NPI: 1861634081 MD ~* NPI: 1578545919 NPI: 1114978533 Salt Lake Regional NPI: 1013184431 Ihc Orthopedic Specialty Ihc Salt Lake Clinic - Spine Regenerative & Sports Salt Lake Regional Group - Lds Campus - Salt Program Medicine Comprehensive Lake 389 South 900 East 82 South 1100 East Ste 303 Orthopedics & Sports Med 324 10Th Ave Ste 100 Salt Lake City, UT 84102 Salt Lake City, UT 84102 82 South 1100 East Ste 403 Salt Lake City, UT 84103 (385) 282-2450 (801) 533-2002 Salt Lake City, UT 84102 (801) 408-8700 (801) 533-2002 Dechet, Pilar MD ~ Mangiapani, Daniel Spanish Mcclure, Philip MD ~* NPI: 1174577381 MD ~* NPI: 1740418912 Ihc Salt Lake Clinic - NPI: 1912263880 84103 Udac - Peds Ortho - Orthopedics Hofmann Arthritis Gardiner, James MD ~ Shriners Hospital 389 South 900 East Institute Pllc - Salt Lake NPI: 1912010901 1275 East Fairfax Rd Salt Lake City, UT 84102 Reg Ihc Orthopedic Specialty Salt Lake City, UT 84103 (385) 282-2450 24 South 1100 East Ste 101 Group - Lds Campus - Salt (801) 587-2255 Spanish Salt Lake City, UT 84102 Lake (801) 355-6468 324 10Th Ave Ste 100 Pelt, Christopher MD ~ Hanseen, Ross MD ~ Salt Lake City, UT 84103 NPI: 1073653036 NPI: 1386674430 Newman, Steve PA ~ (801) 408-8700 Ihc Avenues Specialty Ihc Salt Lake Clinic - NPI: 1033244215 Clinic - Salt Lake Orthopedics House Call Doctors Hcd Gorman, Troy MD ~ 324 10Th Ave Ste 200 389 South 900 East Wellness - Salt Lake NPI: 1306032719 Salt Lake City, UT 84103 Salt Lake City, UT 84102 522 East 100 South Ihc Orthopedic Specialty (801) 408-7500 (385) 282-2450 Salt Lake City, UT 84102 Group - Lds Campus - Salt (801) 485-5055 Lake Saltzman, Charles MD ~* Hoffman, Michael MD ~* 324 10Th Ave Ste 100 NPI: 1962583146 NPI: 1619903382 Schaeffer, Jordan MD ~* Salt Lake City, UT 84103 Shriners Hospitals For Hofmann Arthritis NPI: 1679732929 (801) 408-8700 Children - Medical Group - Institute Pllc - Salt Lake Hofmann Arthritis Spanish Slc Reg Institute Pllc - Salt Lake 1275 East Fairfax Rd 24 South 1100 East Ste 101 Reg Heflin, John MD ~* Salt Lake City, UT 84103 Salt Lake City, UT 84102 24 South 1100 East Ste 101 NPI: 1588840102 (801) 536-3500 (801) 355-6468 Salt Lake City, UT 84102 Udac - Child Development (801) 355-6468 Program - Shriners Smith, John MD ~* Hofmann, Aaron MD ~* Hospital NPI: 1255432001 NPI: 1801986401 Scholl, Mark MD ~* 1275 East Fairfax Rd Udac - Child Development Hofmann Arthritis NPI: 1396713020 Salt Lake City, UT 84103 Program - Shriners Institute Pllc - Salt Lake Salt Lake Regional (801) 587-2255 Hospital Reg Comprehensive 1275 East Fairfax Rd 24 South 1100 East Ste 101 Orthopedics & Sports Med Hickman, Joshua MD ~ Salt Lake City, UT 84103 Salt Lake City, UT 84102 82 South 1100 East Ste 403 NPI: 1821139619 (801) 587-2255 (801) 355-6468 Salt Lake City, UT 84102 Ihc Orthopedic Specialty (801) 533-2002 Group - Lds Campus - Salt Wooten, Clint MD ~ Howe, David MD ~* Lake NPI: 1730317652 NPI: 1578667226 324 10Th Ave Ste 100 Ihc Orthopedic Specialty Salt Lake Regional Salt Lake City, UT 84103 Group - Lds Campus - Salt Comprehensive (801) 408-8700 Lake Orthopedics & Sports Med 324 10Th Ave Ste 100 82 South 1100 East Ste 403 Salt Lake City, UT 84103 Salt Lake City, UT 84102 (801) 408-8700 (801) 533-2002

263 Specialty Providers / Proveedores Especializados Orthopaedic Surgery continued/seguido

84107 Hickman, Joshua MD ~ West, Hugh MD ~ Saltzman, Charles MD ~* Chardack, Michael NPI: 1821139619 NPI: 1538101563 NPI: 1962583146 MD ~* Ihc Orthopedic Specialty Ihc Orthopedic Specialty Pediatric Orthopaedics - NPI: 1679520944 Group - Tosh - Murray Group - Tosh - Murray Orthopaedic Center Ihc Orthopedic Specialty 5848 South Fashion Blvd 5848 South Fashion Blvd 590 South Wakara Way Group - Imc - Murray Ste 120 Salt Lake City, UT 84107 Salt Lake City, UT 84108 5169 South Cottonwood St Salt Lake City, UT 84107 (801) 314-4900 (801) 587-7109 Ste 430 (801) 314-4900 Salt Lake City, UT 84107 84108 84109 (801) 507-3475 Morgan, James MD ~ Brodke, Darrel MD ~* Scholl, Mark MD ~* NPI: 1780627273 NPI: 1407800311 NPI: 1396713020 Dal Canto, Richard Ihc Orthopedic Specialty Pediatric Orthopaedics - Endurance Orthopedics MD ~* Group - Tosh - Murray Orthopaedic Center And Sports Medicine NPI: 1114978533 5848 South Fashion Blvd 590 South Wakara Way 2645 East Parleys Way Ste Ihc Orthopedic Specialty Salt Lake City, UT 84107 Salt Lake City, UT 84108 5 Group - Imc - Murray (801) 314-4900 (801) 587-7109 Salt Lake City, UT 84109 5169 South Cottonwood St Dutch (801) 424-5042 Ste 430 Feller, Ross MD ~ Salt Lake City, UT 84107 Olson, Patrick MD ~* NPI: 1265725493 Scholl, Mark MD ~* (801) 507-3475 NPI: 1811095326 Pediatric Orthopaedics - NPI: 1396713020 The Orthopedic Specialty Orthopaedic Center Pgu - Foothill Family Dunn, Jared MD ~ Clinic - Murray 590 South Wakara Way Clinic - North NPI: 1003823808 5848 South Fashion Blvd Salt Lake City, UT 84108 2295 South Foothill Dr The Orthopedic Specialty Ste 110 (801) 587-7109 Salt Lake City, UT 84109 Clinic - Murray Salt Lake City, UT 84107 (801) 486-3021 5848 South Fashion Blvd (801) 314-4188 Grasu, Beatrice MD ~ Ste 110 NPI: 1386936649 84113 Salt Lake City, UT 84107 Peters, Christopher Pediatric Orthopaedics - MD ~* Aoki, Stephen MD ~* (801) 314-4188 Orthopaedic Center NPI: 1295787323 Japanese NPI: 1407946023 590 South Wakara Way Ihc Orthopedic Specialty Pediatric Orthopedics Salt Lake City, UT 84108 100 North Mario Capecchi Group - Tosh - Murray (801) 587-7109 Ferney, Brandon MD ~ 5848 South Fashion Blvd Dr NPI: 1992786115 Ste 120 Salt Lake City, UT 84113 The Orthopedic Specialty Salt Lake City, UT 84107 Mcclure, Philip MD ~* (801) 662-5600 Clinic - Murray (801) 314-4900 NPI: 1740418912 5848 South Fashion Blvd Pediatric Orthopaedics - Brodke, Darrel MD ~* Ste 110 Orthopaedic Center NPI: 1407800311 Salt Lake City, UT 84107 Rasmussen, Gary MD ~ 590 South Wakara Way NPI: 1366460420 Pediatric Orthopedics (801) 314-4188 Salt Lake City, UT 84108 100 North Mario Capecchi The Orthopedic Specialty (801) 587-7109 Clinic - Murray Dr Gorman, Troy MD ~ 5848 South Fashion Blvd Salt Lake City, UT 84113 NPI: 1306032719 Ste 110 Peters, Christopher (801) 662-5600 Ihc Orthopedic Specialty Salt Lake City, UT 84107 MD ~* Group - Tosh - Murray (801) 314-4188 NPI: 1407946023 Carroll, Kristen MD ~* 5848 South Fashion Blvd Pediatric Orthopaedics - NPI: 1366407488 Ste 120 Orthopaedic Center Pediatric Orthopedics Salt Lake City, UT 84107 Trawick, Roy MD ~* 590 South Wakara Way NPI: 1609800945 100 North Mario Capecchi (801) 314-4900 Salt Lake City, UT 84108 Dr Spanish Roy H Trawick Md Pc - (801) 587-7109 Site Salt Lake City, UT 84113 5848 Fashion Blvd Ste 110 (801) 662-5600 Salt Lake City, UT 84107 (801) 314-4315

264 Specialty Providers / Proveedores Especializados Orthopaedic Surgery continued/seguido

Feller, Ross MD ~ Heflin, John MD ~* Lawrence, Brandon Saltzman, Charles MD ~* NPI: 1265725493 NPI: 1588840102 MD ~* NPI: 1962583146 Pediatric Orthopedics Pediatric Orthopedics NPI: 1659555670 Pediatric Orthopedics 100 North Mario Capecchi 100 North Mario Capecchi Pediatric Orthopedics 100 North Mario Capecchi Dr Dr 100 North Mario Capecchi Dr Salt Lake City, UT 84113 Salt Lake City, UT 84113 Dr Salt Lake City, UT 84113 (801) 662-5600 (801) 662-5600 Salt Lake City, UT 84113 (801) 662-5600 (801) 662-5600 Feller, Ross MD ~ Heflin, John MD ~* Smith, John MD ~* NPI: 1265725493 NPI: 1588840102 Maak, Travis MD ~* NPI: 1255432001 Pediatric Orthopedics - Udac - Child Development NPI: 1689851354 Pediatric Orthopedics Pcos Program - Pch Pediatric Orthopedics 100 North Mario Capecchi 81 North Mario Capecchi 100 North Mario Capecchi 100 North Mario Capecchi Dr Dr Dr Dr Salt Lake City, UT 84113 Salt Lake City, UT 84113 Salt Lake City, UT 84113 Salt Lake City, UT 84113 (801) 662-5600 (801) 662-5600 (801) 587-2255 (801) 662-5600 Smith, John MD ~* Grasu, Beatrice MD ~ Higgins, Thomas MD ~* Machen, Michael MD ~* NPI: 1255432001 NPI: 1386936649 NPI: 1376598615 NPI: 1366418386 Udac - Child Development Pediatric Orthopedics Pediatric Orthopedics Pediatric Orthopedics Program - Pch 100 North Mario Capecchi 100 North Mario Capecchi 100 North Mario Capecchi 100 North Mario Capecchi Dr Dr Dr Dr Salt Lake City, UT 84113 Salt Lake City, UT 84113 Salt Lake City, UT 84113 Salt Lake City, UT 84113 (801) 662-5600 (801) 662-5600 (801) 662-5600 (801) 587-2255 Spanish Grasu, Beatrice MD ~ Holmes, Stephanie Spiker, William MD ~* NPI: 1386936649 MD ~* Mcclure, Philip MD ~* NPI: 1639324049 Pediatric Orthopedics - NPI: 1720033079 NPI: 1740418912 Pediatric Orthopedics Pcos Pediatric Orthopedics Udac Division 100 North Mario Capecchi 81 North Mario Capecchi 100 North Mario Capecchi 100 N Mario Capecchi Dr Dr Dr Dr Salt Lake City, UT 84113 Salt Lake City, UT 84113 Salt Lake City, UT 84113 Salt Lake City, UT 84113 (801) 587-2255 (801) 662-5600 (801) 662-5600 (801) 662-5600 Randall, Robert MD ~* Tyser, Andrew MD ~* Haller, Justin MD ~* Hutchinson, Douglas NPI: 1073566717 NPI: 1154596864 NPI: 1790009264 MD ~* Pediatric Orthopedics Pediatric Orthopedics Pediatric Orthopedics NPI: 1972557825 100 North Mario Capecchi 100 North Mario Capecchi 100 North Mario Capecchi Pediatric Orthopedics Dr Dr Dr 100 North Mario Capecchi Salt Lake City, UT 84113 Salt Lake City, UT 84113 Salt Lake City, UT 84113 Dr (801) 662-5600 (801) 662-5600 (801) 662-5600 Salt Lake City, UT 84113 (801) 662-5600 Rothberg, David MD ~* Wang, Angela MD ~* Haller, Justin MD ~* NPI: 1285888354 NPI: 1922198514 NPI: 1790009264 Jones, Kevin MD ~* Pediatric Orthopedics Pediatric Orthopedics Pediatric Orthopedics - NPI: 1750599114 100 North Mario Capecchi 100 North Mario Capecchi Pcos Pediatric Orthopedics Dr Dr 81 North Mario Capecchi 100 North Mario Capecchi Salt Lake City, UT 84113 Salt Lake City, UT 84113 Dr Dr (801) 662-5600 (801) 662-5600 Salt Lake City, UT 84113 Salt Lake City, UT 84113 (801) 662-5600 (801) 662-5600

265 Specialty Providers / Proveedores Especializados Orthopaedic Surgery continued/seguido

Woiczik, Marcella MD ~* Walker, Dean MD * Winegar, Corbett MD ~* Heflin, John MD ~* NPI: 1053408708 NPI: 1861424012 NPI: 1669632386 NPI: 1588840102 Pediatric Orthopedics Granger Medical - West Heiden Orthopedics Llc - Udac - Heart Center 100 North Mario Capecchi Valley Salt Lake Neurodevelopmental Dr 3725 West 4100 South 6360 South 3000 East Ste Program Salt Lake City, UT 84113 Salt Lake City, UT 84120 210 44 North Mario Capecchi (801) 662-5600 (801) 965-3600 Salt Lake City, UT 84121 Dr Utah Dept Of Health (801) 615-8822 Salt Lake City, UT 84132 84117 Winter, Bret MD ~* (801) 587-2255 Scholl, Mark MD ~* NPI: 1427252865 84124 NPI: 1396713020 Exodus Healthcare - West Hohl, Justin MD ~* Heflin, John MD ~* Slr Family Practice & Valley City NPI: 1639371149 NPI: 1588840102 Sports Medicine - Holladay 3336 South Pioneer Pkwy St Marks Hospital Udac - Neonatal 4888 South Highland Dr Ste 201 Comprehensive Spine Follow-Up Program - Salt Salt Lake City, UT 84117 Salt Lake City, UT 84120 Center Lake (801) 424-5042 (801) 250-9638 1220 East 3900 South Ste 44 North Mario Capecchi 1F Dr Utah Dept Of Health 84120 84121 Salt Lake City, UT 84124 Salt Lake City, UT 84132 (801) 262-5711 (801) 587-2255 Amundsen, Spencer Hofmann, Aaron MD ~* MD ~* NPI: 1801986401 Smith, John MD ~* NPI: 1841517257 Hofmann Arthritis Hohl, Justin MD ~* NPI: 1255432001 Core At West Valley - Pgu Institute Pllc - Cottonwood NPI: 1639371149 Udac - Child Development 3336 South 4155 West Ste 6360 South 3000 East Ste Wasatch Neurosurgery Program - Primary 102 100 And Spine Associates At St 44 North Mario Capecchi Salt Lake City, UT 84120 Salt Lake City, UT 84121 Marks Dr Utah Dept Of Health (801) 964-3925 (801) 355-6468 1220 East 3900 South Ste Salt Lake City, UT 84132 4E (801) 587-2255 Paulos, Leon MD ~* Salt Lake City, UT 84124 Hoffman, Michael MD ~* NPI: 1992700330 (801) 261-8507 NPI: 1619903382 Leon Ernest Paulos Md - Smith, John MD ~* Core At West Valley - Pgu Holladay Huntsman, Kade MD ~* NPI: 1255432001 3336 South 4155 West Ste 6415 South 3100 East Ste NPI: 1730171232 Udac - Heart Center 102 230 Wasatch Neurosurgery Neurodevelopmental Salt Lake City, UT 84120 Salt Lake City, UT 84121 And Spine Associates At St Program (801) 964-3925 (801) 733-9924 Marks 44 North Mario Capecchi 1220 East 3900 South Ste Dr Utah Dept Of Health Richards, Daniel DO ~* Salt Lake City, UT 84132 Schaeffer, Jordan MD ~* 4E (801) 587-2255 NPI: 1649455403 NPI: 1679732929 Salt Lake City, UT 84124 Granger Medical - West Hofmann Arthritis (801) 261-8507 Valley Thai Smith, John MD ~* 3725 West 4100 South Institute Pllc - Cottonwood NPI: 1255432001 Salt Lake City, UT 84120 6360 South 3000 East Ste Udac - Neonatal (801) 965-3600 100 84132 Follow-Up Program - Salt Salt Lake City, UT 84121 Heflin, John MD ~* (801) 355-6468 Lake Schuenman, Spencer NPI: 1588840102 44 North Mario Capecchi DO ~* Udac - Child Development Dr Utah Dept Of Health NPI: 1467484857 Scholl, Mark MD ~* Program - Primary Salt Lake City, UT 84132 Core At West Valley - Pgu NPI: 1396713020 44 North Mario Capecchi (801) 587-2255 3336 South 4155 West Ste Pgu - Foothill Family Dr Utah Dept Of Health 102 Clinic - South Salt Lake City, UT 84132 6360 South 3000 East Ste (801) 587-2255 Salt Lake City, UT 84120 100 (801) 964-3925 Salt Lake City, UT 84121 German (801) 365-1032

266 Specialty Providers / Proveedores Especializados Orthopaedic Surgery continued/seguido

Sandy 84094 Kimball, Gordon MD ~* Sybrowsky, Christian 84070 Bryan, Nathaniel MD ~ NPI: 1578545919 MD ~* NPI: 1548204290 Lone Peak Orthopedics - NPI: 1710099676 Cooper, Andrew MD ~* Ihc Orthopedic Specialty Sandy Granger Medical Clinic - NPI: 1477547164 Group - Alta View - Sandy 9844 South 1300 East Ste Sandy Comprehensive 9450 South 1300 East Ste 250 9844 South 1300 East Ste Orthopedics And Sports 120 Sandy, UT 84094 100 Medicine Sandy, UT 84094 (801) 571-7061 Sandy, UT 84094 9350 South 150 East Ste (801) 501-6150 (801) 571-9433 460 Meadows, James MD ~* Japanese Sandy, UT 84070 NPI: 1285892968 (801) 533-2002 Gordon, Anthony MD ~* Granger Medical Clinic - West Jordan NPI: 1811983380 Sandy Howe, David MD ~* Anthony S Gordon Md Pc - 9844 South 1300 East Ste 84088 NPI: 1578667226 Sandy 100 Amundsen, Spencer Comprehensive 9844 South 1300 East Ste Sandy, UT 84094 MD ~* Orthopedics And Sports 100 (801) 571-9433 NPI: 1841517257 Medicine Sandy, UT 84094 Portugese, Spanish Center For Orthopedic And 9350 South 150 East Ste (801) 571-9433 Rehabilitation Excellence - 460 Meadows, James MD ~* Wj Sandy, UT 84070 Gordon, Anthony MD ~* NPI: 1285892968 3584 West 9000 South Ste (801) 533-2002 NPI: 1811983380 James R. Meadows Md Pllc 405 Granger Medical Clinic - - Sandy West Jordan, UT 84088 Hunter, Joshua MD ~* Sandy 9844 South 1300 East Ste (801) 568-3480 NPI: 1861634081 9844 South 1300 East Ste 100 Comprehensive 100 Sandy, UT 84094 Amundsen, Spencer Orthopedics And Sports Sandy, UT 84094 (801) 571-9433 MD ~* Medicine (801) 571-9433 Portugese, Spanish NPI: 1841517257 9350 South 150 East Ste Core At West Jordan 460 Johnson, Michael MD ~ Schmidt, Donald MD ~* 3584 West 9000 South Ste Sandy, UT 84070 NPI: 1073582862 NPI: 1811979255 405 (801) 533-2002 Ihc Orthopedic Specialty Ihc Lone Peak Orthopedics West Jordan, UT 84088 Group - Alta View - Sandy - Sandy (801) 568-3480 Scholl, Mark MD ~* 9450 South 1300 East Ste 9844 South 1300 East Ste NPI: 1396713020 120 275 Beck Jr, Charles MD ~* Comprehensive Sandy, UT 84094 Sandy, UT 84094 NPI: 1528124815 Orthopedics And Sports (801) 501-6150 (801) 571-7061 Center For Orthopedic And Medicine Rehabilitation Excellence - 9350 South 150 East Ste Kimball, Gordon MD ~* Sybrowsky, Christian Wj 460 NPI: 1578545919 MD ~* 3584 West 9000 South Ste Sandy, UT 84070 Ihc Lone Peak Orthopedics NPI: 1710099676 405 (801) 533-2002 - Sandy Christian L Sybrowsky, West Jordan, UT 84088 9844 South 1300 East Ste Md, Pllc - Sandy (801) 568-3480 Williams, Benjamin 275 9844 South 1300 East Ste MD ~* Sandy, UT 84094 100 Hatch, Mark MD ~* NPI: 1013184431 (801) 571-7061 Sandy, UT 84094 NPI: 1821318494 Comprehensive (801) 571-9433 Center For Orthopedic And Orthopedics And Sports Kimball, Gordon MD ~* Japanese Rehabilitation Excellence - Medicine NPI: 1578545919 Wj 9350 South 150 East Ste Ihc Orthopedic Specialty 3584 West 9000 South Ste 460 Group - Alta View - Sandy 405 Sandy, UT 84070 9450 South 1300 East Ste West Jordan, UT 84088 (801) 533-2002 120 (801) 568-3480 Spanish Sandy, UT 84094 (801) 501-6150 ~ Accepting new patients/Aceptando a nuevos pacientes * Accepts Medicaid/Acepta Medicaid ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

267 Specialty Providers / Proveedores Especializados Orthopaedic Surgery continued/seguido

Khachatryan, Armen West Valley City Daynes, Jacob DO ~* Utah MD ~* NPI: 1528220753 NPI: 1114930781 84120 Tooele Clinic Corporation - American Fork Center For Orthopedic And Gardiner, James MD ~ 2326 N 400 E 84003 Rehabilitation Excellence - NPI: 1912010901 2326 North 400 East Bldg Wj Ihc West Valley Specialty C, Ste 100 Bergeson, Adam MD ~ 3584 West 9000 South Ste Clinic - West Valley Tooele, UT 84074 NPI: 1992970180 405 5373 West Lake Park Blvd (435) 843-0180 Ihc Utah Valley West Jordan, UT 84088 West Valley City, UT Spanish Orthopaedics North Valley (801) 568-3480 84120 - American Fork (801) 902-7960 Douglas, John DO ~* 98 North 1100 East Ste 103 Mackey, Richard MD ~* NPI: 1851391908 American Fork, UT 84003 NPI: 1992923874 Gordon, Dennis MD ~ Tooele Orthopaedics And (801) 492-2330 Center For Orthopedic And NPI: 1558301366 Sports Medicine Specialists Rehabilitation Excellence - Associates In Orthopaedic - Tooele Hoopes, Daniel MD ~* Wj Surgery (Aos) - West Valley 2321 North 400 East Ste NPI: 1255505582 3584 West 9000 South Ste 3336 South Pioneer Pkwy 300 Revere Health - Af - North 405 Ste 102 Tooele, UT 84074 Valley Orthopedics And West Jordan, UT 84088 West Valley City, UT (435) 833-9180 Sports Med (801) 568-3480 84120 1184 East 80 North (801) 568-3480 Hofmann, Aaron MD ~* American Fork, UT 84003 Marshall Jr, Stuart MD ~* NPI: 1801986401 (801) 763-3885 NPI: 1447204821 Silvero, Peter MD ~* Hofmann Arthritis Spanish Center For Orthopedic And NPI: 1699844001 Institute Pllc - Tooele Rehabilitation Excellence - Associates In Orthopaedic 2356 North 400 East Ste Joos, David MD ~ Wj Surgery (Aos) - West Valley 201 NPI: 1346465119 3584 West 9000 South Ste 3336 South Pioneer Pkwy Tooele, UT 84074 Ihc Utah Valley 405 Ste 102 (801) 355-6468 Orthopaedics North Valley West Jordan, UT 84088 West Valley City, UT - American Fork (801) 568-3480 84120 Schaeffer, Jordan MD ~* 98 North 1100 East Ste 103 (801) 568-3480 NPI: 1679732929 American Fork, UT 84003 Muir, Traske MD ~* Hofmann Arthritis (801) 492-2330 NPI: 1144369935 Tooele Institute Pllc - Tooele Center For Orthopedic And 2356 North 400 East Ste Matthews, Bradford Rehabilitation Excellence - Tooele 201 MD ~ Wj 84074 Tooele, UT 84074 NPI: 1063523959 3584 West 9000 South Ste (801) 355-6468 Ihc Utah Valley 405 Daynes, Jacob DO ~* Orthopaedics North Valley West Jordan, UT 84088 NPI: 1528220753 Snook, Gary MD ~* - American Fork (801) 568-3480 Mountain West NPI: 1295755924 98 North 1100 East Ste 103 Orthopedics & Sports Tooele Medical Group American Fork, UT 84003 Sessions, Wade MD ~* Medicine Spine Surgery - Tooele (801) 492-2330 NPI: 1659483816 1929 North Aaron Dr Ste 2321 North 400 East Ste Center For Orthopedic And L 300 Ritchie, Paul MD ~* Rehabilitation Excellence - Tooele, UT 84074 Tooele, UT 84074 NPI: 1720021678 Wj (435) 843-3859 (435) 833-9180 Revere Health - Af - North 3584 West 9000 South Ste Spanish Spanish Valley Orthopedics And 405 Sports Med West Jordan, UT 84088 1184 East 80 North (801) 568-3480 American Fork, UT 84003 (801) 763-3885 Spanish

268 Specialty Providers / Proveedores Especializados Orthopaedic Surgery continued/seguido

Smith, Jeffrey MD ~ Hoopes, Daniel MD ~* Barker, Brady MD ~* Jackson, Richard MD ~* NPI: 1972519239 NPI: 1255505582 NPI: 1588863880 NPI: 1144323163 Ihc Utah Valley Revere Health - Lehi - Revere Health - Orem - Revere Health - Orem - Orthopaedics North Valley North Valley Ortho & Orthopedic Specialty Ctr Orthopedic Specialty Ctr - American Fork Plastic Surgery 700 West 800 North Ste 700 West 800 North Ste 98 North 1100 East Ste 103 680 East Main St 100 100 American Fork, UT 84003 Lehi, UT 84043 Orem, UT 84057 Orem, UT 84057 (801) 492-2330 (801) 763-3885 (801) 373-7350 (801) 373-7350 Japanese Spanish Spanish Jackson, Robert MD ~* Stock, Gordon MD ~* Ritchie, Paul MD ~* Christensen, Kevin NPI: 1407959695 NPI: 1932149895 NPI: 1720021678 MD ~* Revere Health - Orem - Revere Health - Af - North Revere Health - Lehi - NPI: 1871855197 Orthopedic Specialty Ctr Valley Orthopedics And North Valley Ortho & Revere Health - Orem - 700 West 800 North Ste Sports Med Plastic Surgery Orthopedic Specialty Ctr 100 1184 East 80 North 680 East Main St 700 West 800 North Ste Orem, UT 84057 American Fork, UT 84003 Lehi, UT 84043 100 (801) 373-7350 (801) 763-3885 (801) 763-3885 Orem, UT 84057 Spanish (801) 373-7350 Kimball, Kirt MD ~* Wells, John MD ~* Spanish NPI: 1548363419 NPI: 1740371376 Stock, Gordon MD ~* Revere Health - Orem - Revere Health - Af - North NPI: 1932149895 Faux, Jonathan MD ~* Orthopedic Specialty Ctr Valley Orthopedics And Revere Health - Lehi - NPI: 1538250287 700 West 800 North Ste Sports Med North Valley Ortho & Revere Health - Orem - 100 1184 East 80 North Plastic Surgery Orthopedic Specialty Ctr Orem, UT 84057 American Fork, UT 84003 680 East Main St 700 West 800 North Ste (801) 373-7350 (801) 763-3885 Lehi, UT 84043 100 Spanish (801) 763-3885 Orem, UT 84057 Larsen, Mitchell MD ~* (801) 373-7350 NPI: 1205928546 Lehi Wells, John MD ~* Norwegian Revere Health - Orem - NPI: 1740371376 Orthopedic Specialty Ctr 84043 Revere Health - Lehi - Hoopes, Daniel MD ~* 700 West 800 North Ste Douglas, John DO ~* North Valley Ortho & NPI: 1255505582 100 NPI: 1851391908 Plastic Surgery Revere Health - Orem - 700 Orem, UT 84057 Tooele Orthopaedics And 680 East Main St West (801) 373-7350 Sports Medicine Specialists Lehi, UT 84043 700 West 800 North Ste Portugese, Spanish - Lehi (801) 763-3885 100 3000 North Triumph Blvd Spanish Orem, UT 84057 Nielsen, Evan MD ~* Ste 340 (801) 224-5373 NPI: 1043527260 Lehi, UT 84043 Orem Spanish Revere Health - Orem - (435) 833-9180 Orthopedic Specialty Ctr 84057 Hoopes, Daniel MD ~* 700 West 800 North Ste Hoffman, Michael MD ~* Bacon, Carl MD ~* NPI: 1255505582 100 NPI: 1619903382 NPI: 1962505750 Revere Health - Orem - Orem, UT 84057 Core - Lehi Revere Health - Orem - Orthopedic Specialty Ctr (801) 373-7350 3000 North Triumph Blvd Orthopedic Specialty Ctr 700 West 800 North Ste Spanish Lehi, UT 84043 700 West 800 North Ste 100 (801) 753-4712 100 Orem, UT 84057 Orem, UT 84057 (801) 373-7350 (801) 373-7350 Spanish German

269 Specialty Providers / Proveedores Especializados Orthopaedic Surgery continued/seguido

Wallentine, Jeffrey Jackson, Robert MD ~* Provo Wallentine, Jeffrey MD ~* NPI: 1407959695 MD ~* NPI: 1124121934 Revere Health - Payson - 84601 NPI: 1124121934 Revere Health - Orem - Orthopedic Specialty Ctr Heflin, John MD ~* Revere Health - Provo Orthopedic Specialty Ctr 15 South 1000 East Ste 150 NPI: 1588840102 Orthopedic Office 700 West 800 North Ste Payson, UT 84651 Udac - Neonatal 1130 Smith Fieldhouse 100 (801) 465-9534 Follow-Up Program - Provo, UT 84602 Orem, UT 84057 Provo (801) 373-7350 (801) 373-7350 Kimball, Kirt MD ~* 151 South University Ave NPI: 1548363419 Ste 1610 84604 Payson Mountain View Hospital - Provo, UT 84601 (801) 587-2255 Bacon, Carl MD ~* 84651 Medical Group Site NPI: 1962505750 1000 E 100 N Revere Health - Provo - Bacon, Carl MD ~* Payson, UT 84651 Smith, John MD ~* Orthopedic Specialty Ctr NPI: 1962505750 (801) 465-7100 NPI: 1255432001 1055 North 500 West Ste Revere Health - Payson - Udac - Neonatal 121 Orthopedic Specialty Ctr Kimball, Kirt MD ~* Follow-Up Program - Provo, UT 84604 15 South 1000 East Ste 150 NPI: 1548363419 Provo (801) 373-7350 Payson, UT 84651 Revere Health - Payson - 151 South University Ave German (801) 465-9534 Orthopedic Specialty Ctr Ste 1610 German 15 South 1000 East Ste 150 Provo, UT 84601 (801) 587-2255 Bacon, Carl MD ~* Payson, UT 84651 NPI: 1962505750 Barker, Brady MD ~* (801) 465-9534 Revere Health - Sports Med NPI: 1588863880 84602 & Ortho Assoc Of Utah - Revere Health - Payson - Larsen, Mitchell MD ~* Faux, Jonathan MD ~* Provo Orthopedic Specialty Ctr NPI: 1205928546 NPI: 1538250287 1055 North 300 West Ste 15 South 1000 East Ste 150 Revere Health - Payson - Revere Health - Provo 121 Payson, UT 84651 Orthopedic Specialty Ctr Orthopedic Office Provo, UT 84604 (801) 465-9534 15 South 1000 East Ste 150 1130 Smith Fieldhouse (801) 357-7353 Spanish Payson, UT 84651 Provo, UT 84602 German (801) 465-9534 (801) 373-7350 Carlson, Michael MD ~* Portugese, Spanish Norwegian Barker, Brady MD ~* NPI: 1407076193 NPI: 1588863880 Revere Health - Payson - Nielsen, Evan MD ~* Kimball, Kirt MD ~* Revere Health - Provo - Orthopedic Specialty Ctr NPI: 1043527260 NPI: 1548363419 Orthopedic Specialty Ctr 15 South 1000 East Ste 150 Revere Health - Payson - Revere Health - Provo 1055 North 500 West Ste Payson, UT 84651 Pulmonary & Internal Orthopedic Office 121 (801) 465-9534 Medicine 1130 Smith Fieldhouse Provo, UT 84604 910 East 100 North Ste 105 Provo, UT 84602 (801) 373-7350 Faux, Jonathan MD ~* Payson, UT 84651 (801) 373-7350 Spanish NPI: 1538250287 (801) 465-4813 Revere Health - Payson - Spanish Larsen, Mitchell MD ~* Bergeson, Adam MD ~ Orthopedic Specialty Ctr NPI: 1205928546 NPI: 1992970180 15 South 1000 East Ste 150 Wallentine, Jeffrey Revere Health - Provo Ihc Utah Valley Payson, UT 84651 MD ~* Orthopedic Office Orthopaedics Provo - Provo (801) 465-9534 NPI: 1124121934 1130 Smith Fieldhouse 1157 North 300 West Ste Norwegian Revere Health - Payson - Provo, UT 84602 201 Orthopedic Specialty Ctr (801) 373-7350 Provo, UT 84604 15 South 1000 East Ste 150 Portugese, Spanish (801) 357-1200 Payson, UT 84651 (801) 465-9534

270 Specialty Providers / Proveedores Especializados Orthopaedic Surgery continued/seguido

Carlson, Michael MD ~* Hoopes, Daniel MD ~* Larsen, Mitchell MD ~* Schow Jr, Douglas MD ~ NPI: 1407076193 NPI: 1255505582 NPI: 1205928546 NPI: 1811995004 Revere Health - Provo - Revere Health - Provo - Revere Health - Provo - Douglas Schow Jr Md - Orthopedic Specialty Ctr Orthopedic Specialty Ctr Orthopedic Specialty Ctr Provo 1055 North 500 West Ste 1055 North 500 West Ste 1055 North 500 West Ste 1055 North 300 West Ste 121 121 121 203 Provo, UT 84604 Provo, UT 84604 Provo, UT 84604 Provo, UT 84604 (801) 373-7350 (801) 373-7350 (801) 373-7350 (801) 374-9053 Spanish Portugese, Spanish Christensen, Kevin Smith, Jeffrey MD ~ MD ~* Jackson, Richard MD ~* Machen, Michael MD ~* NPI: 1972519239 NPI: 1871855197 NPI: 1144323163 NPI: 1366418386 Ihc Utah Valley Revere Health - Provo - Revere Health - Provo - Pediatric Orthopedics - Orthopaedics Provo - Provo Orthopedic Specialty Ctr Orthopedic Specialty Ctr Uvmc 1157 North 300 West Ste 1055 North 500 West Ste 1055 North 500 West Ste 1134 North 500 West Ste 201 121 121 104 Provo, UT 84604 Provo, UT 84604 Provo, UT 84604 Provo, UT 84604 (801) 357-1200 (801) 373-7350 (801) 373-7350 (801) 357-4470 Japanese Spanish Spanish Jackson, Robert MD ~* Wallentine, Jeffrey Faux, Jonathan MD ~* NPI: 1407959695 Nielsen, Evan MD ~* MD ~* NPI: 1538250287 Revere Health - Provo - NPI: 1043527260 NPI: 1124121934 Revere Health - Provo - Orthopedic Specialty Ctr Revere Health - Provo - Revere Health - Provo - Orthopedic Specialty Ctr 1055 North 500 West Ste Orthopedic Specialty Ctr Orthopedic Specialty Ctr 1055 North 500 West Ste 121 1055 North 500 West Ste 1055 North 500 West Ste 121 Provo, UT 84604 121 121 Provo, UT 84604 (801) 373-7350 Provo, UT 84604 Provo, UT 84604 (801) 373-7350 (801) 373-7350 (801) 373-7350 Norwegian Joos, David MD ~ Spanish NPI: 1346465119 Wells, John MD ~* Frazier, M Shane DO ~* Ihc Utah Valley Poulsen, Matthew MD ~* NPI: 1740371376 NPI: 1598977944 Orthopaedics Provo - Provo NPI: 1881635761 Revere Health - Provo - Revere Health - Provo - 1157 North 300 West Ste Blue Rock Medical Center - Orthopedic Specialty Ctr Hand Wrist And Elbow 201 Provo 1055 North 500 West Ste Center Provo, UT 84604 3152 North University Ave 121 1055 North 500 West Ste (801) 357-1200 Ste 100 Provo, UT 84604 207 Provo, UT 84604 (801) 373-7350 Provo, UT 84604 Kimball, Kirt MD ~* (801) 356-0233 Spanish (801) 375-4263 NPI: 1548363419 Revere Health - Provo - Ritchie, Paul MD ~* 84606 Frazier, M Shane DO ~* Orthopedic Specialty Ctr NPI: 1720021678 Hoffman, Michael MD ~* NPI: 1598977944 1055 North 500 West Ste Revere Health - Provo - NPI: 1619903382 Revere Health - Provo - 121 Orthopedic Specialty Ctr Hofmann Arthritis Orthopedic Specialty Ctr Provo, UT 84604 1055 North 500 West Ste Institute Pllc - Provo 1055 North 500 West Ste (801) 373-7350 121 75 South 200 East 121 Provo, UT 84604 Provo, UT 84606 Provo, UT 84604 (801) 373-7350 (801) 375-2200 (801) 373-7350 Spanish

271 Specialty Providers / Proveedores Especializados Orthopaedic Surgery continued/seguido

Salem Spanish Fork Smith, Scott MD ~* Anderson, Michael NPI: 1588698997 MD ~* 84653 84660 Ihc Southwest Ortho & NPI: 1093792210 Christensen, Kevin Gillette, Blake MD ~* Sports Med - Hurricane Revere Health - Coral MD ~* NPI: 1356579213 75 North 2260 West Desert Orthopedic - St NPI: 1871855197 Canyon View Family Hurricane, UT 84737 George Revere Health - Salem - Medicine - Spanish Fork (435) 628-4460 1404 Sun River Pkwy Ste 555 West 336 West 100 South Spanish 101 555 West Sr 164 North Spanish Fork, UT 84660 Saint George, UT 84790 Salem, UT 84653 (801) 798-7301 Ivins (435) 628-9393 (801) 465-4896 Spanish Washington 84738 Anderson, Michael Clark, Randy MD ~* MD ~* Saratoga Springs Hurricane NPI: 1679781140 NPI: 1093792210 84737 Revere Health - St George - Revere Health - Coral 84043 Orthopedics Outreach Desert Orthopedics - St Joos, David MD ~ Allred, Darin DO ~* 272 East Center St George NPI: 1346465119 NPI: 1538377585 Ivins, UT 84738 1490 East Foremaster Dr Ihc Utah Valley Ihc Southwest Ortho & (435) 628-9393 Ste 150 Orthopaedics North Valley Sports Med - Hurricane Spanish Saint George, UT 84790 - Saratoga Springs 75 North 2260 West (435) 628-9393 250 East State Rd 73 Hurricane, UT 84737 Saint George Saratoga Springs, UT (435) 628-4460 Andruss, Robert MD ~* 84043 84770 NPI: 1952326373 (801) 855-2663 Anderson, Michael Hicken, Gregory MD ~* Ihc Zion Orthopaedics & MD ~* NPI: 1225027931 Sports Medicine - St George Matthews, Bradford NPI: 1093792210 St George Surgical Center - 652 South Medical Center MD ~ Revere Health - Coral St George Dr Ste 400 NPI: 1063523959 Desert Orthopedic - 676 South Bluff St Saint George, UT 84790 Ihc Utah Valley Hurricane Saint George, UT 84770 (435) 251-2650 Orthopaedics North Valley 11 South Main (435) 673-8080 - Saratoga Springs Hurricane, UT 84737 Butterfield, Warren 250 East State Rd 73 (800) 239-9393 84790 MD ~* Saratoga Springs, UT NPI: 1891819843 84043 Andruss, Robert MD ~* Allred, Darin DO ~* NPI: 1538377585 Ihc Southwest Ortho & (801) 855-2663 NPI: 1952326373 Sports Med - St George Ihc Southwest Ortho & Ihc Southwest Ortho & Sports Med - St George 652 South Medical Center 84045 Sports Med - Hurricane Dr Ste 120 75 North 2260 West 652 South Medical Center Mackey, Richard MD ~* Dr Ste 120 Saint George, UT 84790 Hurricane, UT 84737 (435) 628-4460 NPI: 1992923874 (435) 628-4460 Saint George, UT 84790 Jordan Valley Surgical (435) 628-4460 Korean Specialists - Saratoga Leitze, Zachary MD ~* Cain Jr, James MD ~ Springs NPI: 1053341115 Amitai, Ari MD ~ 24 West Sergeant Court Dr NPI: 1104230374 NPI: 1235133257 Ihc Southwest Ortho & Ihc Southern Utah Ste 101 Sports Med - Hurricane Ihc Southwest Ortho & Saratoga Springs, UT Sports Med - St George Neurosciences Institute - St 75 North 2260 West George 84045 Hurricane, UT 84737 652 South Medical Center (801) 601-4423 Dr Ste 120 652 South Medical Center (435) 628-4460 Dr Ste 420 Chinese Saint George, UT 84790 (435) 628-4460 Saint George, UT 84790 (435) 251-6800

272 Specialty Providers / Proveedores Especializados Orthopaedic Surgery continued/seguido

Clark, Randy MD ~* Huntsman, Kade MD ~* Parry, Scott MD ~* Smith, Scott MD ~* NPI: 1679781140 NPI: 1730171232 NPI: 1285611475 NPI: 1588698997 Revere Health - Coral Coral Desert Spine Center - Revere Health - Coral Ihc Southwest Ortho & Desert Orthopedics - St St George Desert Orthopedics - St Sports Med - St George George 1490 East Foremaster Dr George 652 South Medical Center 1490 East Foremaster Dr Ste 210 1490 East Foremaster Dr Dr Ste 120 Ste 150 Saint George, UT 84790 Ste 150 Saint George, UT 84790 Saint George, UT 84790 (435) 656-8366 Saint George, UT 84790 (435) 628-4460 (435) 628-9393 Thai (435) 628-9393 Spanish Spanish French Khachatryan, Armen Stouffer, Mark MD ~* Green, Michael MD ~* MD ~* Parry, Todd MD ~* NPI: 1316131790 NPI: 1356384226 NPI: 1114930781 NPI: 1114905932 Ihc Southern Utah Emere Utah Llc - St George Coral Desert Spine Surgery Revere Health - Coral Neurosciences Institute - St 1490 East Foremaster Dr - St George Desert Orthopedics - St George Ste 260 1490 East Formaster Dr George 652 South Medical Center Saint George, UT 84790 Ste 220 1490 East Foremaster Dr Dr Ste 420 (435) 767-0072 Saint George, UT 84790 Ste 150 Saint George, UT 84790 Spanish (435) 656-8366 Saint George, UT 84790 (435) 251-6800 (435) 628-9393 Spanish Green, Michael MD ~* Larsen, Nicholas MD ~* NPI: 1356384226 NPI: 1194997288 Prince, Edward MD ~* West, Kristoffer MD ~* Michael R Green Md Pc - Ihc Southwest Ortho & NPI: 1659306975 NPI: 1285898650 Saint George Sports Med - St George Revere Health - Coral Coral Desert Spine Center - 1490 East Foremaster Dr 652 South Medical Center Desert Orthopedics - St St George Ste 260 Dr Ste 120 George 1490 East Foremaster Dr Saint George, UT 84790 Saint George, UT 84790 1490 East Foremaster Dr Ste 210 (435) 688-0156 (435) 628-4460 Ste 150 Saint George, UT 84790 Spanish Saint George, UT 84790 (435) 656-8366 Leitze, Zachary MD ~* (435) 628-9393 Spanish Heflin, John MD ~* NPI: 1053341115 Japanese NPI: 1588840102 Ihc Southwest Ortho & West, Kristoffer MD ~* Udac - Child Development Sports Med - St George Prince, Edward MD ~* NPI: 1285898650 Program - Washington 652 South Medical Center NPI: 1659306975 Huntsman West Spine - St County Dr Ste 120 Revere Health - Sg - St George 1380 East Medical Center Saint George, UT 84790 George Family Practice 230 North 1680 East Ste Dr Ste 4500 (435) 628-4460 736 South 900 East Ste 203 I-1 Saint George, UT 84790 Chinese Saint George, UT 84790 Saint George, UT 84790 (801) 587-2255 (435) 673-6131 (435) 652-6024 Obrien, Aaron MD ~* Japanese Spanish Hohl, Justin MD ~* NPI: 1114155074 NPI: 1639371149 Revere Health - Coral Smith, John MD ~* Washington Coral Desert Spine Center - Desert Orthopedics - St NPI: 1255432001 St George George Udac - Child Development 84780 1490 East Foremaster Dr 1490 East Foremaster Dr Program - Washington Anderson, Michael Ste 210 Ste 150 County MD ~* Saint George, UT 84790 Saint George, UT 84790 1380 East Medical Center NPI: 1093792210 (435) 656-8366 (435) 628-9393 Dr Ste 4500 Revere Health - Saint George, UT 84790 Washington Family (801) 587-2255 Medicine & Urgent Care 195 West Telegraph Rd Washington, UT 84780 (435) 215-0600

273 Specialty Providers / Proveedores Especializados Orthopaedic Surgery continued/seguido

Clark, Randy MD ~* Ogden Baranko, Brent MD * Hall, Michael MD * NPI: 1679781140 NPI: 1306833967 NPI: 1720075047 Revere Health - 84401 Ogden Clinic Professional Ogden Clinic Professional Washington Family Heflin, John MD ~* Center - North Center - South Medicine & Urgent Care NPI: 1588840102 4650 Harrison Blvd 4700 Harrison Blvd 195 West Telegraph Rd Udac - Child Development Ogden, UT 84403 Ogden, UT 84403 Washington, UT 84780 Program - Ogden (801) 475-3000 (801) 475-3870 (435) 215-0600 2540 Washington Blvd Spanish Ogden, UT 84401 Baranko, Brent MD * Heflin, John MD ~* (801) 587-2255 NPI: 1306833967 NPI: 1588840102 Hicken, Gregory MD ~* Ogden Clinic Professional Mountain View NPI: 1225027931 Heflin, John MD ~* Center - South Orthopedics & Sports Elite Healthcare Southern NPI: 1588840102 4700 Harrison Blvd Medicine - Ogden Utah Udac - Neonatal Ogden, UT 84403 5957 South Fashion Pointe 568 West Telegraph St Ste Follow-Up Program - (801) 475-3870 Dr Ste 101 4 Ogden Ogden, UT 84403 Washington, UT 84780 2540 Washington Blvd Callister, Neil MD ~ (801) 475-5683 (435) 627-0231 Ogden Regional Center NPI: 1548331358 Ogden, UT 84401 Ihc Mckay Dee Orthopedic Heflin, John MD ~* Weber (801) 587-2255 & Sports Medicine - Ogden NPI: 1588840102 3895 Harrison Blvd Revere Health - Ogden - Huntsville Smith, John MD ~* Ogden, UT 84403 Orthopedics 84317 NPI: 1255432001 (801) 387-7678 5957 South Fashion Point Udac - Child Development Japanese Dr Bachison, Casey MD ~ Program - Ogden Ogden, UT 84403 NPI: 1235349820 2540 Washington Blvd Calton, Thomas MD ~ (801) 475-5683 Ihc Snowbasin Clinic - Ogden, UT 84401 NPI: 1770515264 Huntsville (801) 587-2255 Calton-Harrison Hendry, Travis MD ~* 3925 Snowbasin Dr Orthopedic & Sports NPI: 1124235312 Huntsville, UT 84317 Smith, John MD ~* Medicine - South Clinic Ihc Mckay Dee Orthopedic (801) 620-1040 NPI: 1255432001 4403 Harrison Blvd Ste & Sports Medicine - Ogden Udac - Neonatal 2400 3895 Harrison Blvd Finlayson, Terry MD ~ Follow-Up Program - Ogden, UT 84403 Ogden, UT 84403 NPI: 1316935539 Ogden (801) 387-2750 (801) 387-7678 Ihc Snowbasin Clinic - 2540 Washington Blvd Spanish Portugese, Spanish Huntsville Ogden Regional Center 3925 Snowbasin Dr Ogden, UT 84401 Goucher, Nicholas MD ~ Powell, Brian MD ~* Huntsville, UT 84317 (801) 587-2255 NPI: 1528015542 NPI: 1194011130 (801) 620-1040 Ihc Mckay Dee Orthopedic Ogden Clinic Professional 84403 & Sports Medicine - Ogden Center - South Harrison, Jeffrey MD ~ 3895 Harrison Blvd 4700 Harrison Blvd NPI: 1770670242 Bachison, Casey MD ~ NPI: 1235349820 Ogden, UT 84403 Ogden, UT 84403 Ihc Snowbasin Clinic - (801) 387-7678 (801) 475-3870 Huntsville Calton-Harrison 3925 Snowbasin Dr Orthopedic & Sports Medicine - South Clinic Grunander, Todd MD ~ Richards, Brett MD * Huntsville, UT 84317 NPI: 1336396340 NPI: 1356470033 (801) 620-1040 4403 Harrison Blvd Ste 2400 Calton-Harrison Ogden Clinic Professional Ogden, UT 84403 Orthopedic & Sports Center - South (801) 387-2750 Medicine - South Clinic 4700 Harrison Blvd 4403 Harrison Blvd Ste Ogden, UT 84403 2400 (801) 475-3870 Ogden, UT 84403 (801) 387-2750

274 Specialty Providers / Proveedores Especializados Orthopaedic Surgery continued/seguido

Sorensen, Jeffery MD * Roy Orthopaedic Cache NPI: 1508853425 Ogden Clinic Professional 84067 Surgery Of The Logan Center - North Dee, Michael MD ~* 84341 4650 Harrison Blvd NPI: 1710106653 Spine Ogden, UT 84403 Tanner Memorial Clinic - Bennion, Jeffrey MD ~* (801) 475-3000 Roy Salt Lake NPI: 1396731469 3443 West 5600 South Ste Cache Valley Ent - Logan Sorensen, Jeffery MD * 100 Salt Lake City 2380 North 400 East Ste D NPI: 1508853425 Roy, UT 84067 84113 Logan, UT 84341 (435) 753-7880 Ogden Clinic Professional (801) 773-4840 Spina Iii, Nicholas MD ~* Center - South Khmer NPI: 1841422631 4700 Harrison Blvd Blotter, James MD ~* Pediatric Orthopedics NPI: 1962499673 Ogden, UT 84403 Orthopaedic 100 North Mario Capecchi (801) 475-3870 Cache Valley Ent - Logan Surgery - Sports Dr 2380 North 400 East Ste D Salt Lake City, UT 84113 Logan, UT 84341 84404 Medicine (801) 662-5600 (435) 753-7880 Bitner, Matthew MD ~* Spanish NPI: 1467563866 Cache Otolaryngology Sumko/Bitner Orthopaedic Keyser, Jeffrey MD ~* & Sports Medicine Clinic Logan Box Elder NPI: 1588674055 Pllc - Ogd 84341 Ihc Budge Clinic Surgical 2850 North 2000 West Brigham City Specialists - Logan Rowley, David MD ~* Ogden, UT 84404 84302 1350 North 500 East (435) 731-2151 NPI: 1679701718 Logan, UT 84341 Alpine Orthopaedic Major, Michael MD ~* (435) 752-1693 Higbee, Daniel MD ~* Specialists - Logan NPI: 1558394783 Spanish NPI: 1669702429 2310 North 400 East Ste A Revere Health - Brigham Sumko/Bitner Orthopaedic Logan, UT 84341 City - Wasatch Ent & Wood Jr, Gordon MD ~* & Sports Medicine Clinic (435) 787-2000 Allergy NPI: 1255328969 Pllc - Ogd Spanish 950 South 500 West Cache Valley Ent - Logan 2850 North 2000 West Brigham City, UT 84302 2380 North 400 East Ste D Ogden, UT 84404 Salt Lake (801) 866-0170 Logan, UT 84341 German (435) 731-2151 West Jordan (435) 753-7880 84405 84088 Tremonton Davis Rocco, Jeffrey MD ~* Macintyre, James MD ~* 84337 Bountiful NPI: 1306818190 NPI: 1871539411 Keyser, Jeffrey MD ~* Utah Orthopaedics - Center For Orthopedic And NPI: 1588674055 84010 Washington Terrace Rehabilitation Excellence - Ihc Bear River Specialists - Bradley, Joshua MD ~ 5782 Adams Ave Pkwy Wj Tremonton NPI: 1366651671 Ogden, UT 84405 3584 West 9000 South Ste 935 North 1000 West Ihc Bountiful Clinic - (801) 917-8000 405 Tremonton, UT 84337 Bountiful German West Jordan, UT 84088 (435) 207-4800 390 North Main St (801) 568-3480 Spanish Bountiful, UT 84010 French (801) 294-1000 Spanish

275 Specialty Providers / Proveedores Especializados Otolaryngology continued/seguido

Kelly, Steven MD ~* Wilcox, Bryan MD ~* Kelly, Steven MD ~* Ramirez, Alexander NPI: 1841348240 NPI: 1891795779 NPI: 1841348240 MD ~ Mountain West Ear Nose Ogden Clinic - Bountiful 3 Mountain West Ear Nose NPI: 1215060413 & Throat Head & Neck - 1551 S Renaissance Towne & Throat Head & Neck - Layton Parkway Ent - Site Bountiful Dr Ste 310 Layton 201 West Layton Pkwy Ste 1551 South Main St Ste Bountiful, UT 84010 2255 North 1700 West Ste 2D 310 (801) 295-5581 205 Layton, UT 84041 Bountiful, UT 84010 Layton, UT 84041 (801) 543-6900 (801) 295-5581 Farmington (801) 776-2180 Spanish Spanish Spanish 84025 Richards, Bryan MD ~* Skedros, Demetrios Kelly, Steven MD ~* Kelly, Steven MD ~* NPI: 1780660548 MD ~* NPI: 1841348240 NPI: 1841348240 Tanner Memorial Clinic - NPI: 1821146242 Pediatric Ent - Farmington Pediatric Ent - Primary Layton Ogden Clinic - Bountiful 3 Health Center Childrens Clinics 2121 North 1700 West 1551 S Renaissance Towne 165 North University Ave 201 West Layton Pkwy Ste Layton, UT 84041 Dr Ste 310 Farmington, UT 84025 3D (801) 773-4840 Bountiful, UT 84010 (801) 213-3200 Layton, UT 84041 (801) 295-5581 Spanish (801) 779-6200 Skedros, Demetrios Greek Spanish MD ~* Kaysville NPI: 1821146242 Stock, Curt MD ~* Meacham, Ryan MD ~* Ogden Clinic - Layton 2 NPI: 1275681686 84037 NPI: 1285877316 2255 North 1700 West Ste Mountain West Ear Nose Bitner, John MD * Tanner Memorial Clinic - 200 & Throat Head & Neck - NPI: 1336129543 Layton Layton, UT 84041 Bountiful Tanner Memorial Clinic - 2121 North 1700 West (801) 776-2180 1551 South Main St Ste Kaysville Layton, UT 84041 Greek 310 380 North 400 West (801) 773-4840 Bountiful, UT 84010 Kaysville, UT 84037 Spanish Stock, Curt MD ~* (801) 295-5581 (801) 773-4840 NPI: 1275681686 Italian Portugese, Spanish Mellor, Robert MD ~* Ogden Clinic - Layton 2 NPI: 1023094992 2255 North 1700 West Ste Stock, Curt MD ~* Van Leeuwen, Richard Tanner Memorial Clinic - 200 NPI: 1275681686 MD ~* Layton Layton, UT 84041 Ogden Clinic - Bountiful 3 NPI: 1871584482 2121 North 1700 West (801) 776-2180 1551 S Renaissance Towne Tanner Memorial Clinic - Layton, UT 84041 Italian Dr Ste 310 Kaysville (801) 773-4840 Bountiful, UT 84010 380 North 400 West Spanish Van Leeuwen, Richard (801) 295-5581 Kaysville, UT 84037 MD ~* Italian (801) 773-4840 Ramirez, Alexander NPI: 1871584482 MD ~ Tanner Memorial Clinic - Wilcox, Bryan MD ~* Layton NPI: 1215060413 Layton NPI: 1891795779 Ihc Mckay Dee 2121 North 1700 West Mountain West Ear Nose 84041 Dermatology & Plastic Layton, UT 84041 & Throat Head & Neck - Bitner, John MD * Surgery - Layton (801) 773-4840 Bountiful NPI: 1336129543 2075 Univeristy Park Blvd 1551 South Main St Ste Tanner Memorial Clinic - Layton, UT 84041 Wilcox, Bryan MD ~* 310 Layton (801) 779-6300 NPI: 1891795779 Bountiful, UT 84010 2121 North 1700 West Spanish Ogden Clinic - Layton 2 (801) 295-5581 Layton, UT 84041 2255 North 1700 West Ste (801) 773-4840 200 Portugese, Spanish Layton, UT 84041 (801) 776-2180

276 Specialty Providers / Proveedores Especializados Otolaryngology continued/seguido

Syracuse Salt Lake Jepsen, Matthew MD ~* Tagge, Bryan MD ~* NPI: 1962486027 NPI: 1164557583 84075 Draper Intermountain Ear Nose Intermountain Ear Nose Bitner, John MD * 84020 And Throat Specialists - And Throat Specialists - NPI: 1336129543 Draper Draper Tanner Memorial Clinic - Bennett, John MD ~* 756 East 12200 South 756 East 12200 South Syracuse NPI: 1699800227 Draper, UT 84020 Draper, UT 84020 2038 West 1900 South Intermountain Ear Nose (801) 328-2522 (801) 328-2522 Syracuse, UT 84075 And Throat Specialists - Spanish (801) 773-4840 Draper Kelly, Steven MD ~* Portugese, Spanish 756 East 12200 South NPI: 1841348240 Taylor, Steven MD ~* Draper, UT 84020 Mountain West Ear Nose NPI: 1457648123 Van Leeuwen, Richard (801) 328-2522 & Throat Head & Neck - Intermountain Ear Nose MD ~* Spanish Draper And Throat Specialists - NPI: 1871584482 114 East 12450 South Ste Draper Tanner Memorial Clinic - Butler, John MD ~* 206 756 East 12200 South Syracuse NPI: 1598725350 Draper, UT 84020 Draper, UT 84020 2038 West 1900 South Intermountain Ear Nose (801) 501-8239 (801) 328-2522 Syracuse, UT 84075 And Throat Specialists - Spanish (801) 773-4840 Draper Wilson, Kevin MD ~* 756 East 12200 South Miller, Steven MD ~* NPI: 1780701003 Iron Draper, UT 84020 NPI: 1942313796 Ent Specialists - Lone Peak (801) 328-2522 Intermountain Ear Nose Medical Campus Cedar City And Throat Specialists - 74 East 11800 South Ste 84720 Dahl, Matthew MD ~* Draper 360 NPI: 1679666556 756 East 12200 South Draper, UT 84020 Pearson, Robert MD ~* Intermountain Ear Nose Draper, UT 84020 (801) 260-3687 NPI: 1295793834 And Throat Specialists - (801) 328-2522 Robert Dean Pearson Md - Draper Thai Cedar City 756 East 12200 South Riverton 1251 Northfield Rd Ste 200 Draper, UT 84020 Sharma, Pramod MD ~* 84065 Cedar City, UT 84720 (801) 328-2522 NPI: 1801986427 Davis, R Kim MD ~ (435) 867-8719 Intermountain Ear Nose NPI: 1992962757 Korean Diaz, Jason MD ~* And Throat Specialists - Ihc Southridge Clinic NPI: 1417144353 Draper Surgical Specialties - 84721 Intermountain Ear Nose 756 East 12200 South Riverton Abegglen, Joanne NP ~* And Throat Specialists - Draper, UT 84020 3723 West 12600 South Ste NPI: 1104909878 Draper (801) 328-2522 270 Paiute Medical Clinic - 756 East 12200 South Hindi Riverton, UT 84065 Cedar City Draper, UT 84020 (801) 285-4600 440 North Paiute Dr (801) 328-2522 Slattery, Eric MD ~* Norwegian, Swedish Cedar City, UT 84721 NPI: 1316153695 (435) 586-1112 Hill, Justin MD ~* Intermountain Ear Nose Gilbert, Kevin MD ~ NPI: 1750590238 And Throat Specialists - NPI: 1407055833 Intermountain Ear Nose Draper Ihc Southridge Clinic And Throat Specialists - 756 East 12200 South Surgical Specialties - Draper Draper, UT 84020 Riverton 756 East 12200 South (801) 328-2522 3723 West 12600 South Ste Draper, UT 84020 270 (801) 328-2522 Riverton, UT 84065 (801) 285-4600

277 Specialty Providers / Proveedores Especializados Otolaryngology continued/seguido

Grimmer, Johannes Bradley, Joshua MD ~ Slattery, Eric MD ~* Davis, R Kim MD ~ MD ~* NPI: 1366651671 NPI: 1316153695 NPI: 1992962757 NPI: 1477643070 Ihc Salt Lake Clinic - Ent Intermountain Ear Nose Ihc Cottonwood Head And Pediatric Otolaryngology - 389 South 900 East And Throat Specialists - Neck Oncology Ent - Pcrh Salt Lake City, UT 84102 900 East Murray 3741 West 12600 South (385) 282-2850 22 South 900 East 181 East Medical Tower Riverton, UT 84065 Spanish Salt Lake City, UT 84102 Dr (801) 285-1285 (801) 328-2522 Salt Lake City, UT 84107 Child, Todd MD ~ (801) 314-7840 Kelly, Steven MD ~* NPI: 1770520934 Tagge, Bryan MD ~* Norwegian, Swedish NPI: 1841348240 Ihc Salt Lake Clinic - Ent NPI: 1164557583 Pediatric Otolaryngology - 389 South 900 East Intermountain Ear Nose Gull, Justin MD ~* Pcrh Salt Lake City, UT 84102 And Throat Specialists - NPI: 1962600338 3741 West 12600 South (385) 282-2850 900 East Ent Specialists Llc - Murray Riverton, UT 84065 Spanish 22 South 900 East 5770 South 250 East Ste (801) 285-1285 Salt Lake City, UT 84102 415 Spanish Dahl, Matthew MD ~* (801) 328-2522 Salt Lake City, UT 84107 NPI: 1679666556 Spanish (801) 268-2822 Park, Albert MD ~* Intermountain Ear Nose NPI: 1972693596 And Throat Specialists - Taylor, Steven MD ~* Gull, Justin MD ~* Pediatric Otolaryngology - 900 East NPI: 1457648123 NPI: 1962600338 Pcrh 22 South 900 East Intermountain Ear Nose Ent Specialists Llc - Salt 3741 West 12600 South Salt Lake City, UT 84102 And Throat Specialists - Lake City Riverton, UT 84065 (801) 328-2522 900 East 4000 South 700 East Ste 10 (801) 285-1285 22 South 900 East Salt Lake City, UT 84107 Diaz, Jason MD ~* Salt Lake City, UT 84102 (801) 268-4141 Smith, Marshall MD ~* NPI: 1417144353 (801) 328-2522 NPI: 1154411783 Intermountain Ear Nose Hunter, Robert MD ~* Pediatric Otolaryngology - And Throat Specialists - 84105 NPI: 1477669083 Pcrh 900 East Hill, David MD ~ Robert G Hunter Md Pc - 3741 West 12600 South 22 South 900 East NPI: 1053350132 Salt Lake Riverton, UT 84065 Salt Lake City, UT 84102 Ihc Memorial Clinic - 5169 South Cottonwood St (801) 285-1285 (801) 328-2522 Sugarhouse Ste 310 2000 South 900 East Salt Lake City, UT 84107 Smith, Marshall MD ~* Miller, Steven MD ~* Salt Lake City, UT 84105 (801) 507-3444 NPI: 1154411783 NPI: 1942313796 (801) 464-7500 Pediatric Otolaryngology - Intermountain Ear Nose Spanish Merkley, Mark MD ~ Pcros And Throat Specialists - NPI: 1144529595 3773 West 12600 South 900 East Ihc Cottonwood Head And Riverton, UT 84065 22 South 900 East 84107 Neck Oncology Ent - (801) 285-1285 Salt Lake City, UT 84102 Davis, R Kim MD ~ Murray (801) 328-2522 NPI: 1992962757 181 East Medical Tower Salt Lake City Thai Ihc Cottonwood Ent - Dr Murray Salt Lake City, UT 84107 84102 Sharma, Pramod MD ~* 181 East Medical Tower (801) 314-7840 Bennett, John MD ~* NPI: 1801986427 Dr NPI: 1699800227 Intermountain Ear Nose Salt Lake City, UT 84107 Palmer, David MD * Intermountain Ear Nose And Throat Specialists - (801) 314-7840 NPI: 1427018191 And Throat Specialists - 900 East Norwegian, Swedish Ent Specialists Llc - Salt 900 East 22 South 900 East Lake City 22 South 900 East Salt Lake City, UT 84102 4000 South 700 East Ste 10 Salt Lake City, UT 84102 (801) 328-2522 Salt Lake City, UT 84107 (801) 328-2522 Hindi (801) 268-4141 Spanish

278 Specialty Providers / Proveedores Especializados Otolaryngology continued/seguido

Swenson, Randal MD ~* Meier, Jeremy MD ~* 84120 Anderson, Peter MD ~* NPI: 1578522959 NPI: 1225012610 Aoki, Jon MD ~* NPI: 1043444516 Ent Specialists Llc - Salt Pediatric Otolaryngology - NPI: 1295805265 South Valley Ent Associates Lake City Pcos Granger Medical - West Llc - West Jordan 4000 South 700 East Ste 10 81 North Mario Capecchi Valley 3584 West 9000 South Ste Salt Lake City, UT 84107 Dr 3725 West 4100 South 311 (801) 268-4141 Salt Lake City, UT 84113 Salt Lake City, UT 84120 West Jordan, UT 84088 Japanese (801) 213-3599 (801) 965-3600 (801) 566-8304 Spanish Spanish Wilson, Kevin MD ~* Muntz, Harlan MD ~* NPI: 1780701003 NPI: 1255421863 Leonard, Ryan DO ~* Aoki, Jon MD ~* Ent Specialists Llc - Salt Pediatric Otolaryngology - NPI: 1649460163 NPI: 1295805265 Lake City Pcos Granger Medical - West Granger Medical - West 4000 South 700 East Ste 10 81 North Mario Capecchi Valley Jordan Salt Lake City, UT 84107 Dr 3725 West 4100 South 3181 West 9000 South (801) 268-4141 Salt Lake City, UT 84113 Salt Lake City, UT 84120 West Jordan, UT 84088 (801) 213-3599 (801) 965-3600 (801) 352-5600 84113 Spanish Grimmer, Johannes Muntz, Harlan MD * Sandy MD ~* NPI: 1255421863 Gilbert, Ryan MD ~* NPI: 1477643070 Primary Childrens Medical 84094 NPI: 1497930234 Pediatric Otolaryngology - Center Ent Davis, R Kim MD ~ South Valley Ent Associates Pcos 100 North Medical Dr NPI: 1992962757 Llc - West Jordan 81 North Mario Capecchi Salt Lake City, UT 84113 Intermountain Sandy Ent 3584 West 9000 South Ste Dr (801) 662-1740 9450 South 1300 East 311 Salt Lake City, UT 84113 Sandy, UT 84094 West Jordan, UT 84088 (801) 213-3599 Park, Albert MD ~* (801) 501-6333 (801) 566-8304 NPI: 1972693596 Norwegian, Swedish Kelly, Steven MD ~* Pediatric Otolaryngology - Leonard, Ryan DO ~* NPI: 1841348240 Pcos Katz, Charles MD ~ NPI: 1649460163 Pediatric Otolaryngology - 81 North Mario Capecchi NPI: 1922091230 Granger Medical - West 100 North Dr Alta View Clinic Ent - Jordan 100 North Mario Capecchi Salt Lake City, UT 84113 Sandy 3181 West 9000 South Dr (801) 213-3599 9450 South 1300 East West Jordan, UT 84088 Salt Lake City, UT 84113 Sandy, UT 84094 (801) 352-5600 (801) 213-3599 Prussin, Aaron MD ~* (801) 501-6333 Spanish NPI: 1609867266 Meads Jr, Garner MD ~* Pediatric Otolaryngology - West Jordan NPI: 1760498026 Mcrae, Bryan MD ~* Pcos South Valley Ent Associates NPI: 1346407772 81 North Mario Capecchi 84088 Llc - West Jordan Pediatric Otolaryngology - Dr Aldous, Edwin MD ~* 3584 West 9000 South Ste Pcos Salt Lake City, UT 84113 NPI: 1811928203 311 81 North Mario Capecchi (801) 213-3599 Granger Medical - West West Jordan, UT 84088 Dr Jordan (801) 566-8304 Salt Lake City, UT 84113 Smith, Marshall MD ~* 3181 West 9000 South (801) 213-3599 NPI: 1154411783 West Jordan, UT 84088 Peterson, Brian MD ~* Chinese Pediatric Otolaryngology - (801) 352-5600 NPI: 1316978687 Pcos South Valley Ent Associates 81 North Mario Capecchi Llc - West Jordan Dr 3584 West 9000 South Ste Salt Lake City, UT 84113 311 (801) 213-3599 West Jordan, UT 84088 (801) 566-8304 French

279 Specialty Providers / Proveedores Especializados Otolaryngology continued/seguido

Taylor, Steven MD ~* Grimmer, Johannes Muntz, Harlan MD ~* Money, Matthew MD ~ NPI: 1457648123 MD ~* NPI: 1255421863 NPI: 1326115403 Intermountain Ear Nose NPI: 1477643070 Pediatric Ent - American Ihc Saratoga Springs And Throat Specialists - Pediatric Ent - American Fork Family Practice - Saratoga West Jordan Fork 484 West 50 North Ste 14 Springs 3590 West 9000 South Ste 484 West 50 North Ste 14 American Fork, UT 84003 354 West State Rd 73 120 American Fork, UT 84003 (801) 213-3599 Lehi, UT 84043 West Jordan, UT 84088 (801) 213-3599 (801) 766-4567 (801) 328-2522 Park, Albert MD ~* Spanish Hamilton, Sanford NPI: 1972693596 Wilson, Kevin MD ~* MD ~* Pediatric Ent - American Parsons, Stephen MD ~* NPI: 1780701003 NPI: 1356488126 Fork NPI: 1932146966 Ent Specialists Llc - West Revere Health - Af - 484 West 50 North Ste 14 Peak Ent Associates Llc - Jordan Otolaryngology Ste 211 American Fork, UT 84003 Lehi 8846 South Redwood Rd 1175 East 50 South Ste 211 (801) 213-3599 3000 North Triumph Blvd E-121 American Fork, UT 84003 Ste 260 West Jordan, UT 84088 (801) 418-0870 Porter, Glen MD ~* Lehi, UT 84043 (801) 268-4141 NPI: 1205825973 (801) 768-3500 Heras, Heidi MD ~* Ihc Utah Valley Ent - Tooele NPI: 1619910684 North Valley - American Porter, Glen MD ~* Heidi A Heras Md Pc - Fork NPI: 1205825973 Tooele American Fork 98 North 1100 East Ste 203 Ihc Saratoga Springs 84074 482 West 50 North Ste 14 American Fork, UT 84003 Family Practice - Saratoga American Fork, UT 84003 (801) 492-2245 Springs Ventura, Peter MD ~* (801) 492-7662 Mandarin 354 West State Rd 73 NPI: 1144201690 Lehi, UT 84043 Ent Surgical Associates Pc - Kelly, Steven MD ~* Smith, Marshall MD ~* (801) 766-4567 Tooele NPI: 1841348240 NPI: 1154411783 Mandarin 2376 North 400 East Ste Pediatric Ent - American Pediatric Ent - American 202 Fork Fork Riddle, Seth MD ~* Tooele, UT 84074 484 West 50 North Ste 14 484 West 50 North Ste 14 NPI: 1598701955 (435) 833-9600 American Fork, UT 84003 American Fork, UT 84003 Peak Ent Associates Llc - Italian, Spanish (801) 213-3599 (801) 213-3599 Lehi Spanish 3000 North Triumph Blvd Utah Lehi Ste 260 American Fork Meier, Jeremy MD ~* Lehi, UT 84043 NPI: 1225012610 84043 (801) 768-3500 84003 Pediatric Ent - American Darley, David MD ~* Denys, Douglas MD ~ Fork NPI: 1811151558 Shipley, Scott MD ~* NPI: 1831149616 484 West 50 North Ste 14 Peak Ent Associates Llc - NPI: 1477510329 Ihc Utah Valley Ent - American Fork, UT 84003 Lehi Peak Ent Associates Llc - North Valley - American (801) 213-3599 3000 North Triumph Blvd Lehi Fork Ste 260 3000 North Triumph Blvd 1159 East 200 North Ste Money, Matthew MD ~ Lehi, UT 84043 Ste 260 325 NPI: 1326115403 (801) 768-3500 Lehi, UT 84043 American Fork, UT 84003 Ihc Utah Valley Ent - Spanish (801) 768-3500 (801) 855-2930 North Valley - American Portugese Fork 98 North 1100 East Ste 203 American Fork, UT 84003 (801) 492-2245 Spanish

280 Specialty Providers / Proveedores Especializados Otolaryngology continued/seguido

Orem Ence, Bradford MD ~* Provo Money, Matthew MD ~ NPI: 1588766299 NPI: 1326115403 84057 Revere Health - Payson - 84604 Ihc Utah Valley Ent Provo Ence, Bradford MD ~* Urology Beus, Kirt MD ~* - Provo NPI: 1588766299 39 North Professional Way NPI: 1396765871 1157 North 300 West Ste Revere Health - Orem - Ste 2 Peak Otolaryngology - 302 Internal Medicine Payson, UT 84651 Provo Provo, UT 84604 700 West 800 North Ste (801) 465-2511 1055 North 300 West Ste (801) 357-7323 400 401 Spanish Orem, UT 84057 Gibb, Randal MD ~* Provo, UT 84604 (801) 221-8811 NPI: 1679675383 (801) 357-7499 Parsons, Stephen MD ~* Revere Health - Payson - NPI: 1932146966 Gibb, Randal MD ~* Ent Coy, Jenny NP ~ Peak Otolaryngology - NPI: 1679675383 39 North Professional Way NPI: 1215351416 Provo Revere Health - Orem - Ste 1 Hearing And Balance 1055 North 300 West Ste Internal Medicine Payson, UT 84651 Institute - Provo 401 700 West 800 North Ste (801) 465-4805 1055 North 300 West Ste Provo, UT 84604 400 303 (801) 357-7499 Orem, UT 84057 Gibb, Randal MD ~* Provo, UT 84604 (801) 221-8811 NPI: 1679675383 (801) 852-9696 Riddle, Seth MD ~* Revere Health - Payson - NPI: 1598701955 Hamilton, Sanford Pulmonary & Internal Coy, Jenny NP ~ Peak Ent Associates Llc - MD ~* Medicine NPI: 1215351416 Provo NPI: 1356488126 910 East 100 North Ste 105 Peak Ent Associates Llc - 1055 North 300 West Ste Revere Health - Orem - Payson, UT 84651 Provo 401 Internal Medicine (801) 465-4813 1055 North 300 West Ste Provo, UT 84604 700 West 800 North Ste 401 (801) 357-7499 400 Gibb, Randal MD ~* Provo, UT 84604 Orem, UT 84057 NPI: 1679675383 (801) 357-7499 Robins, Kipp MD ~* (801) 221-8811 Revere Health - Payson - NPI: 1396741476 Urology Darley, David MD ~* Revere Health - Provo - Ent Payson 39 North Professional Way NPI: 1811151558 2230 North University Ave Ste 2 Hearing And Balance Ste 9B 84651 Payson, UT 84651 Institute - Provo Provo, UT 84604 Ence, Bradford MD ~* (801) 465-2511 1055 North 300 West Ste (801) 375-3175 NPI: 1588766299 303 Japanese Revere Health - Payson - Pleasant Grove Provo, UT 84604 Ent (801) 852-9696 Shipley, Scott MD ~* 39 North Professional Way 84062 Spanish NPI: 1477510329 Ste 1 Porter, Glen MD ~* Peak Ent Associates Llc - Payson, UT 84651 NPI: 1205825973 Darley, David MD ~* Provo (801) 465-4805 Glen T Porter Md Pc - NPI: 1811151558 1055 North 300 West Ste Pleasant Grove Peak Ent Associates Llc - 401 Ence, Bradford MD ~* 872 North 2000 West Ste Provo Provo, UT 84604 NPI: 1588766299 A 1055 North 300 West Ste (801) 357-7499 Revere Health - Payson - Pleasant Grove, UT 84062 401 Portugese Pulmonary & Internal (801) 492-8900 Provo, UT 84604 Medicine Mandarin (801) 357-7499 910 East 100 North Ste 105 Spanish Payson, UT 84651 (801) 465-4813

281 Specialty Providers / Proveedores Especializados Otolaryngology continued/seguido

Saratoga Springs Jacob, Joseph MD ~* Ramirez, Alexander Stock, Curt MD ~* NPI: 1134446891 MD ~ NPI: 1275681686 84045 Southern Utah Ear Nose & NPI: 1215060413 Ogden Clinic - 4650 South Porter, Glen MD ~* Throat Llc - St George Ihc Mckay Dee Ent - Ogden Harrison Blvd NPI: 1205825973 1490 East Foremaster Dr 4403 Harrison Blvd Ste 4650 Harrison Blvd Glen T Porter Md Pc - Ste 350 2645 Ogden, UT 84403 Saratoga Springs Saint George, UT 84790 Ogden, UT 84403 (801) 475-3000 354 West State Road 73 (435) 628-3334 (801) 387-2880 Italian Saratoga Springs, UT Tagalog Spanish 84045 84404 (801) 855-2930 Stevens, Michael MD ~* Scheuller, Michael MD ~ Mandarin Major, Michael MD ~* NPI: 1699959460 NPI: 1336192566 NPI: 1558394783 Southern Utah Ear Nose & Ihc Mckay Dee Ent - Ogden Farr West Medical Arts Washington Throat Llc - St George 4403 Harrison Blvd Ste Bldg 1490 East Foremaster Dr 2645 Saint George 2850 North 2000 West Ste 350 Ogden, UT 84403 Ogden, UT 84404 84790 Saint George, UT 84790 (801) 387-2880 (801) 744-1118 (435) 628-3334 German Chase, Steven MD ~* German NPI: 1831108042 Vaughan, Andrew MD ~* Scheuller, Michael MD ~ Southern Utah Ear Nose & Major, Michael MD ~* NPI: 1164684643 NPI: 1336192566 NPI: 1558394783 Throat Llc - St George Southern Utah Ear Nose & Ihc Mckay Dee Ent - Ogden 1490 East Foremaster Dr Revere Health - Farr West - Throat Llc - St George Clinic Wasatch Ent & Allergy Ste 350 1490 East Foremaster Dr 4650 Harrison Blvd Saint George, UT 84790 2850 North 2000 West Ste 350 Ogden, UT 84403 Ogden, UT 84404 (435) 628-3334 Saint George, UT 84790 (801) 779-6200 French (801) 866-0170 (435) 628-3334 German German Doxey, George MD ~* Weber Siddoway, John MD * NPI: 1245298959 NPI: 1356338388 84405 G Paul Doxey Md - St Ogden Ogden Clinic Professional Anderson, Douglas MD * George 84403 Center - North NPI: 1790898807 736 South 900 East Ste 201 4650 Harrison Blvd Ogden Clinic - Ogden Saint George, UT 84790 Anderson, Douglas MD * Ogden, UT 84403 425 East 5350 South Ste (435) 628-3334 NPI: 1790898807 (801) 475-3000 130 Ogden Clinic Professional Norwegian Ogden, UT 84405 Doxey, George MD ~* Center - North (801) 476-0342 NPI: 1245298959 4650 Harrison Blvd Skedros, Demetrios Spanish Southern Utah Ear Nose & Ogden, UT 84403 MD ~* Throat Llc - St George (801) 475-3000 NPI: 1821146242 Barlow, Stewart MD ~* 1490 East Foremaster Dr Spanish Ogden Clinic - 4650 South NPI: 1710977848 Ste 350 Harrison Blvd Stewart E Barlow Md Pc - Saint George, UT 84790 Bikhazi, Nadim MD * 4650 Harrison Blvd Ogden (435) 628-3334 NPI: 1588651152 Ogden, UT 84403 5275 South Adams Ave Ogden Clinic Professional (801) 475-3000 Pkwy Ste B Gardner, Kent MD ~* Center - North Greek Ogden, UT 84405 NPI: 1881702355 4650 Harrison Blvd (801) 621-0350 Southern Utah Ear Nose & Ogden, UT 84403 Throat Llc - St George (801) 475-3000 1490 East Foremaster Dr French Ste 350 Saint George, UT 84790 (435) 628-3334 Japanese

282 Specialty Providers / Proveedores Especializados Otolaryngology continued/seguido

Major, Michael MD ~* Tooele Salt Lake Otology & NPI: 1558394783 Revere Health - Ogden - Tooele Salt Lake City Neurotology Wasatch Ent & Allergy 84074 84113 5896 South Ridgeline Dr Salt Lake Ste B Jones, Alan DO ~ Cannon, Richard MD ~ Ogden, UT 84405 NPI: 1598743973 NPI: 1679867378 Salt Lake City Ent Surgical Associates Pc - Pediatric Otolaryngology - (801) 866-0170 84102 German Tooele 100 North 2376 North 400 East Ste 100 North Mario Capecchi Shelton, Clough MD ~* 202 Dr NPI: 1891885414 Otolaryngology - Tooele, UT 84074 Salt Lake City, UT 84113 Ihc Hearing And Balance Facial Plastic (435) 833-9600 (801) 213-3599 Center - Salt Lake 230 South 500 East Ste 150 Surgery Utah Cerrati, Eric MD ~ Salt Lake City, UT 84102 NPI: 1275824856 (801) 595-1700 Salt Lake Saratoga Springs Pediatric Otolaryngology - 84045 100 North 84113 Magna 100 North Mario Capecchi Allak, Amir MD ~ Gurgel, Richard MD ~* 84044 Dr NPI: 1467751008 Salt Lake City, UT 84113 NPI: 1710196290 Jones, Alan DO ~ South Valley Ent Associates (801) 213-3599 Pediatric Otolaryngology - NPI: 1598743973 Llc - Saratoga Springs Pcos Neurosci. & Rehabilitation 24 Sergeant Court Dr Ste Oakley, Gretchen MD ~ 81 North Mario Capecchi Specialists @ Magna 102 NPI: 1215253182 Dr 3665 South 8400 West Ste Saratoga Springs, UT Pediatric Otolaryngology - Salt Lake City, UT 84113 206 84045 100 North (801) 213-3599 Magna, UT 84044 (801) 566-8304 100 North Mario Capecchi Filipino (801) 505-5370 Spanish Dr Salt Lake City, UT 84113 Shelton, Clough MD ~* West Jordan Otolaryngology - (801) 213-3599 NPI: 1891885414 Pediatric Otolaryngology - 84088 Plastic Surgery Pcos Allak, Amir MD ~ South Jordan 81 North Mario Capecchi NPI: 1467751008 Within The Head 84009 Dr South Valley Ent Associates & Neck Oakley, Gretchen MD ~ Salt Lake City, UT 84113 Llc - West Jordan NPI: 1215253182 (801) 213-3599 3584 West 9000 South Ste Davis Pediatric Ent - South 311 Jordan Health Center Pain Medicine West Jordan, UT 84088 Farmington 5126 West Daybreak Pkwy (801) 566-8304 84025 South Jordan, UT 84009 Cache Spanish (801) 213-4500 Oakley, Gretchen MD ~ Logan NPI: 1215253182 Pediatric Ent - Farmington 84341 Health Center Sneddon, Nathan MD ~* 165 North University Ave NPI: 1427232925 Farmington, UT 84025 Southwest Spine And Pain (801) 213-3200 Care Specialists - Logan 630 East 1400 North Ste 135 Logan, UT 84341 (435) 787-8146

283 Specialty Providers / Proveedores Especializados Pain Medicine continued/seguido

Sneddon, Nathan MD ~* Iron Salt Lake City West Jordan NPI: 1427232925 Southwest Spine And Pain Cedar City 84106 84088 Care Specialists - Logan 2 84720 Pulley, Steven MD ~* Byrne, Ashleigh MD ~* 630 East 1400 North Ste NPI: 1104037878 NPI: 1023269537 125 Hillstead, Alan MD ~* Omega Interventional Pain Granger Medical - West Logan, UT 84341 NPI: 1144431958 3838 South 700 East Ste Jordan (435) 787-8147 Southwest Spine And Pain 300 A 3181 West 9000 South Care Specialists - Cedar Salt Lake City, UT 84106 West Jordan, UT 84088 Davis City (801) 261-4988 (801) 352-5600 1303 North Main St Bountiful Cedar City, UT 84720 Davis, Craig MD ~* (435) 586-2229 84111 84010 NPI: 1861643330 Spanish Pulley, Steven MD ~* Granger Medical - West Weston, Raul MD ~* NPI: 1104037878 Jordan NPI: 1902066988 84721 Sacred Circle Health Care - Goshute - Salt Lake 3181 West 9000 South Canyon Ridge Pain And Abegglen, Joanne NP ~* West Jordan, UT 84088 Spine Pc - Bountiful 660 South 200 East Ste 250 (801) 352-5600 1551 South Renaissance NPI: 1104909878 Salt Lake City, UT 84111 Paiute Medical Clinic - (435) 234-1194 Towne Dr Ste 540 Cedar City Utah Bountiful, UT 84010 440 North Paiute Dr (801) 294-7246 Cedar City, UT 84721 84123 Orem (435) 586-1112 Byrne, Ashleigh MD ~* 84057 Kaysville NPI: 1023269537 84037 Cowley, David NP ~* Alpine Center Medical Ockey, Robin MD ~* NPI: 1720429491 Services - Salt Lake NPI: 1326046160 Obah, Christian MD ~* Paiute Medical Clinic - 5689 South Redwood Rd Ihc Utah Valley Pain NPI: 1912959008 Cedar City Ste 30 Management - Orem Life Spring Pain 440 North Paiute Dr Salt Lake City, UT 84123 412 West 800 North Management Center - (801) 268-1715 Orem, UT 84057 Kaysville Cedar City, UT 84721 (801) 235-7246 275 West 200 North Ste 7 (435) 586-1112 Spanish Kaysville, UT 84037 84124 (801) 546-1300 Salt Lake Byrd, David MD ~* Provo Draper NPI: 1720173164 Layton St Marks Interventional 84604 84020 Pain Clinic - Salt Lake 84041 Freeman, Eric MD ~* Byrne, Ashleigh MD ~* 1250 East 3900 South Ste NPI: 1679726772 Seth, Nikesh MD ~* NPI: 1023269537 30 Southwest Spine And Pain NPI: 1922327030 Granger Medical Clinic - Salt Lake City, UT 84124 Care Specialists - Provo 2 Integrated Pain Draper - 11724 (801) 268-7725 320 West River Park Dr Consultants Llc - Layton 11724 South State St Ste 255 890 Heritage Park Blvd Ste Draper, UT 84020 Byrne, Ashleigh MD ~* Provo, UT 84604 101 (801) 576-2000 NPI: 1023269537 (385) 203-0246 Layton, UT 84041 Granger Medical - (480) 626-2552 Wasatch Frieden, Derek MD ~* Spanish, Gujarati 1160 East 3900 South Ste NPI: 1528059201 1000 Southwest Spine And Pain Salt Lake City, UT 84124 Care Specialists - Provo (801) 262-1771 3585 North University Ave Ste 135 Provo, UT 84604 (435) 656-2424

284 Specialty Providers / Proveedores Especializados Pain Medicine continued/seguido

Obray, Jon MD ~* Washington 84790 Obray, Rick MD ~* NPI: 1205814803 NPI: 1316087372 Diamond Valley Empey, Joseph MD ~* Southwest Spine And Pain NPI: 1205058294 Southwest Spine And Pain Care Specialists - Provo 84770 Desert Pain Specialists - St Care Specialists - St George 3585 North University Ave George 652 South Medical Center Ste 135 Debenham, David MD ~* Dr Ste 110 NPI: 1053491183 1490 East Foremaster Dr Provo, UT 84604 Ste 220 Saint George, UT 84790 (435) 656-2424 David A Debenham Md Pc (435) 656-2424 - St George Saint George, UT 84790 620 South 400 East Ste 201 (435) 216-7000 Obray, Jon MD ~* German Robinson, Cole MD ~* NPI: 1205814803 Diamond Valley, UT NPI: 1871799528 Southwest Spine And Pain 84770 Southwest Spine And Pain (801) 432-2611 Freeman, Eric MD ~* Care Specialists - Provo 2 NPI: 1679726772 Care Specialists - St George 320 West River Park Dr 652 South Medical Center Ivins Southwest Spine And Pain Ste 255 Care Specialists - St George Dr Ste 110 Provo, UT 84604 84738 652 South Medical Center Saint George, UT 84790 (385) 203-0246 (435) 656-2424 Cowley, David NP ~* Dr Ste 110 NPI: 1720429491 Saint George, UT 84790 Obray, Rick MD ~* (435) 656-2424 Sneddon, Nathan MD ~* NPI: 1316087372 Shivwits Medical Clinic - NPI: 1427232925 Southwest Spine And Pain Ivins Southwest Spine And Pain 6109 West 3700 North Frieden, Derek MD ~* Care Specialists - Provo NPI: 1528059201 Care Specialists - St George 3585 North University Ave Ivins, UT 84738 652 South Medical Center (435) 688-8198 Southwest Spine And Pain Ste 135 Care Specialists - St George Dr Ste 110 Provo, UT 84604 Saint George, UT 84790 Saint George 652 South Medical Center (435) 656-2424 Dr Ste 110 (435) 656-2424 84770 Saint George, UT 84790 Rosenthal, Richard Debenham, David MD ~* (435) 656-2424 Wells, Spencer MD ~* MD ~* NPI: 1053491183 NPI: 1023151644 NPI: 1073512745 Advanced Pain Hillstead, Alan MD ~* Desert Pain Specialists - St Nexus Physical Therapy - Management - St George NPI: 1144431958 George Provo 620 East 400 South Ste 201 Southwest Spine And Pain 1490 East Foremaster Dr 3585 North University Ave Saint George, UT 84770 Care Specialists - St George Ste 220 Ste 150 (435) 656-0029 652 South Medical Center Saint George, UT 84790 Provo, UT 84604 Dr Ste 110 (435) 216-7000 (801) 356-6100 Stott, Dale MD ~ Saint George, UT 84790 (435) 656-2424 Weber Saratoga Springs NPI: 1164421053 Zion Pain Management Spanish Farr West 84045 Center Llc - St George 84404 Freeman, Eric MD ~* 301 North 200 East Ste 2A Obray, Jon MD ~* NPI: 1679726772 Saint George, UT 84770 NPI: 1205814803 Seth, Nikesh MD ~* Southwest Spine & Pain (435) 688-7246 Southwest Spine And Pain NPI: 1922327030 Care Specialists - Saratoga Spanish Care Specialists - St George Peak Health And Wellness Springs 652 South Medical Center Llc - Farr West 24 West Sergeant Court Dr Dr Ste 110 2850 North 2000 West Ste Bldg Saint George, UT 84790 203 Saratoga Springs, UT (435) 656-2424 Farr West, UT 84404 84045 (801) 689-3389 (385) 336-1157 Spanish, Gujarati

285 Specialty Providers / Proveedores Especializados Pain Medicine continued/seguido

Ogden Davis Washington Utah 84403 Layton Saint George Lehi Houden, Timothy MD ~* 84041 84790 84043 NPI: 1255339552 Timothy S Houden Md - Joyal, Jeremy MD ~* Sneddon, Nathan MD ~* Green, Brandon MD ~ Ogden NPI: 1861622219 NPI: 1427232925 NPI: 1184864563 4403 South Harrison Blvd Davis Internal Medicine - Southwest Spine And Pain Neuroscience & Ste 1875 Layton Care Specialists - St George Rehabilitation Specialists - Ogden, UT 84403 1492 West Antelope Dr Ste 652 South Medical Center Pgu - Lehi (801) 732-5900 203 Dr Ste 110 3000 North Triumph Blvd Layton, UT 84041 Saint George, UT 84790 Ste 110 (801) 773-7500 (435) 656-2424 Lehi, UT 84043 Pain Medicine - Spanish (801) 505-5370 Anesthesiology Workman, Ryan DO ~ Iron NPI: 1609103464 Periodontics Desert Pain Specialists - St Cache Cedar City George Cache Logan 84721 1490 East Foremaster Dr Ste 220 Logan 84341 Workman, Ryan DO ~ Saint George, UT 84790 Richardson, Brian MD ~* NPI: 1609103464 (435) 216-7000 84341 NPI: 1437127826 Desert Pain Specialists - Ferguson, Scott ~ Southwest Spine And Pain Cedar City Pain Medicine - NPI: 1427125731 Care Specialists - Logan 1760 North Main St Ste Avesis Third Party 630 East 1400 North Ste 220 Physical Medicine Administrators Inc 135 Cedar City, UT 84721 1445 North 400 E Ste 3A Logan, UT 84341 (435) 238-7000 & Rehabilitation Logan, UT 84341 (435) 787-8146 (435) 752-1699 Salt Lake Salt Lake Sneddon, Nathan MD ~* Salt Lake City Davis NPI: 1427232925 Salt Lake City Southwest Spine And Pain 84121 84111 Centerville Care Specialists - Logan Matsumura, Kyle MD ~ Condie, Gregory DO ~ 84014 630 East 1400 North Ste NPI: 1619907490 NPI: 1255691986 135 Jensen, Jeffery ~ Utah Pain Specialists Sacred Circle Health Care - NPI: 1962836791 Logan, UT 84341 6750 South Highland Dr Goshute - Salt Lake (435) 787-8146 Avesis Third Party Ste 100 660 South 200 East Ste 250 Administrators Inc Salt Lake City, UT 84121 Salt Lake City, UT 84111 331 West Parrish Ln Ste Sneddon, Nathan MD ~* (801) 685-7246 (435) 234-1194 NPI: 1427232925 101 Southwest Spine And Pain Centerville, UT 84014 Rajagopal, Arun MD ~* (801) 298-3230 Care Specialists - Logan 2 NPI: 1942230602 630 East 1400 North Ste Utah Pain Specialists 125 6750 South Highland Dr Clinton Logan, UT 84341 Ste 100 84015 (435) 787-8147 Salt Lake City, UT 84121 Jensen, Jeffery ~ (801) 685-7246 NPI: 1962836791 Avesis Third Party Administrators Inc 1737 North 2000 W Suite G Clinton, UT 84015 (801) 728-9000

286 Specialty Providers / Proveedores Especializados Periodontics continued/seguido

Kaysville Utah Physical Medicine Swenson, Jonathan MD ~* 84037 American Fork & Rehabilitation NPI: 1740456680 Ferguson, Scott ~ 84003 Ihc Logan Regional NPI: 1427125731 Box Elder Orthopedics - Logan Avesis Third Party Thunell, Daniel ~ 1350 North 500 East Administrators Inc NPI: 1962615948 Brigham City Logan, UT 84341 Avesis Third Party 347 North 300 West Ste 84302 (435) 716-2800 201 Administrators Inc Kaysville, UT 84037 476 North 900 West Suite Clegg, Michael MD ~* Davis (801) 444-2696 A NPI: 1679561708 American Fork, UT 84003 Alpine Orthopaedic Bountiful (801) 756-5522 Jensen, Jeffery ~ Specialists - Brigham City 84010 NPI: 1962836791 1030 South Medical Dr Ste Avesis Third Party Mapleton A Shepherd, Douglas Administrators Inc 84664 Brigham City, UT 84302 MD ~* 250 West 200 N Ste 103 (435) 723-9700 NPI: 1659482289 Kaysville, UT 84037 Francis, Paul ~ Alpine Spine Sport & (801) 336-4724 NPI: 1669430229 Pugsley, Jacob DO ~* Rehabilitation - Bountiful Avesis Third Party NPI: 1902065824 1551 South Renaissance Salt Lake Administrators Inc Alpine Orthopaedic Towne Dr Ste 420 774 South 1600 West Apt Specialists - Brigham City Bountiful, UT 84010 Salt Lake City 103 1030 South Medical Dr Ste (801) 295-8999 Mapleton, UT 84664 A Spanish 84120 (801) 396-2944 Brigham City, UT 84302 Evers, Reed MD ~* (435) 723-9700 Kaysville NPI: 1780908574 Weber Granger Medical - West Cache 84037 Valley Ogden Humpherys, Benjamin 3725 West 4100 South 84405 Logan DO ~* Salt Lake City, UT 84120 84341 NPI: 1891728036 (801) 965-3600 Ferrell, Robert ~ Tanner Memorial Clinic - NPI: 1548330004 Clegg, Michael MD ~* Kaysville West Valley City Avesis Third Party NPI: 1679561708 380 North 400 West Administrators Inc Alpine Orthopaedic Kaysville, UT 84037 84120 1508 East Skyline Dr Ste Specialists - Logan (801) 773-4840 Atkins, Braden ~ 300 2310 North 400 East Ste A NPI: 1093093312 Ogden, UT 84405 Logan, UT 84341 Layton Avesis Third Party (801) 334-9258 (435) 787-2000 Administrators Inc 84041 4645 South 4000 West Pugsley, Jacob DO ~* Adler, Zoe MD ~* Suite B NPI: 1902065824 NPI: 1639323462 West Valley City, UT Alpine Orthopaedic Hofmann Arthritis 84120 Specialists - Logan Institute Pllc - Layton 1580 (714) 578-6311 2310 North 400 East Ste A West Logan, UT 84341 1580 West Antelope Dr Ste (435) 787-2000 200 Layton, UT 84041 (801) 355-6468 Spanish

287 Specialty Providers / Proveedores Especializados Physical Medicine & Rehabilitation continued/seguido

Adler, Zoe MD ~* Shepherd, Douglas Salt Lake Riverton NPI: 1639323462 MD ~* Hofmann Arthritis NPI: 1659482289 Draper 84065 Institute Pllc - Layton 1600 Alpine Spine Sport & 84020 Abrams, Svetlana DO ~ West Rehabilitation - Layton NPI: 1841557469 1600 West Antelope Dr 1916 Layton Hills Pkwy Adelman, Scott MD ~ Ihc Orthopedic Specialty Layton, UT 84041 Ste 250 NPI: 1750351847 Group - Riverton Campus - (801) 355-6468 Layton, UT 84041 The Smart Clinic - Draper Riverton Spanish (801) 732-5901 96 East Kimballs Lane Ste 3723 West 12600 South Ste Spanish 408 460 Demordaunt, Dallin Draper, UT 84020 Riverton, UT 84065 MD ~* West, Jeremiah MD ~ (801) 676-7631 (801) 285-4650 NPI: 1336128388 NPI: 1538428370 Davis Orthopedics & Sports Chronic Pain Mgmt - Engelen, Robert DO ~* Green, Michael DO ~* Medicine - Pgu - Layton Layton - Site NPI: 1053494393 NPI: 1063665719 2132 North 1700 West Ste 2075 University Park Blvd Hofmann Arthritis Pediatric Pm And R - Pcros 230 Layton, UT 84041 Institute Pllc - Draper 3773 West 12600 South Layton, UT 84041 (801) 779-6200 11613 South State St Riverton, UT 84065 (801) 773-3900 Draper, UT 84020 (801) 213-3599 Syracuse (801) 355-6468 Derr, Michael DO ~* Green, Michael DO ~* NPI: 1821167412 84075 Giovanniello, Michael NPI: 1063665719 Tanner Memorial Clinic - Humpherys, Benjamin MD ~* Pediatric Pm And R Layton DO ~* NPI: 1285604462 Riverton 3773 W 12600 S 2121 North 1700 West NPI: 1891728036 The Smart Clinic - Draper 3773 West 12600 South Layton, UT 84041 Tanner Memorial Clinic - 96 East Kimballs Lane Ste Riverton, UT 84065 (801) 773-4840 Syracuse 408 (801) 213-3599 2038 West 1900 South Draper, UT 84020 Engelen, Robert DO ~* Syracuse, UT 84075 (801) 676-7631 Oki, Allison MD ~* NPI: 1053494393 (801) 773-4840 NPI: 1063689750 Hofmann Arthritis Krull, Angela Marie Pediatric Pm And R - Pcros Institute Pllc - Antelope Dr Iron MD ~* 3773 West 12600 South 1492 West Antelope Drive NPI: 1649377540 Riverton, UT 84065 Ste 110 Cedar City The Smart Clinic - Draper (801) 213-3599 Layton, UT 84041 84720 96 East Kimballs Lane Ste (801) 355-6468 408 Such Neibar, Teresa Root, Max MD ~* Draper, UT 84020 DO ~* Humpherys, Benjamin NPI: 1295725380 (801) 676-7631 NPI: 1013924158 DO ~* Revere Health - Cedar City Pediatric Pm And R - Pcros NPI: 1891728036 1335 Magna 3773 West 12600 South 1335 North Northfield Rd Tanner Memorial Clinic - 84044 Riverton, UT 84065 Layton Ste 300 (801) 213-3599 2121 North 1700 West Cedar City, UT 84720 Grange, Timothy MD * Layton, UT 84041 (435) 656-8800 NPI: 1932169430 (801) 773-4840 The Spine Orthopedic And Pain Center - Magna Morgan, Brian MD ~* 3665 South 8400 West Ste NPI: 1598873283 110 Alpine Spine Sport & Magna, UT 84044 Rehabilitation - Layton (801) 250-9638 1916 Layton Hills Pkwy Ste 250 Layton, UT 84041 (801) 732-5901

288 Specialty Providers / Proveedores Especializados Physical Medicine & Rehabilitation continued/seguido

Salt Lake City Mendoza, Christopher 84106 Reddy, Cara MD ~ 84102 MD ~ Miller, Gregory MD ~* NPI: 1679519961 NPI: 1538185749 NPI: 1225089790 Int Neurosciences Institute Adler, Zoe MD ~* Ihc Salt Lake Clinic - Utah Cancer Specialists Pc - Murray NPI: 1639323462 Physical Medicine - South Salt Lake 5171 South Cottonwood St Hofmann Arthritis 389 South 900 East 3838 South 700 East Ste Ste 810 Institute Pllc - Salt Lake Salt Lake City, UT 84102 100 Salt Lake City, UT 84107 Reg (385) 282-2450 Salt Lake City, UT 84106 (801) 507-9800 24 South 1100 East Ste 101 Spanish (801) 269-0231 Salt Lake City, UT 84102 84112 (801) 355-6468 Snihurowych, Kristina Spanish 84107 Green, Michael DO ~* MD ~* NPI: 1063665719 NPI: 1407057953 Blackham, Richard MD ~ Pediatric Pm And R 100 Engelen, Robert DO ~* Ihc Salt Lake Clinic - NPI: 1043470990 North Mario Capecchi Dr NPI: 1053494393 Physical Medicine Int Neurosciences Institute 100 North Mario Capecchi Hofmann Arthritis 389 South 900 East - Murray Dr Rm 4400 Institute Pllc - Salt Lake Salt Lake City, UT 84102 5171 South Cottonwood St Salt Lake City, UT 84112 Reg (385) 282-2450 Ste 810 24 South 1100 East Ste 101 Salt Lake City, UT 84107 (801) 662-4929 Salt Lake City, UT 84102 84103 (801) 507-9800 (801) 355-6468 84113 Oki, Allison MD ~* Dodds, Thomas MD ~ Green, Michael DO ~* Engelen, Robert DO ~* NPI: 1063689750 NPI: 1194746388 NPI: 1063665719 NPI: 1053494393 Shriners Hospitals For Int Neurosciences Institute Pediatric Pm And R - Pcos Neurosci & Rehabilitation Children - Medical Group - - Murray 81 North Mario Capecchi Specialists @ Slc Slc 5171 South Cottonwood St Dr 82 South 1100 East Ste 103 1275 East Fairfax Rd Ste 810 Salt Lake City, UT 84113 Salt Lake City, UT 84102 Salt Lake City, UT 84103 Salt Lake City, UT 84107 (801) 213-3599 (801) 505-5370 (801) 536-3500 (801) 507-9800 Green, Michael DO ~* Hill, Graham DO ~ Such Neibar, Teresa Lanphere, Julie DO ~ NPI: 1063665719 NPI: 1669663290 DO ~* NPI: 1962640441 Pediatric Pm And R 81 Ihc Salt Lake Clinic - NPI: 1013924158 Int Neurosciences Institute North Mario Capecchi Dr Physical Medicine Udac - Child Development - Murray 81 North Mario Capecchi 389 South 900 East Program - Shriners 5171 South Cottonwood St Dr Salt Lake City, UT 84102 Hospital Ste 810 Salt Lake City, UT 84113 (385) 282-2450 1275 East Fairfax Rd Salt Lake City, UT 84107 (801) 213-3599 Salt Lake City, UT 84103 (801) 507-9800 (801) 587-2255 Jaffe, Michael MD ~ Hansen, Colby MD ~* NPI: 1730119801 Miller, Gregory MD ~* NPI: 1245429018 Ihc Salt Lake Clinic - 84105 NPI: 1225089790 Pediatric Pm And R - Pcos Physical Medicine Navarro, Bennett NP ~ Ihc Comprehensive Care 81 North Mario Capecchi 389 South 900 East NPI: 1841267309 Clinic - Murray Dr Salt Lake City, UT 84102 Psychiatric And Behavioral 5171 South Cottonwood St Salt Lake City, UT 84113 (385) 282-2450 Solutions - Salt Lake Ste 350 (801) 213-3599 1522 South 1100 East Salt Lake City, UT 84107 Salt Lake City, UT 84105 (801) 507-9390 Murphy, Nancy MD ~* (801) 467-1200 NPI: 1922117977 Department Of Pediatrics - Pch 100 North Mario Capecchi Dr Salt Lake City, UT 84113 (801) 662-1000

289 Specialty Providers / Proveedores Especializados Physical Medicine & Rehabilitation continued/seguido

Murphy, Nancy MD ~* 84117 84132 84094 NPI: 1922117977 Gooch, Judith MD ~* Murphy, Nancy MD ~* Abrams, Svetlana DO ~ General Pediatrics - Pch NPI: 1437268588 NPI: 1922117977 NPI: 1841557469 100 North Mario Capecchi Utah Neuro Rehabilitation General Pediatrics - Ihc Orthopedic Specialty Dr 1414 East 4500 South Ste 2 University Of Utah Group - Alta View - Sandy Salt Lake City, UT 84113 Salt Lake City, UT 84117 Hospital 9450 South 1300 East Ste (801) 662-1000 (801) 999-4627 50 North Medical Dr 120 German Salt Lake City, UT 84132 Sandy, UT 84094 Oki, Allison MD ~* (801) 581-2205 (801) 501-6150 NPI: 1063689750 Pediatric Pm And R - Pcos 84120 81 North Mario Capecchi Engelen, Robert DO ~* Such Neibar, Teresa South Jordan NPI: 1053494393 DO ~* Dr NPI: 1013924158 84095 Salt Lake City, UT 84113 Core At West Valley - Pgu Khan, Qamar DO ~* (801) 213-3599 3336 South 4155 West Ste Udac - Child Development 102 Program - Primary NPI: 1407026420 44 North Mario Capecchi Wasatch Pain Solutions - Such Neibar, Teresa DO * Salt Lake City, UT 84120 (801) 964-3925 Dr Utah Dept Of Health South Jordan NPI: 1013924158 Salt Lake City, UT 84132 661 West 10600 South Pcmc - Pediatric Physical (801) 587-2255 South Jordan, UT 84095 Medicine & Rehab Grange, Timothy MD * (801) 302-2690 100 North Medical Dr NPI: 1932169430 Salt Lake City, UT 84113 The Spine Orthopedic And Such Neibar, Teresa (801) 588-3969 Pain Center - Site DO ~* West Jordan 4052 West Pioneer Pkwy NPI: 1013924158 84088 Ste 208 Udac - Heart Center Such Neibar, Teresa Neurodevelopmental Fyans, Joseph MD ~* DO ~* Salt Lake City, UT 84120 NPI: 1447431317 (801) 955-1232 Program NPI: 1013924158 44 North Mario Capecchi Jordan Valley Internal Pediatric Orthopedics Dr Utah Dept Of Health Medicine - Ste 100 100 North Mario Capecchi 84121 Salt Lake City, UT 84132 3570 West 9000 South Ste Dr Adler, Zoe MD ~* (801) 587-2255 100 Salt Lake City, UT 84113 NPI: 1639323462 West Jordan, UT 84088 (801) 662-5600 Hofmann Arthritis Such Neibar, Teresa (801) 569-2384 Institute Pllc - Cottonwood DO ~* Such Neibar, Teresa 6360 South 3000 East Ste NPI: 1013924158 Grose, Kendall MD ~* DO ~* 100 Udac - Neonatal NPI: 1245406776 NPI: 1013924158 Salt Lake City, UT 84121 Follow-Up Program - Salt Neuroscience & Pediatric Pm And R - Pcos (801) 355-6468 Lake Rehabilitation Specialists - 81 North Mario Capecchi Spanish 44 North Mario Capecchi West Jordan Dr Dr Utah Dept Of Health 3590 West 9000 South Ste Salt Lake City, UT 84113 84124 Salt Lake City, UT 84132 240 (801) 213-3599 (801) 587-2255 West Jordan, UT 84088 Yonnet, Gael MD ~* (801) 352-8373 Such Neibar, Teresa NPI: 1144475146 DO ~* Western Neurological Sandy NPI: 1013924158 Associates - 3900 South 84070 1151 East 3900 South Ste Udac - Child Development Grose, Kendall MD ~* Program - Pch B150 Salt Lake City, UT 84124 NPI: 1245406776 100 North Mario Capecchi Sandy Health And Rehab - Dr (801) 262-3441 French Pgu - Sandy Salt Lake City, UT 84113 50 East 9000 South (801) 587-2255 Sandy, UT 84070 (801) 561-9839

290 Specialty Providers / Proveedores Especializados Physical Medicine & Rehabilitation continued/seguido

West Valley City Leininger, Kirk MD ~ Grose, Kendall MD ~* Payson NPI: 1386653772 NPI: 1245406776 84120 Ihc American Fork Physical Neuroscience & 84651 Grose, Kendall MD ~* Medicine & Rehab - Am Rehabilitation Specialists - Colledge, Alan MD ~* NPI: 1245406776 Fork Pgu - Lehi NPI: 1629169370 Neurosci & Rehabilitation 98 North 1100 East Ste 103 3000 North Triumph Blvd Revere Health - Payson - Specialists @ West Valley American Fork, UT 84003 Ste 110 Orthopedic Specialty Ctr 3336 South 4155 West Ste (801) 492-2380 Lehi, UT 84043 15 South 1000 East Ste 150 102 French, American Sign (801) 505-5370 Payson, UT 84651 West Valley City, UT Language (801) 465-9534 84120 Orem (801) 964-3925 Leininger, Kirk MD ~ Crouch, Benjamin DO ~* NPI: 1386653772 84057 NPI: 1336302546 Tooele Ihc Physical Medicine & Colledge, Alan MD ~* Revere Health - Payson - Rehabilitation - American NPI: 1629169370 Orthopedic Specialty Ctr Tooele Fork Revere Health - Orem - 15 South 1000 East Ste 150 84074 1159 East 200 North Ste Orthopedic Specialty Ctr Payson, UT 84651 100 700 West 800 North Ste (801) 465-9534 Adler, Zoe MD ~* American Fork, UT 84003 100 NPI: 1639323462 (801) 357-8818 Orem, UT 84057 Provo Hofmann Arthritis French, American Sign (801) 373-7350 Institute Pllc - Tooele Language 84601 2356 North 400 East Ste Dana Jr, John MD ~* Such Neibar, Teresa 201 Wixom, Jody MD ~ NPI: 1114091105 DO ~* Tooele, UT 84074 NPI: 1144455833 Ihc Utah Valley Pain NPI: 1013924158 (801) 355-6468 Ihc American Fork Physical Management - Orem Udac - Neonatal Spanish Medicine & Rehab - Am 412 West 800 North Follow-Up Program - Fork Orem, UT 84057 Provo Utah 98 North 1100 East Ste 103 (801) 235-7246 151 South University Ave American Fork American Fork, UT 84003 Ste 1610 (801) 492-2380 Such Neibar, Teresa Provo, UT 84601 84003 DO ~* (801) 587-2255 Allred, Zachary DO ~ Wixom, Jody MD ~ NPI: 1013924158 NPI: 1538393319 NPI: 1144455833 Pediatric Pm And R - Tttcc 84604 Ihc American Fork Physical Ihc Physical Medicine & 247 North 100 East Allred, Zachary DO ~ Medicine & Rehab - Am Rehabilitation - American Orem, UT 84057 NPI: 1538393319 Fork Fork (801) 225-0323 Ihc Physical Medicine & 98 North 1100 East Ste 103 1159 East 200 North Ste Rehabilitation - Provo American Fork, UT 84003 100 Such Neibar, Teresa DO * 1055 North 300 West Ste (801) 492-2380 American Fork, UT 84003 NPI: 1013924158 410 (801) 357-8818 Tophams Tiny Tots Care Provo, UT 84604 Allred, Zachary DO ~ Center (801) 357-8818 NPI: 1538393319 Lehi 247 North 100 East Ihc Physical Medicine & 84043 Orem, UT 84057 Brimhall, Eric MD ~* Rehabilitation - American (801) 225-0323 NPI: 1134445109 Fork Engelen, Robert DO ~* Nexus Physical Therapy - 1159 East 200 North Ste NPI: 1053494393 Provo 100 Hofmann Arthritis 3585 North University Ave American Fork, UT 84003 Institute Pllc - Lehi Ste 150 (801) 357-8818 3000 North Triump Blvd Provo, UT 84604 Ste 340 (801) 356-6100 Lehi, UT 84043 (801) 355-6468

291 Specialty Providers / Proveedores Especializados Physical Medicine & Rehabilitation continued/seguido

Christensen, Bryt MD ~* Leininger, Kirk MD ~ Saint George Root, Bradley DO ~* NPI: 1710203047 NPI: 1386653772 NPI: 1154312197 Southwest Spine And Pain Ihc Utah Valley Heart & 84770 Southern Utah Spine And Care Specialists - Provo Lung Surgical Associates - Moore, Rusty DO ~* Rehabilitation 3585 North University Ave Provo NPI: 1205813474 1424 East Foremaster Dr Ste 135 1134 North 500 West Ste Ihc Dixie Acute Rehab - St Ste C Provo, UT 84604 100 George Saint George, UT 84790 (435) 656-2424 Provo, UT 84604 544 South 400 East (435) 656-8800 (801) 357-7081 Saint George, UT 84770 Dutch Colledge, Alan MD ~* French, American Sign (435) 688-4700 NPI: 1629169370 Language Root, Max MD ~* Revere Health - Provo - 84790 NPI: 1295725380 Orthopedic Specialty Ctr Li, Tao MD ~* Christensen, Bryt MD ~* Revere Health - St George 1055 North 500 West Ste NPI: 1376725143 NPI: 1710203047 1424 East Foremaster Dr 121 Nexus Physical Therapy - Southwest Spine And Pain Ste 120 Provo, UT 84604 Provo Care Specialists - St George Saint George, UT 84790 (801) 373-7350 3585 North University Ave 652 South Medical Center (435) 656-8800 Ste 150 Dr Ste 110 Crouch, Benjamin DO ~* Provo, UT 84604 Saint George, UT 84790 Root, Max MD ~* NPI: 1336302546 (801) 356-6100 (435) 656-2424 NPI: 1295725380 Revere Health - Provo - Chinese Southern Utah Spine And Orthopedic Specialty Ctr Moore, Rusty DO ~* Rehabilitation 1055 North 500 West Ste Wixom, Jody MD ~ NPI: 1205813474 1424 East Foremaster Dr 121 NPI: 1144455833 Ihc Southern Utah Ste C Provo, UT 84604 Ihc Physical Medicine & Neurosciences Institute - St Saint George, UT 84790 (801) 373-7350 Rehabilitation - Provo George (435) 656-8800 1055 North 300 West Ste 652 South Medical Center Kinne, Robert MD ~* 410 Dr Ste 420 Such Neibar, Teresa NPI: 1265870588 Provo, UT 84604 Saint George, UT 84790 DO ~* Nexus Physical Therapy - (801) 357-8818 (435) 251-6800 NPI: 1013924158 Provo Udac - Child Development 3585 North University Ave 84606 Robinson, Cole MD ~* Program - Washington Ste 150 Engelen, Robert DO ~* NPI: 1871799528 County Provo, UT 84604 NPI: 1053494393 Southwest Spine And Pain 1380 East Medical Center (801) 356-6100 Hofmann Arthritis Care Specialists - St George Dr Ste 4500 Institute Pllc - Provo 652 South Medical Center Saint George, UT 84790 Leininger, Kirk MD ~ 75 South 200 East Dr Ste 110 (801) 587-2255 NPI: 1386653772 Provo, UT 84606 Saint George, UT 84790 Ihc Physical Medicine & (801) 375-2200 (435) 656-2424 Vroenen, Diane DO ~* Rehabilitation - Provo NPI: 1093899924 1055 North 300 West Ste Washington Root, Bradley DO ~* Ihc Southern Utah 410 NPI: 1154312197 Neurosciences Institute - St Provo, UT 84604 Hurricane Revere Health - St George George (801) 357-8818 652 South Medical Center 84737 1424 East Foremaster Dr French, American Sign Ste 120 Dr Ste 420 Language Christensen, Bryt MD ~* Saint George, UT 84790 Saint George, UT 84790 NPI: 1710203047 (435) 656-8800 (435) 251-6800 Southwest Spine And Pain Dutch Care Specialists - Hurricane 25 North 2000 West Ste 8 Hurricane, UT 84737 (435) 656-2424

292 Specialty Providers / Proveedores Especializados Physical Medicine & Rehabilitation continued/seguido

Weber Larson, Marc PT ~* 84341 Thorson, Suzanne PT ~ NPI: 1093939761 NPI: 1194901900 Ogden Acevedo, Charles PT ~* Orthopaedic Therapy And NPI: 1134239254 Logan Regional Hospital 84401 Sports Performance - Logan Physical Therapy - Physicians Group - Logan Brigham City Logan 1300 North 500 East Ste Such Neibar, Teresa 1030 South Medical Dr 120 DO ~* 2310 North 400 East Ste C Brigham City, UT 84302 Logan, UT 84341 Logan, UT 84341 NPI: 1013924158 (435) 538-5111 (435) 716-2880 Udac - Child Development (435) 752-5200 German Spanish Program - Ogden Providence 2540 Washington Blvd Cache Ogden, UT 84401 Allred, Breeann PT * 84332 (801) 587-2255 Logan NPI: 1932393261 Logan Regional Hospital - Anderson, Martin PT ~* 84321 NPI: 1730227778 Such Neibar, Teresa Service Mountain West Physical DO ~* Cole, John PT ~* 1400 North 500 East Therapy - Service NPI: 1013924158 NPI: 1598789448 Logan, UT 84341 169 North Spring Creek Udac - Neonatal Logan Regional Hospital - (435) 716-5320 Pkwy Ste 140 Follow-Up Program - Physical Therapy Providence, UT 84332 Ogden 500 East 1400 North Christiansen, Jason PT ~* (435) 713-9680 2540 Washington Blvd Logan, UT 84321 NPI: 1447360581 Ogden Regional Center (435) 716-5010 Logan Physical Therapy - Rushton, Ryan PT ~ Ogden, UT 84401 Logan NPI: 1235342536 (801) 587-2255 Hanyak, Eric PT ~* 2310 North 400 East Ste C Mountain West Physical NPI: 1326426578 Logan, UT 84341 Therapy - Service 84403 Aquaworx - Logan (435) 752-5200 Spanish 169 North Spring Creek Anden, Corey MD ~* 209 West 300 North Pkwy Ste 140 NPI: 1861490278 Logan, UT 84321 Providence, UT 84332 (435) 716-8535 Doucette, Susan PT ~* (435) 713-9680 Corey D Anden Md Pc NPI: 1972613099 4335 South Harrison Blvd Logan Physical Therapy - Ste D Mumford, Michael PT ~* Smithfield NPI: 1285951467 Logan Ogden, UT 84403 2310 North 400 East Ste C (801) 387-2090 Aquaworx - Logan 84335 209 West 300 North Logan, UT 84341 Berryhill, John PT ~* (435) 752-5200 Physical Therapist Logan, UT 84321 NPI: 1396741989 (435) 716-8535 Berryhill Physical Therapy Greenwood, Brandon - Smithfield Box Elder Penrose, Jacob PT ~* PT ~ 1177 South Main St NPI: 1013023522 Brigham City NPI: 1811445216 Smithfield, UT 84335 Aquaworx - Logan Logan Regional Hospital - (435) 563-0750 84302 209 West 300 North Service Spanish 1400 North 500 East Colvin, Roger PT ~* Logan, UT 84321 (435) 716-8535 Logan, UT 84341 NPI: 1740390988 (435) 716-5320 Rlc Physical Therapy & Rehab Llc - Brigham City Severe, Stephen PT ~* NPI: 1376074187 Olsen, Lori PT 990 South Medical Dr Ste NPI: 1366463259 U4 Aquaworx - Logan 209 West 300 North Logan Regional Hospital - Brigham City, UT 84302 Service (435) 723-6487 Logan, UT 84321 (435) 716-8535 1400 North 500 East Spanish Logan, UT 84341 (435) 716-5320

293 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Davis Martinez, Gregory PT ~* Scott, Loni PT ~ Deagostine, Keith PT ~ NPI: 1144667304 NPI: 1033178678 NPI: 1649508755 Bountiful Hand & Orthopedic Bountiful Physical Therapy Mountain Land 84010 Rehabilitation Specialists Sports Medicine - Bountiful Rehabilitation Inc - West Pc - Bountiful 425 Medical Dr Ste 104 Point Brady, Margo PT ~* 596 West 750 South Bountiful, UT 84010 3072 West 300 North Ste NPI: 1104827849 Bountiful, UT 84010 (801) 292-5011 A Hand & Orthopedic (801) 298-2533 Clearfield, UT 84015 Rehabilitation Specialists - Spanish Silva, Ashley PT ~ (801) 825-7500 Bountiful NPI: 1447345897 Spanish 596 West 750 South Ste Mcarthur, Derrick PT ~* Bountiful Physical Therapy 210 NPI: 1427309798 Sports Medicine - Bountiful Flinders, Mark PT ~* Bountiful, UT 84010 Mountain Land 425 Medical Dr Ste 104 NPI: 1184736951 (801) 298-2533 Rehabilitation Inc - Bountiful, UT 84010 Mountain Land Bountiful - Medical Dr (801) 292-5011 Rehabilitation Inc - West Forsyth, Marlin PT ~* 425 Medical Dr Ste 104 Point NPI: 1396836797 Bountiful, UT 84010 Sondrup, Stuart PT ~* 3072 West 300 North Ste Bountiful Physical Therapy (801) 292-5011 NPI: 1790066124 A Sports Medicine - Bountiful Danish Performance West Physical Clearfield, UT 84015 425 Medical Dr Ste 104 Therapy - Bountiful (801) 825-7500 Bountiful, UT 84010 Moss, Megan PT ~* 1551 South Renaissance (801) 292-5011 NPI: 1932487899 Towne Dr Ste 350 Hope, Dereck PT ~* Spanish Performance West Physical Bountiful, UT 84010 NPI: 1881639540 Therapy - Bountiful (801) 295-3553 Performance West Physical Forsyth, Marlin PT ~* 1551 South Renaissance Therapy - Clearfield NPI: 1396836797 Towne Dr Ste 350 Tanner, Shonn PT ~* 1266 South Legend Hills Mountain Land Bountiful, UT 84010 NPI: 1346631702 Dr Ste B2 Rehabilitation Inc - (801) 295-3553 Hand & Orthopedic Clearfield, UT 84015 Bountiful - Medical Dr Rehabilitation Specialists - (801) 776-6000 425 Medical Dr Ste 104 Osteyee, David PT ~ Bountiful Bountiful, UT 84010 NPI: 1922171669 596 West 750 South Ste Itaaehau, Melissa PT ~* (801) 292-5011 Sports Med Physical 210 NPI: 1043319528 Spanish Therapy Of Bountiful Inc - Bountiful, UT 84010 Wasatch Therapy & Bountiful (801) 298-2533 Fitness Jolley, Curtis PT ~* 1551 South Renaissance Spanish 360 South State St NPI: 1548261431 Towne Dr Ste 420 Clearfield, UT 84015 Performance West Physical Bountiful, UT 84010 Clearfield (801) 479-9865 Therapy - Bountiful (801) 295-8999 1551 South Renaissance 84015 Johnson, Nylin PT ~* Towne Dr Ste 350 Reid, Kim PT ~* Chavez, Ernest PT ~* NPI: 1013010727 Bountiful, UT 84010 NPI: 1558362434 NPI: 1013016559 Mountain Land (801) 295-3553 Performance West Physical Wasatch Therapy & Rehabilitation Inc - West Therapy - Bountiful Fitness Point Larsen Jr, Robert PT ~* 1551 South Renaissance 360 South State St 3072 West 300 North Ste NPI: 1124111372 Towne Dr Ste 350 Clearfield, UT 84015 A Sports Med Physical Bountiful, UT 84010 (801) 479-9865 Clearfield, UT 84015 Therapy Of Bountiful Inc - (801) 295-3553 Spanish (801) 825-7500 Bountiful 1551 South Renaissance Towne Dr Ste 420 Bountiful, UT 84010 (801) 295-8999

294 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Jolley, Curtis PT ~* Flinders, Mark PT ~* Hope, Dereck PT ~* Mcarthur, Trisha PT ~ NPI: 1548261431 NPI: 1184736951 NPI: 1881639540 NPI: 1215121728 Performance West Physical Mountain Land Performance West Physical Mountain Land Therapy - Clearfield Rehabilitation Inc - Therapy - Farmington Rehabilitation Inc - 1266 South Legend Hills Clinton 473 West Bourne Cir Ste 1 Kaysville Dr Ste B2 1477 North 2000 West Ste Farmington, UT 84025 1188 Sportsplex Dr Ste 101 Clearfield, UT 84015 A (801) 451-5985 Kaysville, UT 84037 (801) 776-6000 Clinton, UT 84015 (801) 547-1155 (801) 773-4191 Reid, Kim PT ~* Reid, Kim PT ~* NPI: 1558362434 Pennock, Brian PT ~* NPI: 1558362434 Harp, Jennifer PT ~* Performance West Physical NPI: 1982708418 Performance West Physical NPI: 1609135292 Therapy - Farmington Mountain Land Therapy - Clearfield Mountain Land 473 West Bourne Cir Ste 1 Rehabilitation Inc - 1266 South Legend Hills Rehabilitation Inc - Farmington, UT 84025 Kaysville Dr Ste B2 Clinton (801) 451-5985 1188 Sportsplex Dr Ste 101 Clearfield, UT 84015 1477 North 2000 West Ste Kaysville, UT 84037 (801) 776-6000 A Sondrup, Stuart PT ~* (801) 547-1155 Clinton, UT 84015 NPI: 1790066124 Sedgwick, Daniel PT ~* (801) 773-4191 Performance West Physical Story, Mitchell PT ~* NPI: 1073884771 Therapy - Farmington NPI: 1386189447 Mountain Land Schade, Kristin PT ~* 473 West Bourne Cir Ste 1 Mountain Land Rehabilitation Inc - West NPI: 1720534829 Farmington, UT 84025 Rehabilitation Inc - Point Mountain Land (801) 451-5985 Kaysville 3072 West 300 North Ste Rehabilitation Inc - 1188 Sportsplex Dr Ste 101 A Clinton Kaysville Kaysville, UT 84037 Clearfield, UT 84015 1477 North 2000 West Ste (801) 547-1155 (801) 825-7500 A 84037 Spanish Clinton, UT 84015 Johncock, Sarah PT ~* Thompson, Amanda (801) 773-4191 NPI: 1356737902 Witt, Melina Ann PT ~ PT ~* Mountain Land NPI: 1376553560 NPI: 1588650196 Stromberg, Ryan PT ~* Rehabilitation Inc - Fit Quest Therapy - Performance West Physical NPI: 1679953905 Kaysville Kaysville Therapy - Clearfield Mountain Land 1188 Sportsplex Dr Ste 101 335 North 300 West Ste 1266 South Legend Hills Rehabilitation Inc - Kaysville, UT 84037 103 Dr Ste B2 Clinton (801) 547-1155 Kaysville, UT 84037 Clearfield, UT 84015 1477 North 2000 West Ste (801) 546-6868 (801) 776-6000 A Johnson, Nylin PT ~* Clinton, UT 84015 NPI: 1013010727 Zundel, Monte PT ~* Clinton (801) 773-4191 Mountain Land NPI: 1861597957 Rehabilitation Inc - Fit Quest Therapy - 84015 Farmington Kaysville Kaysville Ashdown, Susan PT ~* 1188 Sportsplex Dr Ste 101 335 North 300 West Ste NPI: 1861850406 84025 Kaysville, UT 84037 103 Mountain Land Arrington, Brandon (801) 547-1155 Kaysville, UT 84037 Rehabilitation Inc - PT ~* (801) 546-6868 Clinton NPI: 1992893747 Lund, Rebekah PT ~* 1477 North 2000 West Ste Farmington Physical NPI: 1699900654 A Therapy Pc - Farmington Mountain Land Clinton, UT 84015 47 South 100 East Rehabilitation Inc - (801) 773-4191 Farmington, UT 84025 Kaysville (801) 451-5985 1188 Sportsplex Dr Ste 101 Russian Kaysville, UT 84037 (801) 547-1155

295 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Layton 84041 Bowser, Rick PT ~* Goff, Megan PT ~* 84040 Adams, Carly PT ~* NPI: 1386748846 NPI: 1386805836 NPI: 1093971921 Aspen Ridge Physical Mountain Land Ashdown, Susan PT ~* Wasatch Therapy Inc - Therapy Llc - Layton Rehabilitation Inc - Layton NPI: 1861850406 Layton 2121 North 1700 West Ste Gordon Ave Mountain Land 1916 North 700 West Ste A 3225 West Gord0n Ave Ste Rehabilitation Inc - Layton 240 Layton, UT 84041 3 2950 North Church St Ste Layton, UT 84041 (801) 773-1350 Layton, UT 84041 102 (801) 784-7373 (801) 497-0800 Layton, UT 84040 Chavez, Ernest PT ~* (801) 547-9462 NPI: 1013016559 Itaaehau, Melissa PT ~* Alexander, Marissa PT ~* Wasatch Therapy Inc - NPI: 1043319528 Burr, Justin PT ~* NPI: 1346504842 Layton Wasatch Therapy Inc - NPI: 1215479555 Wasatch Therapy Inc - 1916 North 700 West Ste Layton Stayfit Wellness Clinic - Layton 240 1916 North 700 West Ste Layton 1916 North 700 West Ste Layton, UT 84041 240 116 North Adamswood Rd 240 (801) 784-7373 Layton, UT 84041 Ste 2 Layton, UT 84041 Spanish (801) 784-7373 Layton, UT 84040 (801) 784-7373 (801) 888-2134 Bartholomew, Jed PT ~* Child, Bryan PT ~* Jenkins, Rusty PT ~* NPI: 1396171047 NPI: 1639360050 NPI: 1376723106 Leschke, Kurt PT ~* Wasatch Peak Physical Precision Wasatch Therapy Inc - NPI: 1235321647 Therapy - Layton Electromyography - Layton Layton Mountain Land 1492 West Antelope Dr Ste 3225 West Gordon Ave 1916 North 700 West Ste Rehabilitation Inc - Layton 100 Layton, UT 84041 240 2950 North Church St Ste Layton, UT 84041 (801) 725-2380 Layton, UT 84041 102 (801) 825-8091 (801) 784-7373 Layton, UT 84040 Clapham, Patricia PT ~ (801) 547-9462 NPI: 1467781070 Johnson, Evan PT ~* Bauman, Lindsey PT ~* Mountain Land NPI: 1588109839 Nilsen, Kerry PT ~* NPI: 1336524925 Rehabilitation Inc - Layton Mountain Land NPI: 1770981318 Wasatch Peak Physical Gordon Ave Rehabilitation Inc - Layton Mountain Land Therapy - Layton 3225 West Gord0n Ave Ste Gordon Ave Rehabilitation Inc - Layton 1492 West Antelope Dr Ste 3 3225 West Gord0n Ave Ste 2950 North Church St Ste 100 Layton, UT 84041 3 102 Layton, UT 84041 (801) 497-0800 Layton, UT 84041 Layton, UT 84040 (801) 825-8091 (801) 497-0800 (801) 547-9462 Spanish Black, Robert PT ~* Cook, Kerin PT ~* NPI: 1457499428 NPI: 1821163858 Vendela, Tiffany PT ~* Wasatch Therapy Inc - Wasatch Peak Physical Johnson, Nylin PT ~* NPI: 1932438249 Layton Therapy - Layton NPI: 1013010727 Mountain Land 1916 North 700 West Ste 1492 West Antelope Dr Ste Mountain Land Rehabilitation Inc - Layton 240 100 Rehabilitation Inc - Layton 2950 North Church St Ste Layton, UT 84041 Layton, UT 84041 Gordon Ave 102 (801) 784-7373 (801) 825-8091 3225 West Gord0n Ave Ste Layton, UT 84040 Danish 3 (801) 547-9462 Cox, Sheldon PT ~* Layton, UT 84041 NPI: 1780709022 (801) 497-0800 Wasatch Peak Physical Therapy - Layton 1492 West Antelope Dr Ste 100 Layton, UT 84041 (801) 825-8091

296 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Judd, Robyn PT ~* Logan, Kent PT ~* Syracuse Englestead, Brady PT ~* NPI: 1295834679 NPI: 1467577718 NPI: 1164455887 Wasatch Therapy Inc - Wasatch Peak Physical 84075 Southern Utah Physical Layton Therapy - Layton Thompson, Justin PT ~* Therapy & Rehab - 1916 North 700 West Ste 1492 West Antelope Dr Ste NPI: 1912268459 Northfield 240 100 Wasatch Peak Physical 1335 Northfield Rd Ste 300 Layton, UT 84041 Layton, UT 84041 Therapy - Syracuse Cedar City, UT 84720 (801) 784-7373 (801) 825-8091 2019 West 1900 South (435) 586-0064 Syracuse, UT 84075 Kerbs, Alan PT ~* Meads, David PT ~* (801) 773-4737 Forsyth, Randy PT ~* NPI: 1952485625 NPI: 1942304589 NPI: 1598704983 Layton Physical Therapy - Aspen Ridge Physical Iron Southern Utah Physical Layton Therapy Llc - Layton Therapy & Rehab - Cedar 1868 North 1200 West Ste 2121 North 1700 West Ste Cedar City City A A 84720 166 West 1325 North Ste Layton, UT 84041 Layton, UT 84041 100 (801) 728-4624 (801) 773-1350 Brinkerhoff, Gail PT ~* Cedar City, UT 84720 NPI: 1386660637 (435) 586-0064 Landgren, Tyler PT ~* Mills, Joshua PT ~* Southern Utah Physical NPI: 1558712455 NPI: 1407162803 Therapy & Rehab - Cedar Forsyth, Randy PT ~* Wasatch Therapy Inc - Wasatch Peak Physical City NPI: 1598704983 Layton Therapy - Layton 166 West 1325 North Ste Southern Utah Physical 1916 North 700 West Ste 1492 West Antelope Dr Ste 100 Therapy & Rehab - 240 100 Cedar City, UT 84720 Northfield Layton, UT 84041 Layton, UT 84041 (435) 586-0064 1335 Northfield Rd Ste 300 (801) 784-7373 (801) 825-8091 Spanish Cedar City, UT 84720 (435) 586-0064 Larsen, Royce PT ~* Olsen, Tyler PT ~* Brinkerhoff, Gail PT ~* NPI: 1790800431 NPI: 1548454879 NPI: 1386660637 Forsyth, Tori PT ~ Wasatch Peak Physical Wasatch Peak Physical Southern Utah Physical NPI: 1417976499 Therapy - Layton Therapy - Layton Therapy & Rehab - Southern Utah Physical 1492 West Antelope Dr Ste 1492 West Antelope Dr Ste Northfield Therapy & Rehab - Cedar 100 100 1335 Northfield Rd Ste 300 City Layton, UT 84041 Layton, UT 84041 Cedar City, UT 84720 166 West 1325 North Ste (801) 825-8091 (801) 825-8091 (435) 586-0064 100 Spanish Cedar City, UT 84720 Lewis, John PT ~ Thompson, Justin PT ~* (435) 586-0064 NPI: 1194913491 NPI: 1912268459 Englestead, Brady PT ~* Hofmann Arthritis Wasatch Peak Physical NPI: 1164455887 Lunt, Kregg PT ~* Institute Pllc - Layton 1580 Therapy - Layton Southern Utah Physical NPI: 1790711190 West 1492 West Antelope Dr Ste Therapy & Rehab - Cedar Southern Utah Physical 1580 West Antelope Dr Ste 100 City Therapy & Rehab - Cedar 200 Layton, UT 84041 166 West 1325 North Ste City Layton, UT 84041 (801) 825-8091 100 166 West 1325 North Ste (801) 355-6468 Cedar City, UT 84720 100 Treanor, Kristen PT ~* (435) 586-0064 Cedar City, UT 84720 Lillywhite, Mitch PT ~* NPI: 1053436303 (435) 586-0064 NPI: 1396291753 Wasatch Peak Physical Wasatch Therapy Inc - Therapy - Layton Layton 1492 West Antelope Dr Ste 1916 North 700 West Ste 100 240 Layton, UT 84041 Layton, UT 84041 (801) 825-8091 (801) 784-7373

297 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Lunt, Kregg PT ~* Eckert, Jeffrey PT ~ Hill, Von PT ~* Littledike, Jason PT ~* NPI: 1790711190 NPI: 1144404831 NPI: 1669472684 NPI: 1386644524 Southern Utah Physical Registered Physical Peak Physical Therapy And Peak Physical Therapy And Therapy & Rehab - Therapists Inc - Draper Sports Medicine - Draper Sports Medicine - Draper Northfield 74 East 11800 South Ste 12198 South Factory 12198 South Factory 1335 Northfield Rd Ste 300 200 Outlet Dr Ste 3 Outlet Dr Ste 3 Cedar City, UT 84720 Draper, UT 84020 Draper, UT 84020 Draper, UT 84020 (435) 586-0064 (801) 432-2070 (801) 571-6600 (801) 571-6600 French Mendenhall, Adam PT ~ Fuhriman, Joshua PT ~* Marietta, Gail PT ~* NPI: 1780600049 NPI: 1376649400 Hirai, Stanford PT ~* NPI: 1952302630 Southern Utah Physical Hand & Orthopedic NPI: 1972580074 Hand & Orthopedic Therapy & Rehab - Cedar Rehabilitation Specialists - Registered Physical Rehabilitation Specialists - City Draper Therapists Inc - Draper Draper 166 West 1325 North Ste 11762 South State St Ste 74 East 11800 South Ste 11762 South State St Ste 100 120 200 120 Cedar City, UT 84720 Draper, UT 84020 Draper, UT 84020 Draper, UT 84020 (435) 586-0064 (801) 501-8359 (801) 432-2070 (801) 501-8359 Spanish Salt Lake Hunsaker, Nikelle PT ~* Mecham, Alex PT ~* Fuhriman, Ryan PT ~* NPI: 1477922912 NPI: 1396186847 Draper NPI: 1609877372 Hand & Orthopedic Registered Physical 84020 Hand & Orthopedic Rehabilitation Specialists - Therapists Inc - Draper Rehabilitation Specialists - Draper 74 East 11800 South Ste Brady, Margo PT ~* Draper 11762 South State St Ste 200 NPI: 1104827849 11762 South State St Ste 120 Draper, UT 84020 Hand & Orthopedic 120 Draper, UT 84020 (801) 432-2070 Rehabilitation Specialists - Draper, UT 84020 (801) 501-8359 Draper (801) 501-8359 Miller, Brent PT ~* 11762 South State St Ste Spanish Johnson, Lauren PT ~* NPI: 1720065840 120 NPI: 1346699105 Registered Physical Draper, UT 84020 Fullmer, Larry PT ~* Hand & Orthopedic Therapists Inc - Draper (801) 501-8359 NPI: 1821075912 Rehabilitation Specialists - 74 East 11800 South Ste Registered Physical Draper 200 Budge, Edward PT ~* Therapists Inc - Draper 11762 South State St Ste Draper, UT 84020 NPI: 1417957291 74 East 11800 South Ste 120 (801) 432-2070 Peak Physical Therapy And 200 Draper, UT 84020 Spanish Sports Medicine - Draper Draper, UT 84020 (801) 501-8359 12198 South Factory (801) 432-2070 Norwood, Drew PT ~* Outlet Dr Ste 3 Lajom, Jeanne PT ~* NPI: 1851378830 Draper, UT 84020 Hartmann, Morgan NPI: 1508059643 Registered Physical (801) 571-6600 PT ~* Registered Physical Therapists Inc - Draper NPI: 1548620313 Therapists Inc - Draper 74 East 11800 South Ste Crandall, Steven PT ~* Registered Physical 74 East 11800 South Ste 200 NPI: 1154322816 Therapists Inc - Draper 200 Draper, UT 84020 Hand & Orthopedic 74 East 11800 South Ste Draper, UT 84020 (801) 432-2070 Rehabilitation Specialists - 200 (801) 432-2070 Spanish Draper Draper, UT 84020 11762 South State St Ste (801) 432-2070 120 Draper, UT 84020 (801) 501-8359

298 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Riley, Seth PT ~* Summers, Ann PT ~* Schulz, Shaun PT ~* Midvale NPI: 1427033109 NPI: 1033344635 NPI: 1295783702 Hand & Orthopedic Intermountain Ear Nose Beyond Limits Physical 84047 Rehabilitation Specialists - And Throat Specialists - Therapy - Herriman 2 Beazel, Caryn PT ~* Draper Draper 13358 South 5600 West NPI: 1841794765 11762 South State St Ste 756 East 12200 South Herriman, UT 84096 Physicians Group Of Utah 120 Draper, UT 84020 (801) 302-7232 - Midvale Draper, UT 84020 (801) 328-2522 German 7111 South Bingham (801) 501-8359 Junction Blvd Turcuato, Jay PT ~* Magna Midvale, UT 84047 Robbins, Steven PT ~* NPI: 1134260011 (385) 887-8860 NPI: 1225038474 Hand & Orthopedic 84044 Fyzical Therapy And Rehabilitation Specialists - Capobianchi, Michael Brown, Kristi PT ~* Balance Centers - Draper Draper PT ~* NPI: 1992215784 12198 South State St Ste 3 11762 South State St Ste NPI: 1093231219 Physicians Group Of Utah Draper, UT 84020 120 Advanced Motion Physical - Midvale (801) 571-6600 Draper, UT 84020 Therapy Inc - Magna 7111 South Bingham (801) 501-8359 3665 South 8400 West Ste Junction Blvd Schwartz, Todd PT ~* 210 Midvale, UT 84047 NPI: 1124291570 Verhaaren, Steven PT ~* Magna, UT 84044 (385) 887-8860 Hand & Orthopedic NPI: 1174500268 (801) 250-6733 Rehabilitation Specialists - Registered Physical Harrison, James PT ~* Draper Therapists Inc - Draper Dougher, Robert PT ~* NPI: 1558459321 11762 South State St Ste 74 East 11800 South Ste NPI: 1669458220 Mountain View Physical 120 200 Advanced Motion Physical Therapy And Draper, UT 84020 Draper, UT 84020 Therapy Inc - Magna Rehabilitation - Midvale (801) 501-8359 (801) 432-2070 3665 South 8400 West Ste 6770 South 900 East Ste Spanish 210 100 Sexton, Ted PT ~* Magna, UT 84044 Midvale, UT 84047 NPI: 1467705590 Wixom, Steven PT ~* (801) 250-6733 (801) 996-3626 Hofmann Arthritis NPI: 1093716680 Spanish Institute Pllc - Draper Hand & Orthopedic Lieu, Kevin PT ~* 11613 South State St Rehabilitation Specialists - Latimer, Noall PT ~* NPI: 1902282403 Draper, UT 84020 Draper NPI: 1932167665 Physicians Group Of Utah (801) 355-6468 11762 South State St Ste Noall H Latimer Rpt Inc - - Midvale 120 Magna 7111 South Bingham Shepherd, Kevin PT ~ Draper, UT 84020 3441 South 8400 West Ste Junction Blvd NPI: 1679621254 (801) 501-8359 F Midvale, UT 84047 South Mountain Sports Magna, UT 84044 (385) 887-8860 Medicine & Rehabilitation Herriman (801) 250-9107 - Draper Riverton 12197 South Draper Gate 84096 Warner, Matthew PT ~* Dr Ste B Brown, Kimberli PT ~* NPI: 1023568946 84065 Draper, UT 84020 NPI: 1114278710 Advanced Motion Physical Capobianchi, Michael (801) 523-3415 Beyond Limits Physical Therapy Inc - Magna PT ~* Therapy - Herriman 2 3665 South 8400 West Ste NPI: 1093231219 Stevenson, Trevor PT ~* 13358 South 5600 West 210 Advanced Motion Physical NPI: 1982681078 Herriman, UT 84096 Magna, UT 84044 Therapy Inc - Bluffdale Registered Physical (801) 302-7232 (801) 250-6733 14572 South 790 West Ste Therapists Inc - Draper B 74 East 11800 South Ste Riverton, UT 84065 200 (801) 571-3030 Draper, UT 84020 (801) 432-2070

299 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Dougher, Robert PT ~* Mathews, Michael PT ~* Verhaaren, Steven PT ~* Hammer, Amy PT ~* NPI: 1669458220 NPI: 1306138276 NPI: 1174500268 NPI: 1053745810 Advanced Motion Physical Registered Physical Registered Physical Salt Lake Regional - Slc Therapy Inc - Bluffdale Therapists Inc - Riverton Therapists Inc - Riverton 1050 East South Temple 14572 South 790 West Ste 12391 South 4000 West Ste 12391 South 4000 West Ste Salt Lake City, UT 84102 B 210 210 (801) 350-4593 Riverton, UT 84065 Riverton, UT 84065 Riverton, UT 84065 (801) 571-3030 (801) 446-0990 (801) 446-0990 Kershaw, Adam PT ~* Spanish Spanish NPI: 1205848223 Miller, Brent PT ~* Salt Lake Regional - Slc Eckert, Jeffrey PT ~ NPI: 1720065840 Warner, Matthew PT ~* 1050 East South Temple NPI: 1144404831 Registered Physical NPI: 1023568946 Salt Lake City, UT 84102 Registered Physical Therapists Inc - Riverton Advanced Motion Physical (801) 350-4593 Therapists Inc - Riverton 12391 South 4000 West Ste Therapy Inc - Bluffdale 12391 South 4000 West Ste 210 14572 South 790 West Ste Lewis, John PT ~ 210 Riverton, UT 84065 B NPI: 1194913491 Riverton, UT 84065 (801) 446-0990 Riverton, UT 84065 Hofmann Arthritis (801) 446-0990 Spanish (801) 571-3030 Institute Pllc - Salt Lake Reg Fullmer, Larry PT ~* Norwood, Drew PT ~* Wetzel, David PT ~* 24 South 1100 East Ste 101 NPI: 1821075912 NPI: 1851378830 NPI: 1306840129 Salt Lake City, UT 84102 Registered Physical Registered Physical David Wetzel Llc - (801) 355-6468 Therapists Inc - Riverton Therapists Inc - Riverton Riverton 12391 South 4000 West Ste 12391 South 4000 West Ste 12403 Doreen Dr Margolis, Lynne PT ~ 210 210 Riverton, UT 84065 NPI: 1487827093 Riverton, UT 84065 Riverton, UT 84065 (801) 253-3337 Intermountain Hearing & (801) 446-0990 (801) 446-0990 German Balance Center - Salt Lake Spanish 230 South 500 East Ste 150 Hirai, Stanford PT ~* Salt Lake City Salt Lake City, UT 84102 NPI: 1972580074 Pulsipher, Brad PT ~* (801) 595-1700 Registered Physical NPI: 1073872909 84102 Therapists Inc - Riverton Registered Physical Brady, Margo PT ~* Mcgarvey, Daniel PT ~* 12391 South 4000 West Ste Therapists Inc - Riverton 2 NPI: 1104827849 NPI: 1396098422 210 13348 South Market Hand & Orthopedic Salt Lake Regional - Slc Riverton, UT 84065 Center Dr Rehabilitation Specialists - 1050 East South Temple (801) 446-0990 Riverton, UT 84065 Salt Lake Salt Lake City, UT 84102 (801) 302-8868 702 East South Temple Ste (801) 350-4593 Lajom, Jeanne PT ~* Spanish 102 NPI: 1508059643 Salt Lake City, UT 84102 Moss, David PT ~* Registered Physical Stevenson, Trevor PT ~* (801) 328-8535 NPI: 1982780102 Therapists Inc - Riverton NPI: 1982681078 Hand & Orthopedic 12391 South 4000 West Ste Registered Physical Butler, Bonnie PT ~* Rehabilitation Specialists - 210 Therapists Inc - Riverton NPI: 1255332938 Salt Lake Riverton, UT 84065 12391 South 4000 West Ste Salt Lake Regional - Slc 702 East South Temple Ste (801) 446-0990 210 1050 East South Temple 102 Riverton, UT 84065 Salt Lake City, UT 84102 Salt Lake City, UT 84102 Lingwall, Dureece PT ~ (801) 446-0990 (801) 350-4593 (801) 328-8535 NPI: 1063638856 Riverton Hospital Hall, Joshua PT ~* Physicians Group - Service NPI: 1972992048 3741 West 12600 South Salt Lake Regional - Slc Riverton, UT 84065 1050 East South Temple (801) 285-4000 Salt Lake City, UT 84102 (801) 350-4593

300 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Riley, Seth PT ~* 84104 Wortley, Paul PT ~* Hall, Aaron PT ~* NPI: 1427033109 Brown, Todd PT ~* NPI: 1417940586 NPI: 1942294616 Hand & Orthopedic NPI: 1093708166 Rmts At Firstmed Wasatch Physical Therapy Rehabilitation Specialists - Rmts At Firstmed Industrial - Salt Lake & Rehabilitation Inc - 1327 Salt Lake Industrial - Salt Lake 441 South Redwood Rd East 702 East South Temple Ste 441 South Redwood Rd Salt Lake City, UT 84104 1327 East 2100 South Ste 102 Salt Lake City, UT 84104 (801) 975-1403 101 Salt Lake City, UT 84102 (801) 975-1403 Salt Lake City, UT 84105 (801) 328-8535 Wortley, Richard PT ~* (801) 484-6099 Felix, Mitchell PT ~* NPI: 1689667859 Schwalbe, Valerie PT ~* NPI: 1144213216 Rmts At Firstmed Hall, Joshua PT ~* NPI: 1568789345 Rmts At Firstmed Industrial - Salt Lake NPI: 1972992048 Hand & Orthopedic Industrial - Salt Lake 441 South Redwood Rd Eccles Health Wellness And Rehabilitation Specialists - 441 South Redwood Rd Salt Lake City, UT 84104 Athletic Center Salt Lake Salt Lake City, UT 84104 (801) 975-1403 1840 South 1300 East 702 East South Temple Ste (801) 975-1403 Salt Lake City, UT 84105 102 84105 (801) 832-3671 Salt Lake City, UT 84102 Geurts, Gerald PT ~* Baer, Lawrence PT ~* (801) 328-8535 NPI: 1669465837 NPI: 1346234010 Hammer, Amy PT ~* Rmts At Firstmed Wasatch Physical Therapy NPI: 1053745810 Sexton, Ted PT ~* Industrial - Salt Lake & Rehabilitation Inc - 1327 Eccles Health Wellness And NPI: 1467705590 441 South Redwood Rd East Athletic Center Hofmann Arthritis Salt Lake City, UT 84104 1327 East 2100 South Ste 1840 South 1300 East Institute Pllc - Salt Lake (801) 975-1403 101 Salt Lake City, UT 84105 Reg Salt Lake City, UT 84105 (801) 832-3671 24 South 1100 East Ste 101 Ludwig, Keith PT ~* (801) 484-6099 Salt Lake City, UT 84102 NPI: 1447323647 Samoan Kunzer, Elizabeth PT ~* (801) 355-6468 Rmts At Firstmed NPI: 1013142009 Industrial - Salt Lake Beazel, Caryn PT ~* Eccles Health Wellness And Sexton, Ted PT ~* 441 South Redwood Rd NPI: 1841794765 Athletic Center NPI: 1467705590 Salt Lake City, UT 84104 Eccles Health Wellness And 1840 South 1300 East Salt Lake Regional - Slc (801) 975-1403 Athletic Center Salt Lake City, UT 84105 1050 East South Temple 1840 South 1300 East (801) 832-3671 Salt Lake City, UT 84102 Sandifer, Kasey PT ~* Salt Lake City, UT 84105 (801) 350-4593 NPI: 1649653759 (801) 832-3671 Lieu, Kevin PT ~* Rmts At Firstmed NPI: 1902282403 Summers, Ann PT ~* Industrial - Salt Lake Brown, Kristi PT ~* Eccles Health Wellness And NPI: 1033344635 441 South Redwood Rd NPI: 1992215784 Athletic Center Intermountain Ear Nose Salt Lake City, UT 84104 Eccles Health Wellness And 1840 South 1300 East And Throat Specialists - (801) 975-1403 Athletic Center Salt Lake City, UT 84105 900 East 1840 South 1300 East (801) 832-3671 22 South 900 East Wortley, James PT ~* Salt Lake City, UT 84105 Salt Lake City, UT 84102 NPI: 1326031493 (801) 832-3671 Peterson, Mitchell PT ~* (801) 328-2522 Rmts At Firstmed NPI: 1295078509 Industrial - Salt Lake Daniel, Lauren PT ~* Eccles Health Wellness And Wixom, Steven PT ~* 441 South Redwood Rd NPI: 1538568829 Athletic Center NPI: 1093716680 Salt Lake City, UT 84104 Eccles Health Wellness And 1840 South 1300 East Hand & Orthopedic (801) 975-1403 Athletic Center Salt Lake City, UT 84105 Rehabilitation Specialists - Korean 1840 South 1300 East (801) 832-3671 Salt Lake Salt Lake City, UT 84105 702 East South Temple Ste (801) 832-3671 102 Salt Lake City, UT 84102 (801) 328-8535

301 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

84107 Hall, Aaron PT ~* Wetzel, David PT ~* Peterson, Cynthia PT ~* NPI: 1942294616 NPI: 1306840129 NPI: 1679659353 Allen, Melissa PT ~ Wasatch Physical Therapy Balance For Life Center Llc Mountain Land NPI: 1861410144 & Rehabilitation Inc - - Salt Lake Rehabilitation - Foothill Intermountain Medical Murray 291 East 4500 South Ste B2 2295 South Foothill Dr Ste Center - Physical Therapy 5323 South Woodrow St Salt Lake City, UT 84107 1 5121 South Cottonwood St Ste 204 (801) 264-1010 Salt Lake City, UT 84109 Salt Lake City, UT 84107 Salt Lake City, UT 84107 German (801) 486-7542 (801) 507-5701 (801) 713-0610 Baer, Lawrence PT ~* 84108 84111 NPI: 1346234010 Hall, Aaron PT ~* Ballard, Douglas PT ~* Anderson, Mark PT ~* Wasatch Physical Therapy NPI: 1942294616 NPI: 1013925197 NPI: 1790889889 & Rehabilitation Inc - Wasatch Physical Therapy University Rehabilitation Mountain Land Murray - Murray & Wellness Clinic - Salt Rehabilitation Inc - 5323 South Woodrow St 5323 South Woodrow St Lake Downtown Ste 204 Ste 204 520 South Wakara Way 370 East South Temple Ste Salt Lake City, UT 84107 Salt Lake City, UT 84107 Ste 120 150 (801) 713-0610 (801) 713-0610 Salt Lake City, UT 84108 Salt Lake City, UT 84111 Samoan (801) 587-9161 (801) 521-9222 Marland, Jennifer PT ~ Spanish Baer, Lawrence PT ~* NPI: 1497837413 Hayes, Heather PT ~* NPI: 1346234010 Ihc Orthopedic Specialty NPI: 1548350143 Blake, Bevan PT ~* Wasatch Physical Therapy Group - Tosh - Murray University Rehabilitation NPI: 1114928868 - Murray 5848 South Fashion Blvd & Wellness Clinic - Salt In Motion Physical 5323 South Woodrow St Salt Lake City, UT 84107 Lake Therapy Ste 204 (801) 314-4900 520 South Wakara Way 370 East South Temple Ste Salt Lake City, UT 84107 Ste 120 250 (801) 713-0610 Schwemmer, Ines PT ~ Salt Lake City, UT 84108 Salt Lake City, UT 84111 Samoan NPI: 1518121219 (801) 587-9161 (801) 512-2656 Intermountain Medical Brady, Matthew PT ~* Center - Physical Therapy 84109 Hanson, Tyler PT ~* NPI: 1487155065 5121 South Cottonwood St NPI: 1922009695 Salt Lake City, UT 84107 Joiner, David PT ~* In Motion Physical Ent Specialists Llc - Murray (801) 507-5701 NPI: 1396091260 5770 South 250 East Ste Mountain Land Therapy 415 370 East South Temple Ste Smith, Esther PT ~ Rehabilitation - Foothill Salt Lake City, UT 84107 2295 South Foothill Dr Ste 250 (801) 268-2822 NPI: 1346532082 Salt Lake City, UT 84111 Int Neurosciences Institute 1 (801) 512-2656 - Murray Salt Lake City, UT 84109 Dudley, Kurt PT ~ (801) 486-7542 NPI: 1376625467 5171 South Cottonwood St Lapray, Christopher Intermountain Tosh Back Ste 810 PT ~* Salt Lake City, UT 84107 Lobb, Jason PT ~* NPI: 1336549229 And Neck Clinic (801) 507-9800 NPI: 1982706750 5770 South 250 East Ste Mountain Land Mountain Land 385 Rehabilitation Inc - Smith, Esther PT ~ Rehabilitation - Foothill Salt Lake City, UT 84107 2295 South Foothill Dr Ste Downtown (801) 314-2210 NPI: 1346532082 370 East South Temple Ste Intermountain Medical 1 150 Center - Physical Therapy Salt Lake City, UT 84109 Fernandez, Oscar PT ~ (801) 486-7542 Salt Lake City, UT 84111 NPI: 1750601167 5121 South Cottonwood St (801) 521-9222 Intermountain Medical Salt Lake City, UT 84107 Center - Physical Therapy (801) 507-5701 5121 South Cottonwood St Salt Lake City, UT 84107 (801) 507-5701 ~ Accepting new patients/Aceptando a nuevos pacientes * Accepts Medicaid/Acepta Medicaid ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

302 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Roper, Lindsay PT ~* Lu, Elaine PT ~* Crandall, Steven PT ~* Lee, Muriel PT ~* NPI: 1245424985 NPI: 1629170238 NPI: 1154322816 NPI: 1053755769 Sacred Circle Health Care - Elaine T Lu Pt Pc - Salt Hand & Orthopedic Intensive Physical Therapy Goshute - Salt Lake Lake Rehabilitation Specialists - Institute Llc - Holladay 660 South 200 East Ste 250 3220 South State St Murray 4568 South Highland Dr Salt Lake City, UT 84111 Salt Lake City, UT 84115 5151 South 900 East Ste Ste 180 (435) 234-1194 (801) 463-1101 100 Salt Lake City, UT 84117 Spanish Salt Lake City, UT 84117 (801) 251-0257 84113 (801) 261-3321 Spanish 84117 Ayala, Lauren PT ~* Fuhriman, Ryan PT ~* Marietta, Gail PT ~* NPI: 1093268351 Bay, Brian PT ~* NPI: 1609877372 NPI: 1952302630 General Pediatrics NPI: 1437406576 Hand & Orthopedic Hand & Orthopedic 100 North Mario Capecchi Mountain Land Rehabilitation Specialists - Rehabilitation Specialists - Dr Rehabilitation Inc - Murray Murray Salt Lake City, UT 84113 Holladay 5151 South 900 East Ste 5151 South 900 East Ste (801) 662-1000 4624 South Holladay Blvd 100 100 Spanish Salt Lake City, UT 84117 Salt Lake City, UT 84117 Salt Lake City, UT 84117 (801) 277-1028 (801) 261-3321 (801) 261-3321 Ayala, Lauren PT ~* Spanish Spanish NPI: 1093268351 Udac Division Brady, Margo PT ~* Mazzella, Kimberly PT ~* 100 N Mario Capecchi Dr NPI: 1104827849 Gubler, Matthew PT ~* NPI: 1730110982 Salt Lake City, UT 84113 Hand & Orthopedic NPI: 1295103935 Hand & Orthopedic (801) 587-2255 Rehabilitation Specialists - Hand & Orthopedic Rehabilitation Specialists - Spanish Murray Rehabilitation Specialists - Murray 5151 South 900 East Ste Murray 5151 South 900 East Ste 84114 100 5151 South 900 East Ste 100 Salt Lake City, UT 84117 100 Salt Lake City, UT 84117 Meier, Charles PT ~* (801) 261-3321 Salt Lake City, UT 84117 (801) 261-3321 NPI: 1699767954 (801) 261-3321 Spanish Meier & Marsh Carrier, Justin PT ~* Riley, Seth PT ~* Professional Therapies Llc - NPI: 1881989804 NPI: 1427033109 Salt Lake Hand & Orthopedic Hunsaker, Nikelle PT ~* Hand & Orthopedic 4785 West 4100 South Rehabilitation Specialists - NPI: 1477922912 Rehabilitation Specialists - Salt Lake City, UT 84114 Murray Hand & Orthopedic Murray (801) 955-0500 5151 South 900 East Ste Rehabilitation Specialists - 5151 South 900 East Ste Spanish 100 Murray 100 Salt Lake City, UT 84117 5151 South 900 East Ste Salt Lake City, UT 84117 84115 (801) 261-3321 100 (801) 261-3321 Hatfield, Gregory PT ~ Russian, Spanish, Salt Lake City, UT 84117 NPI: 1932288974 Ukrainian (801) 261-3321 Schwartz, Todd PT ~* Mountain Land NPI: 1124291570 Rehabilitation Inc - St Clyde, Willis PT ~* Johnson, Lauren PT ~* Hand & Orthopedic Josephs Villa NPI: 1033293865 NPI: 1346699105 Rehabilitation Specialists - 451 Bishop Federal Ln Heber Valley Physical Hand & Orthopedic Murray Salt Lake City, UT 84115 Therapy Inc Dba Advanced Rehabilitation Specialists - 5151 South 900 East Ste (801) 487-7557 Pt Murray 100 999 Murray Holladay Rd 5151 South 900 East Ste Salt Lake City, UT 84117 Ste 102 100 (801) 261-3321 Salt Lake City, UT 84117 Salt Lake City, UT 84117 (385) 388-4994 (801) 261-3321

303 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Tanner, Shonn PT ~* Felix, Mitchell PT ~* Ludwig, Keith PT ~* Wortley, Paul PT ~* NPI: 1346631702 NPI: 1144213216 NPI: 1447323647 NPI: 1417940586 Hand & Orthopedic Rocky Mountain Therapy Rocky Mountain Therapy Rocky Mountain Therapy Rehabilitation Specialists - Services - West Valley Site Services North Inc - Services North Inc - Murray 3540 South 4000 West Ste Granger Medical Granger Medical 5151 South 900 East Ste 250 3725 West 4100 South 3725 West 4100 South 100 Salt Lake City, UT 84120 Salt Lake City, UT 84120 Salt Lake City, UT 84120 Salt Lake City, UT 84117 (801) 417-5017 (801) 679-0123 (801) 679-0123 (801) 261-3321 Spanish Felix, Mitchell PT ~* Sandifer, Kasey PT ~* Wortley, Richard PT ~* NPI: 1144213216 NPI: 1649653759 NPI: 1689667859 Wixom, Steven PT ~* Rocky Mountain Therapy Rocky Mountain Therapy Rocky Mountain Therapy NPI: 1093716680 Services North Inc - Services - West Valley Site Services - West Valley Site Hand & Orthopedic Granger Medical 3540 South 4000 West Ste 3540 South 4000 West Ste Rehabilitation Specialists - 3725 West 4100 South 250 250 Murray Salt Lake City, UT 84120 Salt Lake City, UT 84120 Salt Lake City, UT 84120 5151 South 900 East Ste (801) 679-0123 (801) 417-5017 (801) 417-5017 100 Salt Lake City, UT 84117 Geurts, Gerald PT ~* Wortley, James PT ~* Wortley, Richard PT ~* (801) 261-3321 NPI: 1669465837 NPI: 1326031493 NPI: 1689667859 Rocky Mountain Therapy Rocky Mountain Therapy Rocky Mountain Therapy 84120 Services - West Valley Site Services - West Valley Site Services North Inc - Brown, Todd PT ~* 3540 South 4000 West Ste 3540 South 4000 West Ste Granger Medical NPI: 1093708166 250 250 3725 West 4100 South Rocky Mountain Therapy Salt Lake City, UT 84120 Salt Lake City, UT 84120 Salt Lake City, UT 84120 Services - West Valley Site (801) 417-5017 (801) 417-5017 (801) 679-0123 3540 South 4000 West Ste Korean 250 Geurts, Gerald PT ~* 84121 Salt Lake City, UT 84120 NPI: 1669465837 Wortley, James PT ~* Acord, Alan PT ~ (801) 417-5017 Rocky Mountain Therapy NPI: 1326031493 NPI: 1184728511 Services North Inc - Rocky Mountain Therapy Mountain Land Brown, Todd PT ~* Granger Medical Services North Inc - Rehabilitation Inc - 1952 E NPI: 1093708166 3725 West 4100 South Granger Medical 7000 S Rocky Mountain Therapy Salt Lake City, UT 84120 3725 West 4100 South 1952 East 7000 South Services North Inc - (801) 679-0123 Salt Lake City, UT 84120 Salt Lake City, UT 84121 Granger Medical (801) 679-0123 (801) 942-3311 3725 West 4100 South Ludwig, B Jay PT ~* Korean Salt Lake City, UT 84120 NPI: 1245251800 Anderson, Daniel PT ~* (801) 679-0123 Rocky Mountain Therapy Wortley, Paul PT ~* NPI: 1073853057 Services - West Valley Site NPI: 1417940586 Mountain Land Cragun, Robert PT ~* 3540 South 4000 West Ste Rocky Mountain Therapy Rehabilitation Inc - 1952 E NPI: 1073628954 250 Services - West Valley Site 7000 S Rocky Mountain Therapy Salt Lake City, UT 84120 3540 South 4000 West Ste 1952 East 7000 South Services North Inc - (801) 417-5017 250 Salt Lake City, UT 84121 Granger Medical Salt Lake City, UT 84120 (801) 942-3311 3725 West 4100 South Ludwig, Keith PT ~* (801) 417-5017 Salt Lake City, UT 84120 NPI: 1447323647 Brown, Todd PT ~* (801) 679-0123 Rocky Mountain Therapy NPI: 1093708166 Services - West Valley Site First Med East Physical 3540 South 4000 West Ste Therapy Llc - Salt Lake 250 1950 East 7000 South Salt Lake City, UT 84120 Salt Lake City, UT 84121 (801) 417-5017 (801) 943-3300

304 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Child, Bryan PT ~* Lewis, John PT ~ Sandifer, Kasey PT ~* 84124 NPI: 1639360050 NPI: 1194913491 NPI: 1649653759 Anderson, Mark PT ~* Heiden Orthopedics Llc - Hofmann Arthritis First Med East Physical NPI: 1790889889 Salt Lake Institute Pllc - Cottonwood Therapy Llc - Salt Lake Mountain Land 6360 South 3000 East Ste 6360 South 3000 East Ste 1950 East 7000 South Rehabilitation Inc - 3900 210 100 Salt Lake City, UT 84121 South Salt Lake City, UT 84121 Salt Lake City, UT 84121 (801) 943-3300 1153 East 3900 South (801) 615-8822 (801) 355-6468 Salt Lake City, UT 84124 Splan, Madison PT ~ (801) 262-6331 Child, Bryan PT ~* Linford-Williams, Jill NPI: 1760884266 Spanish NPI: 1639360050 PT ~* Mountain Land Precision NPI: 1578667721 Rehabilitation Inc - Cook, Benjamin PT ~* Electromyography - Mountain Land Murray NPI: 1154443836 Cottonwood Rehabilitation Inc - 1952 E 5872 South 900 East Ste Mountain Land 6360 South 3000 East Ste 7000 S 150 Rehabilitation Inc - 3900 210 1952 East 7000 South Salt Lake City, UT 84121 South Salt Lake City, UT 84121 Salt Lake City, UT 84121 (801) 747-3889 1153 East 3900 South (801) 725-2380 (801) 942-3311 Salt Lake City, UT 84124 Warner, Scott PT ~* (801) 262-6331 Clark, Randy PT ~* Ludwig, Keith PT ~* NPI: 1821459025 NPI: 1932494291 NPI: 1447323647 Mountain Land Farnsworth, Cheryl PT ~* Mountain Land First Med East Physical Rehabilitation Inc - NPI: 1720089485 Rehabilitation Inc - 1952 E Therapy Llc - Salt Lake Murray Cutting Edge Physical 7000 S 1950 East 7000 South 5872 South 900 East Ste Therapy - Salt Lake 1952 East 7000 South Salt Lake City, UT 84121 150 308 East 4500 South Ste Salt Lake City, UT 84121 (801) 943-3300 Salt Lake City, UT 84121 280 (801) 942-3311 (801) 747-3889 Salt Lake City, UT 84124 Mazzella, Kimberly PT ~* (801) 685-9212 Delap, Amy PT ~* NPI: 1730110982 Wortley, James PT ~* NPI: 1679783013 First Med East Physical NPI: 1326031493 Fast, Andrew PT ~* Heiden Orthopedics Llc - Therapy Llc - Salt Lake First Med East Physical NPI: 1629512264 Salt Lake 1950 East 7000 South Therapy Llc - Salt Lake Mountain Land 6360 South 3000 East Ste Salt Lake City, UT 84121 1950 East 7000 South Rehabilitation Inc - 3900 210 (801) 943-3300 Salt Lake City, UT 84121 South Salt Lake City, UT 84121 (801) 943-3300 1153 East 3900 South (801) 615-8822 Mcgill, David PT ~* Korean Salt Lake City, UT 84124 NPI: 1346597473 (801) 262-6331 Felix, Mitchell PT ~* Mountain Land Wortley, Paul PT ~* NPI: 1144213216 Rehabilitation Inc - NPI: 1417940586 Lobb, Jason PT ~* First Med East Physical Murray First Med East Physical NPI: 1982706750 Therapy Llc - Salt Lake 5872 South 900 East Ste Therapy Llc - Salt Lake Mountain Land 1950 East 7000 South 150 1950 East 7000 South Rehabilitation Inc - 3900 Salt Lake City, UT 84121 Salt Lake City, UT 84121 Salt Lake City, UT 84121 South (801) 943-3300 (801) 747-3889 (801) 943-3300 1153 East 3900 South Salt Lake City, UT 84124 Geurts, Gerald PT ~* Michaelson, Lawrence Wortley, Richard PT ~* (801) 262-6331 NPI: 1669465837 PT ~* NPI: 1689667859 First Med East Physical NPI: 1801125588 First Med East Physical Therapy Llc - Salt Lake Mountain Land Therapy Llc - Salt Lake 1950 East 7000 South Rehabilitation Inc - 1952 E 1950 East 7000 South Salt Lake City, UT 84121 7000 S Salt Lake City, UT 84121 (801) 943-3300 1952 East 7000 South (801) 943-3300 Salt Lake City, UT 84121 (801) 942-3311

305 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Lovell, Dallen PT ~* Sandy Hansen, Matthew PT ~* 84094 NPI: 1912018110 84047 NPI: 1659301083 Clark, Spencer PT ~ Balanced Body Physical Neuroworx - Sandy NPI: 1245576487 Therapy Llc - Salt Lake Harrison, James PT ~* 90 West Albion Village Mountain Land 4465 South 900 East Ste NPI: 1558459321 Way Rehabilitation Inc - Sandy 250 South Mountain Physical Sandy, UT 84070 885 East 9400 South Salt Lake City, UT 84124 Therapy And (801) 619-3670 Sandy, UT 84094 (801) 293-8888 Rehabilitation - Site (801) 562-0066 Spanish 6770 South 900 East Ste Kershaw, Adam PT ~* Portugese, Spanish 100 NPI: 1205848223 84129 Sandy, UT 84047 Salt Lake Regional - Sandy (801) 523-6376 Eckert, Jeffrey PT ~ Hobusch, Frederick 9350 South 150 East Ste NPI: 1144404831 PT ~* 460 Registered Physical NPI: 1366475337 84070 Sandy, UT 84070 Therapists Inc - Sandy Westwood Physical Black, Jan PT ~* (801) 748-1861 9720 South 1300 East Ste Therapy Clinic - NPI: 1568429967 W200 Taylorsville Neuroworx - Sandy Mcdermott, Kate PT ~* Sandy, UT 84094 5547 South 4015 West Ste 90 West Albion Village NPI: 1801210869 (801) 572-0690 7 Way Neuroworx - Sandy Salt Lake City, UT 84129 Sandy, UT 84070 90 West Albion Village Ellis, Tyler PT ~* (801) 967-6055 (801) 619-3670 Way NPI: 1164863882 Sandy, UT 84070 Mountain Land Miyasaki, Rodney PT ~* Butler, Bonnie PT ~* (801) 619-3670 Rehabilitation Inc - Sandy NPI: 1073546040 NPI: 1255332938 885 East 9400 South Westwood Physical Salt Lake Regional - Sandy Mcgarvey, Daniel PT ~* Sandy, UT 84094 Therapy Clinic - 9350 South 150 East Ste NPI: 1396098422 (801) 562-0066 Taylorsville 460 Salt Lake Regional - Sandy 5547 South 4015 West Ste Sandy, UT 84070 9350 South 150 East Ste Fullmer, Larry PT ~* 7 (801) 748-1861 460 NPI: 1821075912 Salt Lake City, UT 84129 Sandy, UT 84070 Registered Physical (801) 967-6055 Carter, Matthew PT ~* (801) 748-1861 Therapists Inc - Sandy NPI: 1104227511 9720 South 1300 East Ste 84132 Neuroworx - Sandy Reigle, Rick PT ~* W200 90 West Albion Village NPI: 1518304948 Sandy, UT 84094 Ayala, Lauren PT ~* Way Neuroworx - Sandy (801) 572-0690 NPI: 1093268351 Sandy, UT 84070 90 West Albion Village Udac - Child Development (801) 619-3670 Way Program - Primary Hirai, Stanford PT ~* Sandy, UT 84070 NPI: 1972580074 44 North Mario Capecchi (801) 619-3670 Dr Utah Dept Of Health Hall, Joshua PT ~* Registered Physical Salt Lake City, UT 84132 NPI: 1972992048 Therapists Inc - Sandy Salt Lake Regional - Sandy Sexton, Ted PT ~* 9720 South 1300 East Ste (801) 587-2255 NPI: 1467705590 Spanish 9350 South 150 East Ste W200 460 Salt Lake Regional - Sandy Sandy, UT 84094 Sandy, UT 84070 9350 South 150 East Ste (801) 572-0690 84143 (801) 748-1861 460 Obradorich, Stephanie Sandy, UT 84070 Lajom, Jeanne PT ~* PT ~ Hammer, Amy PT ~* (801) 748-1861 NPI: 1508059643 NPI: 1255452306 NPI: 1053745810 Registered Physical Ldsh Outpatient Neuro Salt Lake Regional - Sandy Therapists Inc - Sandy Rehabilitation 9350 South 150 East Ste 9720 South 1300 East Ste 8Th Ave & C St 460 W200 Salt Lake City, UT 84143 Sandy, UT 84070 Sandy, UT 84094 (801) 408-5489 (801) 748-1861 (801) 572-0690

306 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Lewis, Brandon PT ~* Verhaaren, Steven PT ~* Jorgensen, Branden Verhaaren, Steven PT ~* NPI: 1548636129 NPI: 1174500268 PT ~* NPI: 1174500268 Registered Physical Registered Physical NPI: 1730581570 Registered Physical Therapists Inc - Sandy Therapists Inc - Sandy Registered Physical Therapists Inc - South 9720 South 1300 East Ste 9720 South 1300 East Ste Therapists Inc - South Jordan W200 W200 Jordan 1868 West 9800 South Ste Sandy, UT 84094 Sandy, UT 84094 1868 West 9800 South Ste 200 (801) 572-0690 (801) 572-0690 200 South Jordan, UT 84095 Spanish South Jordan, UT 84095 (801) 676-2210 Miller, Brent PT ~* (801) 676-2210 Spanish NPI: 1720065840 Wright, Jessica PT ~* Registered Physical NPI: 1871746826 Lajom, Jeanne PT ~* West Jordan Therapists Inc - Sandy Registered Physical NPI: 1508059643 9720 South 1300 East Ste Therapists Inc - Sandy Registered Physical 84084 W200 9720 South 1300 East Ste Therapists Inc - South Baker, Greg PT ~* Sandy, UT 84094 W200 Jordan NPI: 1558348516 (801) 572-0690 Sandy, UT 84094 1868 West 9800 South Ste Registered Physical Spanish (801) 572-0690 200 Therapists Inc - West South Jordan, UT 84095 Jordan Norwood, Drew PT ~* South Jordan (801) 676-2210 1577 West 7000 South Ste NPI: 1851378830 100 Registered Physical 84095 Miller, Brent PT ~* West Jordan, UT 84084 Therapists Inc - Sandy Eckert, Jeffrey PT ~ NPI: 1720065840 (801) 566-6301 9720 South 1300 East Ste NPI: 1144404831 Registered Physical W200 Registered Physical Therapists Inc - South Booth, Travis PT ~* Sandy, UT 84094 Therapists Inc - South Jordan NPI: 1134160252 (801) 572-0690 Jordan 1868 West 9800 South Ste Rocky Mountain Therapy Spanish 1868 West 9800 South Ste 200 Services - Firstmed West 200 South Jordan, UT 84095 Jordan Passey, Eric PT ~ South Jordan, UT 84095 (801) 676-2210 8822 South Redwood Rd NPI: 1982752234 (801) 676-2210 Spanish Ste E122 Alta View Hospital - West Jordan, UT 84084 Service Fullmer, Larry PT ~* Norwood, Drew PT ~* (801) 566-7080 9660 South 1300 East NPI: 1821075912 NPI: 1851378830 Sandy, UT 84094 Registered Physical Registered Physical Brown, Todd PT ~* (801) 501-2600 Therapists Inc - South Therapists Inc - South NPI: 1093708166 Jordan Jordan Rocky Mountain Therapy Shew, Stephanie PT ~* 1868 West 9800 South Ste 1868 West 9800 South Ste Services - Firstmed West NPI: 1225479777 200 200 Jordan Registered Physical South Jordan, UT 84095 South Jordan, UT 84095 8822 South Redwood Rd Therapists Inc - Sandy 2 (801) 676-2210 (801) 676-2210 Ste E122 9844 South 1300 East Ste Spanish West Jordan, UT 84084 150 Hirai, Stanford PT ~* (801) 566-7080 Sandy, UT 84094 NPI: 1972580074 Stevenson, Trevor PT ~* (801) 572-0049 Registered Physical NPI: 1982681078 Depola, Michael PT ~* Therapists Inc - South Registered Physical NPI: 1114287612 Stevenson, Trevor PT ~* Jordan Therapists Inc - South Registered Physical NPI: 1982681078 1868 West 9800 South Ste Jordan Therapists Inc - West Registered Physical 200 1868 West 9800 South Ste Jordan Therapists Inc - Sandy South Jordan, UT 84095 200 1577 West 7000 South Ste 9720 South 1300 East Ste (801) 676-2210 South Jordan, UT 84095 100 W200 (801) 676-2210 West Jordan, UT 84084 Sandy, UT 84094 (801) 566-6301 (801) 572-0690

307 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Eckert, Jeffrey PT ~ Lajom, Jeanne PT ~* Norwood, Drew PT ~* Wortley, Richard PT ~* NPI: 1144404831 NPI: 1508059643 NPI: 1851378830 NPI: 1689667859 Registered Physical Registered Physical Registered Physical Rocky Mountain Therapy Therapists Inc - West Therapists Inc - West Therapists Inc - West Services - Firstmed West Jordan Jordan Jordan Jordan 1577 West 7000 South Ste 1577 West 7000 South Ste 1577 West 7000 South Ste 8822 South Redwood Rd 100 100 100 Ste E122 West Jordan, UT 84084 West Jordan, UT 84084 West Jordan, UT 84084 West Jordan, UT 84084 (801) 566-6301 (801) 566-6301 (801) 566-6301 (801) 566-7080 Spanish Felix, Mitchell PT ~* Ludwig, Keith PT ~* 84088 NPI: 1144213216 NPI: 1447323647 Stevenson, Trevor PT ~* Boden, Erinlee PT ~* Rocky Mountain Therapy Rocky Mountain Therapy NPI: 1982681078 NPI: 1932182243 Services - Firstmed West Services - Firstmed West Registered Physical Utah Physical Therapy Jordan Jordan Therapists Inc - West Specialists - West Jordan 8822 South Redwood Rd 8822 South Redwood Rd Jordan 3181 West 9000 South Ste Ste E122 Ste E122 1577 West 7000 South Ste 103 West Jordan, UT 84084 West Jordan, UT 84084 100 West Jordan, UT 84088 (801) 566-7080 (801) 566-7080 West Jordan, UT 84084 (801) 561-1061 (801) 566-6301 Spanish Fullmer, Larry PT ~* Miller, Brent PT ~* NPI: 1821075912 NPI: 1720065840 Verhaaren, Steven PT ~* Booth, Travis PT ~* Registered Physical Registered Physical NPI: 1174500268 NPI: 1134160252 Therapists Inc - West Therapists Inc - West Registered Physical Rocky Mountain Therapy Jordan Jordan Therapists Inc - West Services West Jordan Llc - 1577 West 7000 South Ste 1577 West 7000 South Ste Jordan Site 100 100 1577 West 7000 South Ste 8822 South Redwood Rd West Jordan, UT 84084 West Jordan, UT 84084 100 Ste E122 (801) 566-6301 (801) 566-6301 West Jordan, UT 84084 West Jordan, UT 84088 Spanish (801) 566-6301 (801) 566-7080 Geurts, Gerald PT ~* Spanish NPI: 1669465837 Monger, Brock PT ~ Geurts, Gerald PT ~* Rocky Mountain Therapy NPI: 1487647657 Wortley, James PT ~* NPI: 1669465837 Services - Firstmed West Rocky Mountain Therapy NPI: 1326031493 Rocky Mountain Therapy Jordan Services - Firstmed West Rocky Mountain Therapy Services West Jordan Llc - 8822 South Redwood Rd Jordan Services - Firstmed West Site Ste E122 8822 South Redwood Rd Jordan 8822 South Redwood Rd West Jordan, UT 84084 Ste E122 8822 South Redwood Rd Ste E122 (801) 566-7080 West Jordan, UT 84084 Ste E122 West Jordan, UT 84088 (801) 566-7080 West Jordan, UT 84084 (801) 566-7080 Hirai, Stanford PT ~* (801) 566-7080 NPI: 1972580074 Monger, Karin PT ~ Korean Gibson, Sean PT ~* Registered Physical NPI: 1205829470 NPI: 1861710667 Therapists Inc - West Rocky Mountain Therapy Wortley, Paul PT ~* Utah Physical Therapy Jordan Services - Firstmed West NPI: 1417940586 Specialists - West Jordan 1577 West 7000 South Ste Jordan Rocky Mountain Therapy 3181 West 9000 South Ste 100 8822 South Redwood Rd Services - Firstmed West 103 West Jordan, UT 84084 Ste E122 Jordan West Jordan, UT 84088 (801) 566-6301 West Jordan, UT 84084 8822 South Redwood Rd (801) 561-1061 (801) 566-7080 Ste E122 Spanish West Jordan, UT 84084 (801) 566-7080

308 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Leiseth, Amy PT ~ Wortley, James PT ~* Sandifer, Kasey PT ~* Hall, Aaron PT ~* NPI: 1700919354 NPI: 1326031493 NPI: 1649653759 NPI: 1942294616 Utah Physical Therapy Rocky Mountain Therapy Rocky Mountain Therapy Wasatch Physical Therapy Specialists - West Jordan Services West Jordan Llc - Services - Grantsville & Rehabilitation Inc - 2376 3181 West 9000 South Ste Site 822 East Main St Ste 16 North 103 8822 South Redwood Rd Grantsville, UT 84029 2376 North 400 East Ste West Jordan, UT 84088 Ste E122 (435) 884-0324 A103 (801) 561-1061 West Jordan, UT 84088 Tooele, UT 84074 (801) 566-7080 Wortley, James PT ~* (435) 843-7420 Maw, Samuel PT ~* Korean NPI: 1326031493 NPI: 1053670638 Grantsville Physical Lee, Monica PT ~* Mountain Land Wortley, Paul PT ~* Therapy Llc - Grantsville NPI: 1386151835 Rehabilitation Inc - West NPI: 1417940586 822 East Main St Ste 16 Pagnani Physical Therapy - Jordan Rocky Mountain Therapy Grantsville, UT 84029 Stansbury Park 1227 West 9000 South Ste Services West Jordan Llc - (435) 884-0324 6727 North State Hwy 36 F Site Korean Ste 300 West Jordan, UT 84088 8822 South Redwood Rd Tooele, UT 84074 (801) 282-2200 Ste E122 Wortley, Paul PT ~* (435) 833-9070 West Jordan, UT 84088 NPI: 1417940586 Maw, Scott PT ~* (801) 566-7080 Grantsville Physical Lee, Monica PT ~* NPI: 1710945233 Therapy Llc - Grantsville NPI: 1386151835 Mountain Land Tooele 822 East Main St Ste 16 Pagnani Physical Therapy - Rehabilitation Inc - West Grantsville, UT 84029 Tooele 210 Jordan Grantsville (435) 884-0324 210 Lodestone Way 1227 West 9000 South Ste 84029 Tooele, UT 84074 F Wortley, Richard PT ~* (435) 833-9070 West Jordan, UT 84088 Bartlett, Steven PT ~* NPI: 1689667859 (801) 282-2200 NPI: 1134334287 Grantsville Physical Lee, Monica PT ~* Grantsville Physical Therapy Llc - Grantsville NPI: 1386151835 Rodriguez, Brian PT ~* Therapy Llc - Grantsville 822 East Main St Ste 16 Pagnani Physical Therapy - NPI: 1336223007 822 East Main St Ste 16 Grantsville, UT 84029 Tooele 2321 Utah Physical Therapy Grantsville, UT 84029 (435) 884-0324 2321 North 400 East Ste Specialists - West Jordan (435) 884-0324 400 3181 West 9000 South Ste Spanish Tooele Tooele, UT 84074 103 (435) 833-9070 West Jordan, UT 84088 Cragun, Robert PT ~* 84074 (801) 561-1061 NPI: 1073628954 Baer, Lawrence PT ~* Marsh, Troy PT ~* Spanish Grantsville Physical NPI: 1346234010 NPI: 1144212416 Therapy Llc - Grantsville Wasatch Physical Therapy Meier & Marsh Sandifer, Kasey PT ~* 822 East Main St Ste 16 & Rehabilitation Inc - 2376 Professional Therapies Llc - NPI: 1649653759 Grantsville, UT 84029 North Tooele Rocky Mountain Therapy (435) 884-0324 2376 North 400 East Ste 1226 North Main St Services - West Jordan A103 Tooele, UT 84074 8822 South Redwood Rd Geurts, Gerald PT ~* Tooele, UT 84074 (435) 843-1311 Ste E122 NPI: 1669465837 (435) 843-7420 West Jordan, UT 84088 Grantsville Physical Samoan Marton, Debra PT ~ (801) 566-7080 Therapy Llc - Grantsville NPI: 1154588143 822 East Main St Ste 16 Mountain Land Grantsville, UT 84029 Rehabilitation Inc - (435) 884-0324 Stansbury 220 Millpond Ste 109 Tooele, UT 84074 (435) 882-4144

309 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Marton, Debra PT ~ Pagnani, Robert PT ~* Orrock, Steven PT ~* Wright, Kirk PT ~* NPI: 1154588143 NPI: 1790977692 NPI: 1629125174 NPI: 1811989171 Mountain Land Pagnani Physical Therapy - Professional Physical Premier Family Medical - Rehabilitation Inc - Tooele Tooele 2321 Therapy & Sports Medicine Af Pfm Pt Site 29 South Main St 2321 North 400 East Ste - Alpine 1159 East 200 North Ste Tooele, UT 84074 400 155 West Canyon Crest Rd 100 (435) 843-7466 Tooele, UT 84074 Ste 100 American Fork, UT 84003 (435) 833-9070 Alpine, UT 84004 (801) 642-2890 Maw, Scott PT ~* Spanish (801) 756-7061 Spanish NPI: 1710945233 Chinese, Mandarin Mountain Land Ploehn, Nathan PT ~* Wright, Kirk PT ~* Rehabilitation Inc - NPI: 1205062940 American Fork NPI: 1811989171 Stansbury Mountain Land Premier Family Medical - 220 Millpond Ste 109 Rehabilitation Inc - Tooele 84003 American Fork Site Tooele, UT 84074 29 South Main St Gatenby, Russell PT ~* 226 North 1100 East Ste A (435) 882-4144 Tooele, UT 84074 NPI: 1134241904 American Fork, UT 84003 (435) 843-7466 Human Performance (801) 855-3850 Meier, Charles PT ~* Institute - American Fork Spanish NPI: 1699767954 Ploehn, Nathan PT ~* 1184 East 80 North Meier & Marsh NPI: 1205062940 American Fork, UT 84003 Eagle Mountain Professional Therapies Llc - Mountain West Medical (801) 756-7777 Tooele Center - Medical Group 84005 1226 North Main St -Tooele Krebs, Trinette PT ~* Brown, Kimberli PT ~* Tooele, UT 84074 2055 North Main St NPI: 1346530128 NPI: 1114278710 (435) 843-1311 Tooele, UT 84074 Premier Family Medical - Beyond Limits Physical Spanish (435) 843-3600 Af Pfm Pt Site Therapy - Eagle Mountain 1159 East 200 North Ste 3943 East Pony Express Moorad, Danielle PT ~* Woodhouse, Steven 100 Pkwy Ste 220 NPI: 1104231224 PT ~* American Fork, UT 84003 Eagle Mountain, UT 84005 Mountain Land NPI: 1285631606 (801) 642-2890 (801) 789-7333 Rehabilitation Inc - Tooele Mountain Land 29 South Main St Rehabilitation Inc - Krebs, Trinette PT ~* Colyar, Casey PT ~* Tooele, UT 84074 Stansbury NPI: 1346530128 NPI: 1306242391 (435) 843-7466 220 Millpond Ste 109 Premier Family Medical - Beyond Limits Physical Tooele, UT 84074 American Fork Site Therapy - Eagle Mountain Pagnani, Robert PT ~* (435) 882-4144 226 North 1100 East Ste A 3943 East Pony Express NPI: 1790977692 American Fork, UT 84003 Pkwy Ste 220 Pagnani Physical Therapy - Utah (801) 855-3850 Eagle Mountain, UT 84005 Stansbury Park (801) 789-7333 6727 North State Hwy 36 Alpine Natter, Sharla PT ~ Ste 300 84004 NPI: 1336454636 Hall, Jason PT ~* Tooele, UT 84074 Human Performance NPI: 1710300454 (435) 833-9070 Mendenhall, Wendell Institute - American Fork Beyond Limits Physical Spanish PT ~* 1184 East 80 North Therapy - Eagle Mountain NPI: 1275682262 American Fork, UT 84003 3943 East Pony Express Pagnani, Robert PT ~* Professional Physical (801) 756-7777 Pkwy Ste 220 NPI: 1790977692 Therapy & Sports Medicine Eagle Mountain, UT 84005 Pagnani Physical Therapy - - Alpine Sumsion, John PT ~* (801) 789-7333 Tooele 210 155 West Canyon Crest Rd NPI: 1598887069 210 Lodestone Way Ste 100 Human Performance Tooele, UT 84074 Alpine, UT 84004 Institute - American Fork (435) 833-9070 (801) 756-7061 1184 East 80 North Spanish Spanish American Fork, UT 84003 (801) 756-7777

310 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Schulz, Shaun PT ~* Carter, Reed PT ~* Loveless, Jason PT ~* Murdock, Mckay PT ~* NPI: 1295783702 NPI: 1689104812 NPI: 1932507100 NPI: 1962867226 Beyond Limits Physical Fyzical Spine, Orthopedic, Fyzical Spine, Orthopedic, Dry Creek Physical Therapy - Eagle Mountain Sports Therapy & Balance Sports Therapy & Balance Therapy & Wellness Llc - 3943 East Pony Express Ctr - Lehi Ctr - Lehi Lehi Running Crk Pkwy Ste 220 3401 Center St Ste 200 3401 Center St Ste 200 3300 North Running Eagle Mountain, UT 84005 Lehi, UT 84043 Lehi, UT 84043 Creek Way Bldg B, Ste 150 (801) 789-7333 (801) 370-9981 (801) 370-9981 Lehi, UT 84043 German Spanish (801) 766-4244 Jensen, Benjamin PT ~* Italian Sudweeks, Matthew PT ~* NPI: 1609982818 Mcfarlane, Mallory PT ~* NPI: 1861627937 Dry Creek Physical NPI: 1689916181 Murdock, Mckay PT ~* Beyond Limits Physical Therapy & Wellness Llc - Dry Creek Physical NPI: 1962867226 Therapy - Eagle Mountain Lehi Running Crk Therapy & Wellness Llc - Dry Creek Physical 3943 East Pony Express 3300 North Running Lehi Running Crk Therapy - Lehi North Pkwy Ste 220 Creek Way Bldg B, Ste 150 3300 North Running Triumph Eagle Mountain, UT 84005 Lehi, UT 84043 Creek Way Bldg B, Ste 150 3000 North Triumph Blvd (801) 789-7333 (801) 766-4244 Lehi, UT 84043 Ste 310 Korean (801) 766-4244 Lehi, UT 84043 Jensen, Benjamin PT ~* (801) 766-4244 Lehi NPI: 1609982818 Mcfarlane, Mallory PT ~* Italian Dry Creek Physical NPI: 1689916181 84043 Therapy - Lehi North Dry Creek Physical Orrock, Steven PT ~* Bliss, Brandon PT ~* Triumph Therapy - Lehi North NPI: 1629125174 NPI: 1720167752 3000 North Triumph Blvd Triumph Professional Physical Fyzical Spine, Orthopedic, Ste 310 3000 North Triumph Blvd Therapy & Sports Medicine Sports Therapy & Balance Lehi, UT 84043 Ste 310 - Lehi Ctr - Lehi (801) 766-4244 Lehi, UT 84043 680 East Main St Ste 101 3401 Center St Ste 200 (801) 766-4244 Lehi, UT 84043 Lehi, UT 84043 Krebs, Trinette PT ~* (801) 768-2723 (801) 370-9981 NPI: 1346530128 Mcwilliams, Brett PT ~* Chinese, Mandarin Portugese, Spanish Premier Family Medical - NPI: 1457880445 Lehi Site Fyzical Spine, Orthopedic, Taylor, Kimball PT ~* Buchanan, Stephen PT ~* 680 East Main St Sports Therapy & Balance NPI: 1437383890 NPI: 1942428941 Lehi, UT 84043 Ctr - Lehi Fyzical Spine, Orthopedic, Dry Creek Physical (801) 768-1699 3401 Center St Ste 200 Sports Therapy & Balance Therapy & Wellness Llc - Lehi, UT 84043 Ctr - Lehi Lehi Running Crk Krebs, Trinette PT ~* (801) 370-9981 3401 Center St Ste 200 3300 North Running NPI: 1346530128 Lehi, UT 84043 Creek Way Bldg B, Ste 150 Premier Family Medical - Mendenhall, Wendell (801) 370-9981 Lehi, UT 84043 Mountain Point Site PT ~* Portugese (801) 766-4244 3000 North Triumph Blvd NPI: 1275682262 Ste 220 Professional Physical Taylor, Rogan PT ~* Buchanan, Stephen PT ~* Lehi, UT 84043 Therapy & Sports Medicine NPI: 1356333611 NPI: 1942428941 (801) 753-4650 - Lehi Fyzical Spine, Orthopedic, Dry Creek Physical 680 East Main St Ste 101 Sports Therapy & Balance Therapy - Lehi North Lehi, UT 84043 Ctr - Lehi Triumph (801) 768-2723 3401 Center St Ste 200 3000 North Triumph Blvd Spanish Lehi, UT 84043 Ste 310 (801) 370-9981 Lehi, UT 84043 Korean (801) 766-4244

311 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Woolf, Kathryn PT ~ Wright, Kirk PT ~* Moyeda, Emily PT ~ 84058 NPI: 1043523988 NPI: 1811989171 NPI: 1740594423 Carter, Reed PT ~* Intermountain Physical Premier Family Medical - Orem Community Hospital NPI: 1689104812 Therapy At Saratoga Lindon Pfm Pt Site - Service Fyzical Spine, Orthopedic, Springs 275 West 200 North 331 North 400 West Sports Therapy & Balance 250 East State Rd 73 Lindon, UT 84042 Orem, UT 84057 Ctr - Orem Lehi, UT 84043 (801) 756-3571 (801) 224-4080 360 South State Ste 110 (801) 357-1750 Spanish Orem, UT 84058 Saunders, Casey PT ~* (801) 373-7438 Wright, Kirk PT ~* Wright, Kirk PT ~* NPI: 1902265770 NPI: 1811989171 NPI: 1811989171 Orem Sports Medicine Loveless, Jason PT ~* Premier Family Medical - Premier Family Medical - Center Llc - Orem NPI: 1932507100 Lehi Site Lindon Site 252 North State St Fyzical Spine, Orthopedic, 680 East Main St 275 West 200 North Orem, UT 84057 Sports Therapy & Balance Lehi, UT 84043 Lindon, UT 84042 (801) 226-0599 Ctr - Orem (801) 768-1699 (801) 796-1333 360 South State Ste 110 Spanish Spanish Schultz, Craig PT ~* Orem, UT 84058 NPI: 1508852484 (801) 373-7438 Wright, Kirk PT ~* Orem Physical & Sports Therapy Spanish NPI: 1811989171 84057 Services - Orem Premier Family Medical - 684 West 800 North Ste Mcwilliams, Brett PT ~* Mountain Point Site Bushnell, Matthew PT ~* 110 NPI: 1457880445 3000 North Triumph Blvd NPI: 1033402607 Orem, UT 84057 Fyzical Spine, Orthopedic, Ste 220 Orem Sports Medicine (801) 224-2250 Sports Therapy & Balance Lehi, UT 84043 Center Llc - Orem Ctr - Orem (801) 753-4650 252 North State St Sumsion, William PT ~* 360 South State Ste 110 Spanish Orem, UT 84057 NPI: 1659367845 Orem, UT 84058 (801) 226-0599 Physical & Sports Therapy (801) 373-7438 Lindon Spanish Services - Orem 84042 684 West 800 North Ste Peterson, Mark PT ~* Bushnell, Ned PT ~* 110 NPI: 1528089224 Krebs, Trinette PT ~* NPI: 1528050861 Orem, UT 84057 Fyzical Spine, Orthopedic, NPI: 1346530128 Orem Sports Medicine (801) 224-2250 Sports Therapy & Balance Premier Family Medical - Center Llc - Orem Ctr - Orem Lindon Pfm Pt Site 252 North State St Taylor, Kimball PT ~* 360 South State Ste 110 275 West 200 North Orem, UT 84057 NPI: 1437383890 Orem, UT 84058 Lindon, UT 84042 (801) 226-0599 Orem Sports Medicine (801) 373-7438 (801) 756-3571 Center Llc - Orem Italian Lambert, Brian PT ~* 252 North State St Krebs, Trinette PT ~* NPI: 1639165707 Orem, UT 84057 NPI: 1346530128 Physical & Sports Therapy (801) 226-0599 84097 Premier Family Medical - Services - Orem Portugese Ashton, Douglas PT ~ Lindon Site 684 West 800 North Ste NPI: 1972900959 275 West 200 North 110 Taylor, Rogan PT ~* Ashton Therapies Pllc - Lindon, UT 84042 Orem, UT 84057 NPI: 1356333611 Orem (801) 796-1333 (801) 224-2250 Orem Sports Medicine 1425 South State St Center Llc - Orem Orem, UT 84097 Lillywhite, Daniel PT ~* 252 North State St (801) 226-2606 NPI: 1649437799 Orem, UT 84057 Orem Sports Medicine (801) 226-0599 Center Llc - Orem Korean 252 North State St Orem, UT 84057 (801) 226-0599

312 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Mckell, John PT ~* Pleasant Grove Lillywhite, Daniel PT ~* Bagley, Douglas PT ~* NPI: 1629005301 NPI: 1649437799 NPI: 1538155411 Mckell Therapy Group Pc - 84062 Orem Sports Medicine Revere Health - Provo - Orem Krebs, Trinette PT ~* Center Llc - Provo Sports Fitness/Physical 504 East 770 North NPI: 1346530128 524 West 300 North Ste Therapy Orem, UT 84097 Premier Family Medical - 201 1055 North 500 West Ste (801) 224-2177 Pleasant Grove Site Provo, UT 84601 122 Spanish 830 North 2000 West (801) 370-9981 Provo, UT 84604 Pleasant Grove, UT 84062 (801) 812-5400 Mendenhall, Wendell (801) 756-3511 Saunders, Casey PT ~* PT ~* NPI: 1902265770 Blanthorn, Steven PT ~ NPI: 1275682262 Wright, Kirk PT ~* Orem Sports Medicine NPI: 1699024927 Professional Physical NPI: 1811989171 Center Llc - Provo Byu Student Health Center Therapy & Sports Medicine Premier Family Medical - 524 West 300 North Ste - Provo - Orem Pleasant Grove Site 201 1750 North Wymount 1325 South 800 East Ste 830 North 2000 West Provo, UT 84601 Terrace Dr 215 Pleasant Grove, UT 84062 (801) 370-9981 Provo, UT 84604 Orem, UT 84097 (801) 756-3511 (801) 422-2771 (801) 373-1053 Spanish 84604 Spanish Spanish Anderson, James PT ~* Provo NPI: 1932201647 Bliss, Brandon PT ~* Orrock, Steven PT ~* Revere Health - Provo - NPI: 1720167752 NPI: 1629125174 84601 Fyzical Spine, Orthopedic, Ayala, Lauren PT ~* Sports Fitness/Physical Professional Physical Therapy Sports Therapy & Balance Therapy & Sports Medicine NPI: 1093268351 Ctr-Provo Udac - Neonatal 1055 North 500 West Ste - Orem 122 3303 North University Ave 1325 South 800 East Ste Follow-Up Program - Provo, UT 84604 Provo Provo, UT 84604 215 (801) 812-5400 (801) 373-7438 Orem, UT 84097 151 South University Ave Portugese, Spanish (801) 373-1053 Ste 1610 Chinese, Mandarin Provo, UT 84601 Bagley, Douglas PT ~* Butler, Brent PT ~* (801) 587-2255 NPI: 1538155411 NPI: 1083720551 Payson Spanish Revere Health - Provo - Revere Health - Provo - Hand Wrist And Elbow Sports Fitness/Physical 84651 Bushnell, Matthew PT ~* Center Therapy Anderson, Kyle PT ~* NPI: 1033402607 1055 North 500 West Ste 1055 North 500 West Ste NPI: 1932523792 Orem Sports Medicine 207 122 Physical & Sports Therapy Center Llc - Provo Provo, UT 84604 Provo, UT 84604 Services - Payson 524 West 300 North Ste (801) 375-4263 (801) 812-5400 15 South 1000 East Ste 25 201 Payson, UT 84651 Provo, UT 84601 Bagley, Douglas PT ~* Carter, Reed PT ~* (801) 465-5610 (801) 370-9981 NPI: 1538155411 NPI: 1689104812 Spanish Revere Health - Provo - Fyzical Spine, Orthopedic, Brinkerhoff, Jace PT ~* Orthopedic Specialty Ctr Sports Therapy & Balance NPI: 1942669833 Bushnell, Ned PT ~* 1055 North 500 West Ste Ctr-Provo Physical & Sports Therapy NPI: 1528050861 121 3303 North University Ave Services - Payson Orem Sports Medicine Provo, UT 84604 Provo, UT 84604 15 South 1000 East Ste 25 Center Llc - Provo (801) 373-7350 (801) 373-7438 Payson, UT 84651 524 West 300 North Ste (801) 465-5610 201 Provo, UT 84601 (801) 370-9981

313 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Keller, Alan PT ~ Peterson, Mark PT ~* Mangum, Brad PT ~* Krebs, Trinette PT ~* NPI: 1588671374 NPI: 1528089224 NPI: 1316992548 NPI: 1346530128 Utah Valley Regional Fyzical Spine, Orthopedic, Revere Health - Salem - Premier Family Medical - Medical Center - Provo Sports Therapy & Balance Sports Fitness And Physical Saratoga Springs Site 1034 North 500 West Ctr-Provo Therapy 76 East Commerce Dr Ste Provo, UT 84604 3303 North University Ave 555 West Sr 164 North 204 (801) 357-7850 Provo, UT 84604 Salem, UT 84653 Saratoga Springs, UT (801) 373-7438 (801) 812-5400 84045 Ligairi, Maryjane PT ~ Italian (801) 766-8427 NPI: 1053426718 Wangrow, Michelle PT ~* Utah Valley Pt Spine & Taylor, Braden PT ~* NPI: 1134647845 Wright, Kirk PT ~* Sports Center NPI: 1598788036 Revere Health - Salem - NPI: 1811989171 1034 North 500 West Revere Health - Provo - Sports Fitness And Physical Premier Family Medical - Provo, UT 84604 Sports Fitness/Physical Therapy Saratoga Springs Site (801) 357-7055 Therapy 555 West Sr 164 North 76 East Commerce Dr Ste 1055 North 500 West Ste Salem, UT 84653 204 Loveless, Jason PT ~* 122 (801) 812-5400 Saratoga Springs, UT NPI: 1932507100 Provo, UT 84604 American Sign Language, 84045 Fyzical Spine, Orthopedic, (801) 812-5400 Spanish (801) 766-8427 Sports Therapy & Balance Spanish Ctr-Provo Taylor, Kimball PT ~* Santaquin 3303 North University Ave NPI: 1437383890 Spanish Fork Provo, UT 84604 Fyzical Spine, Orthopedic, 84655 (801) 373-7438 Sports Therapy & Balance Horrocks, Bradley PT ~* 84660 Spanish Ctr-Provo NPI: 1679685432 Budge, Edward PT ~* 3303 North University Ave Mountain Land NPI: 1417957291 Lund, Robert PT ~* Provo, UT 84604 Rehabilitation Inc - Peak Physical Therapy And NPI: 1598122657 (801) 373-7438 Santaquin Sports Medicine - Spanish Fyzical Spine, Orthopedic, Portugese 94 West Main St Ste 1 Fork Sports Therapy & Balance Santaquin, UT 84655 77 South 400 West Ctr-Provo Taylor, Rogan PT ~* (801) 754-5700 Spanish Fork, UT 84660 3303 North University Ave NPI: 1356333611 (801) 798-1626 Provo, UT 84604 Fyzical Spine, Orthopedic, Saratoga Springs (801) 373-7438 Sports Therapy & Balance Hill, Von PT ~* Spanish Ctr-Provo 84045 NPI: 1669472684 3303 North University Ave Austin, Todd PT ~ Peak Physical Therapy And Mangum, Brad PT ~* Provo, UT 84604 NPI: 1932214442 Sports Medicine - Spanish NPI: 1316992548 (801) 373-7438 Saratoga Physical Therapy Fork Revere Health - Provo - Korean & Sports Medicine - 77 South 400 West Hand Wrist And Elbow Saratoga Spanish Fork, UT 84660 Center Salem 24 West Sergent Court Dr (801) 798-1626 1055 North 500 West Ste Ste 204 French 207 84653 Saratoga Springs, UT Provo, UT 84604 Horrocks, Bradley PT ~* 84045 Littledike, Jason PT ~* (801) 375-4263 NPI: 1679685432 (801) 766-0103 NPI: 1386644524 Mountain Land Peak Physical Therapy And Mcwilliams, Brett PT ~* Rehabilitation Inc - Salem Sports Medicine - Spanish NPI: 1457880445 416 North State Rd 198 Fork Fyzical Spine, Orthopedic, Salem, UT 84653 77 South 400 West Sports Therapy & Balance (801) 423-1357 Spanish Fork, UT 84660 Ctr-Provo (801) 798-1626 3303 North University Ave Provo, UT 84604 (801) 373-7438

314 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Shelton, Wayne PT ~* Washington 84790 Dumitru, Samantha PT ~ NPI: 1376562058 NPI: 1780802058 Enterprise Ayala, Lauren PT ~* Wayne L Shelton Pt - NPI: 1093268351 Drmc Rehab Services Spanish Fork 84725 Udac - Child Development 652 South Medical Center 317 West Center St Ste 203 Program - Washington Dr Ste Ll10 Spanish Fork, UT 84660 Banks, Wyatt PT ~* Saint George, UT 84790 NPI: 1417000753 County (801) 798-9100 1380 East Medical Center (435) 251-2250 American Sign Language Enterprise Valley Physical Therapy - Enterprise Dr Ste 4500 Saint George, UT 84790 Esplin, Dave PT ~ 660 East Main St Ste B NPI: 1245250539 Springville Enterprise, UT 84725 (801) 587-2255 Spanish Drmc Rehab Services 84663 (435) 878-2722 652 South Medical Center Lambert, Brian PT ~* Dr Ste Ll10 Hurricane Bennett, Steven PT ~* NPI: 1639165707 NPI: 1205911872 Saint George, UT 84790 Physical & Sports Therapy 84737 (435) 251-2250 Services - Springville Mountain Land Gubler, Troy PT ~ Rehabilitation Inc - 1404 380 East 400 South West Farrer, Rhett PT ~ Springville, UT 84663 NPI: 1033210067 NPI: 1639260706 Gublers Physical Therapy - 1404 West Sun River Pkwy (801) 489-5669 Ste 100 Drmc Rehab Services Hurricane 652 South Medical Center 83 South 2600 West Saint George, UT 84790 Newbold, Kirk PT ~ (435) 767-9094 Dr Ste Ll10 NPI: 1104812098 Hurricane, UT 84737 Saint George, UT 84790 Physical & Sports Therapy (435) 635-9333 (435) 251-2250 Services - Springville Bennett, Steven PT ~* Ivins NPI: 1205911872 380 East 400 South Mountain Land Gillespie, Daniel PT ~ Springville, UT 84663 84738 Rehabilitation Inc - St NPI: 1568473577 (801) 489-5669 Drmc Rehab Services Portugese, Spanish Bennett, Steven PT ~* George NPI: 1205911872 736 South 900 East Ste 106 652 South Medical Center Mountain Land Saint George, UT 84790 Dr Ste Ll10 Schultz, Craig PT ~* (435) 673-0191 Saint George, UT 84790 NPI: 1508852484 Rehabilitation Inc - Ivins (435) 251-2250 Physical & Sports Therapy 272 East Center St Ste 103 Services - Springville Ivins, UT 84738 Blatter, Grant PT ~* (435) 674-2115 NPI: 1558377309 Harward, Aaron PT ~* 380 East 400 South Revere Health - St George NPI: 1194121350 Springville, UT 84663 Fit Physical Therapy - St (801) 489-5669 Schneider, Nicole PT ~* 1424 East Foremaster Dr NPI: 1366627903 Ste 120 George 2 Mountain Land Saint George, UT 84790 1532 East 1450 South Sumsion, William PT ~* (435) 656-8800 Saint George, UT 84790 NPI: 1659367845 Rehabilitation Inc - Ivins (435) 359-9200 Physical & Sports Therapy 272 East Center St Ste 103 Services - Springville Ivins, UT 84738 Carey, Sean PT ~ (435) 674-2115 NPI: 1154337178 Harward, Roger PT ~* 380 East 400 South NPI: 1396937686 Springville, UT 84663 Drmc Rehab Services Saint George 652 South Medical Center Advanced Physical (801) 489-5669 Dr Ste Ll10 Therapy Llc - Foremaster 84770 Saint George, UT 84790 Dr Thorpe, Greg PT ~* Blatter, Grant PT ~* (435) 251-2250 1490 East Foremaster Dr NPI: 1316933500 NPI: 1558377309 Ste 110 Physical & Sports Therapy Revere Health - 1449 St Daniels, Ronald PT ~ Saint George, UT 84790 Services - Springville George NPI: 1962567602 (435) 652-4455 380 East 400 South 1449 North 1400 West Ste Drmc Physical Therapy Springville, UT 84663 21 1380 East Medical Center (801) 489-5669 Saint George, UT 84770 Dr (435) 656-8800 Saint George, UT 84790 (435) 251-2250 ~ Accepting new patients/Aceptando a nuevos pacientes * Accepts Medicaid/Acepta Medicaid ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

315 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Harward, Roger PT ~* Marchant, Darren PT ~* Mills, Mark PT ~ Weber NPI: 1396937686 NPI: 1477556132 NPI: 1366538126 Fit Physical Therapy - St Fit Physical Therapy - St Drmc Rehab Services Eden George George 652 South Medical Center 84310 1490 East Foremaster Dr 1490 East Foremaster Dr Dr Ste Ll10 Ste 110 Ste 110 Saint George, UT 84790 Jolley, Curtis PT ~* Saint George, UT 84790 Saint George, UT 84790 (435) 251-2250 NPI: 1548261431 (435) 652-4455 (435) 652-4455 Performance West Physical Myers, Karen PT ~* Therapy - Eden Himelright, Lance PT ~* Marchant, Darren PT ~* NPI: 1962873844 2131 North 5500 East NPI: 1104907096 NPI: 1477556132 Fit Physical Therapy - St Eden, UT 84310 Tlc Llc - St George Fit Physical Therapy - St George (801) 745-3200 321 North Mall Dr Ste George 2 1490 East Foremaster Dr H101 1532 East 1450 South Ste 110 Moss, Megan PT ~* Saint George, UT 84790 Saint George, UT 84790 Saint George, UT 84790 NPI: 1932487899 (435) 817-0773 (435) 359-9200 (435) 652-4455 Performance West Physical Therapy - Eden Hugunin, Jane PT ~ Marchant, Darren PT ~* Ogilvie, Paul PT ~* 2131 North 5500 East NPI: 1295740074 NPI: 1477556132 NPI: 1114086097 Eden, UT 84310 Drmc Rehab Services Fit Physical Therapy - St Drmc Rehab Services (801) 745-3200 652 South Medical Center George 3 652 South Medical Center Dr Ste Ll10 617 East Riverside Dr Ste Dr Ste Ll10 Nicholls, Benjamin PT ~* Saint George, UT 84790 303 Saint George, UT 84790 NPI: 1558876896 (435) 251-2250 Saint George, UT 84790 (435) 251-2250 Performance West Physical (435) 673-4303 Therapy - Eden Johnson, Benjamin PT ~* Reynolds, Joshua PT ~ 2131 North 5500 East NPI: 1548490196 Meek, Michael PT ~ NPI: 1134135049 Eden, UT 84310 Advanced Physical NPI: 1891911418 Drmc Rehab Services (801) 745-3200 Therapy Llc - Foremaster Drmc Rehab Services 652 South Medical Center Dr 652 South Medical Center Dr Ste Ll10 Reid, Kim PT ~* 1490 East Foremaster Dr Dr Ste Ll10 Saint George, UT 84790 NPI: 1558362434 Ste 110 Saint George, UT 84790 (435) 251-2250 Performance West Physical Saint George, UT 84790 (435) 251-2250 Therapy - Eden (435) 652-4455 Schneider, Nicole PT ~* 2131 North 5500 East Spanish Michaelson, Lawrence NPI: 1366627903 Eden, UT 84310 PT ~* Mountain Land (801) 745-3200 Johnson, Benjamin PT ~* NPI: 1801125588 Rehabilitation Inc - 1404 NPI: 1548490196 Mountain Land West Ogden Advanced Physical Rehabilitation Inc - St 1404 West Sun River Pkwy 84401 Therapy Llc - Mall Dr George Ste 100 484 North Mall Dr 736 South 900 East Ste 106 Saint George, UT 84790 Ayala, Lauren PT ~* Saint George, UT 84790 Saint George, UT 84790 (435) 767-9094 NPI: 1093268351 (435) 359-9200 (435) 673-0191 Udac - Child Development Spanish Tomlinson, Stephen Program - Ogden Michaelson, Lawrence PT ~* 2540 Washington Blvd Johnson, Benjamin PT ~* PT ~* NPI: 1043325715 Ogden, UT 84401 NPI: 1548490196 NPI: 1801125588 Revere Health - St George (801) 587-2255 Fit Physical Therapy - St Mountain Land 1424 East Foremaster Dr Spanish George Rehabilitation Inc - Ste 120 1490 East Foremaster Dr Sterling Court Saint George, UT 84790 Ste 110 324 North 1680 East (435) 656-8800 Saint George, UT 84790 Saint George, UT 84790 (435) 652-4455 (435) 674-1269 Spanish

316 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Cook, Tina PT ~ 84403 Harris, Naomi PT ~* Wood, Dorian PT * NPI: 1376502674 Blanchard, Kevin PT ~ NPI: 1891783809 NPI: 1376532911 Intermountain NPI: 1497198311 Ogden Clinic - Physical Ogden Clinic Professional Rehabilitation Agency - Total Rehab - Ogden Therapy Center - North Ogden 5957 South Fashion Point 4700 Harrison Blvd 4650 Harrison Blvd 1355 West 3400 South Dr Ste 102 Ogden, UT 84403 Ogden, UT 84403 Ogden, UT 84401 Ogden, UT 84403 (801) 475-3000 (801) 475-3000 (801) 387-6177 (801) 827-0200 Lane, Steve PT * Wood, Dorian PT * Hanni, Kevin PT ~* Cervantes, Carrie PT ~ NPI: 1609889534 NPI: 1376532911 NPI: 1437698883 NPI: 1346574001 Ogden Clinic - Skyline Ogden Clinic Professional Utah Physical Therapy - Basics Sports Medicine 6112 South 1550 East Ste Center - South West Haven 3476 W 3550 Harrison Blvd 101 4700 Harrison Blvd 3476 West 4600 South Ogden, UT 84403 Ogden, UT 84403 Ogden, UT 84403 Ogden, UT 84401 (801) 476-4141 (801) 475-3800 (801) 475-3870 (801) 689-0200 Cook, Tina PT ~ Lane, Steve PT * 84404 Hanni, Kevin PT ~* NPI: 1376502674 NPI: 1609889534 Fritzler, Camille PT ~* NPI: 1437698883 Mckay Dee Stewart Rehab Ogden Clinic Professional NPI: 1548679343 Utah Physical Therapy - Services Center - North Sundance Physical Therapy West Haven 4640 S 3903 Harrison Blvd Ste 4650 Harrison Blvd Farr West - Ogden 4640 South 3500 West Ste 400 Ogden, UT 84403 2850 North 2000 West Ste 3 Ogden, UT 84403 (801) 475-3000 204 Ogden, UT 84401 (801) 387-2080 Ogden, UT 84404 (801) 689-0200 Lane, Steve PT * (801) 731-5421 Goff, Nathan PT * NPI: 1609889534 Lillywhite, Mitch PT ~* NPI: 1629066675 Ogden Clinic Professional Goff, Nathan PT * NPI: 1396291753 Ogden Clinic - Skyline Center - South NPI: 1629066675 Utah Physical Therapy - 6112 South 1550 East Ste 4700 Harrison Blvd Ogden Clinic - Canyon West Haven 4640 S 101 Ogden, UT 84403 View 4640 South 3500 West Ste Ogden, UT 84403 (801) 475-3870 1159 East 12Th St 3 (801) 475-3800 Ogden, UT 84404 Ogden, UT 84401 Pyle, Melanie PT ~* (801) 475-3000 (801) 689-0200 Goff, Nathan PT * NPI: 1831110980 NPI: 1629066675 Basics Sports Medicine Johnson, Nylin PT ~* Tenney, Chad PT ~* Ogden Clinic Professional 3550 Harrison Blvd NPI: 1013010727 NPI: 1215910161 Center - North Ogden, UT 84403 Mountain Land Utah Physical Therapy - 4650 Harrison Blvd (801) 476-4141 Rehabilitation Inc - Ogden West Haven 3476 W Ogden, UT 84403 349 12Th St 3476 West 4600 South (801) 475-3000 Roberts, Scott PT * Ogden, UT 84404 Ogden, UT 84401 NPI: 1083920672 (801) 782-0300 (801) 689-0200 Goff, Nathan PT * Ogden Clinic Professional Spanish NPI: 1629066675 Center - South Lane, Steve PT * Ogden Clinic Professional 4700 Harrison Blvd NPI: 1609889534 Tenney, Chad PT ~* Center - South Ogden, UT 84403 Ogden Clinic - Canyon NPI: 1215910161 4700 Harrison Blvd (801) 475-3870 View Utah Physical Therapy - Ogden, UT 84403 1159 East 12Th St West Haven 4640 S (801) 475-3870 Wood, Dorian PT * Ogden, UT 84404 4640 South 3500 West Ste NPI: 1376532911 (801) 475-3000 3 Ogden Clinic - Skyline Ogden, UT 84401 6112 South 1550 East Ste (801) 689-0200 101 Spanish Ogden, UT 84403 (801) 475-3800

317 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Mcgeorge, Gillian PT ~* Zundel, Monte PT ~* Child, Bryan PT ~* Stoker, Jeremy PT ~* NPI: 1356576797 NPI: 1861597957 NPI: 1639360050 NPI: 1598024184 Mountain Land Fit Quest Therapy - North Precision Mountain Land Rehabilitation Inc - Ogden Ogden Electromyography - Ogden Rehabilitation - Weber 349 12Th St 1638 North Washington 5740 Crestwood Dr 2572 East South Weber Dr Ogden, UT 84404 Blvd Ste 103 Ogden, UT 84405 Ogden, UT 84405 (801) 782-0300 Ogden, UT 84404 (801) 725-2380 (801) 479-7045 (801) 782-3500 Sniteman, Clay PT ~* Itaaehau, Melissa PT ~* Webb, Brent PT ~* NPI: 1235295049 84405 NPI: 1043319528 NPI: 1154376838 Sundance Physical Therapy Adams, Carly PT ~* Wasatch Therapy Inc - Horizon Balance & Farr West - Ogden NPI: 1093971921 Ogden Dizziness Center - Ogden 2850 North 2000 West Ste Wasatch Therapy Inc - 5349 South Adams Ave Ste 1452 East Ridgeline Dr Ste 204 Ogden A 51 Ogden, UT 84404 5349 South Adams Ave Ste Ogden, UT 84405 Ogden, UT 84405 (801) 731-5421 A (801) 479-9865 (801) 479-5777 Ogden, UT 84405 Stokes, Corbin PT ~* (801) 479-9865 Jenkins, Rusty PT ~* 84414 NPI: 1114154713 NPI: 1376723106 Goff, Nathan PT * Mountain Land Alexander, Marissa PT ~* Wasatch Therapy Inc - NPI: 1629066675 Rehabilitation Inc - Ogden NPI: 1346504842 Ogden Ogden Clinic - Mountain 349 12Th St Wasatch Therapy Inc - 5349 South Adams Ave Ste View Ogden, UT 84404 Ogden A 1100 West 2700 North (801) 782-0300 5349 South Adams Ave Ste Ogden, UT 84405 Ogden, UT 84414 Spanish A (801) 479-9865 (801) 475-3000 Ogden, UT 84405 Stokes, Corbin PT ~* (801) 479-9865 Judd, Robyn PT ~* Lane, Steve PT * NPI: 1114154713 NPI: 1295834679 NPI: 1609889534 North View Physical Black, Robert PT ~* Wasatch Therapy Inc - Ogden Clinic - Mountain Therapy And Industrial NPI: 1457499428 Ogden View Care - Ogden Wasatch Therapy Inc - 5349 South Adams Ave Ste 1100 West 2700 North 349 12Th St Ogden A Ogden, UT 84414 Ogden, UT 84404 5349 South Adams Ave Ste Ogden, UT 84405 (801) 475-3000 (801) 787-0303 A (801) 479-9865 Spanish Ogden, UT 84405 Wood, Dorian PT * (801) 479-9865 Landgren, Tyler PT ~* NPI: 1376532911 Wood, Dorian PT * Danish NPI: 1558712455 Ogden Clinic - Mountain NPI: 1376532911 Wasatch Therapy Inc - View Ogden Clinic - Canyon Chavez, Ernest PT ~* Ogden 1100 West 2700 North View NPI: 1013016559 5349 South Adams Ave Ste Ogden, UT 84414 1159 East 12Th St Wasatch Therapy Inc - A (801) 475-3000 Ogden, UT 84404 Ogden Ogden, UT 84405 (801) 475-3000 5349 South Adams Ave Ste (801) 479-9865 Roy A Yoshimoto, Travis PT ~* Ogden, UT 84405 Lillywhite, Mitch PT ~* 84067 NPI: 1619349917 (801) 479-9865 NPI: 1396291753 Alexander, Marissa PT ~* Mountain Land Spanish Wasatch Therapy Inc - NPI: 1346504842 Rehabilitation Inc - Ogden Ogden Wasatch Therapy Inc - Roy 349 12Th St 5349 South Adams Ave Ste 1967 West 5700 South Ogden, UT 84404 A Roy, UT 84067 (801) 782-0300 Ogden, UT 84405 (801) 774-8600 Spanish (801) 479-9865

318 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Black, Robert PT ~* Landgren, Tyler PT ~* Tremonton 84123 NPI: 1457499428 NPI: 1558712455 84337 Gouttsoul, Alexander Wasatch Therapy Inc - Roy Wasatch Therapy Inc - Roy PA ~ 1967 West 5700 South 1967 West 5700 South Hunt, Wilson PA ~* NPI: 1306154653 Roy, UT 84067 Roy, UT 84067 NPI: 1871503201 Jordan Ridge Family (801) 774-8600 (801) 774-8600 Ihc Bear River Family Medicine Pllc - Salt Lake Danish Medicine - Tremonton City Lane, Steve PT * 935 North 1000 West 6321 South Redwood Rd Chavez, Ernest PT ~* NPI: 1609889534 Tremonton, UT 84337 Ste 201 NPI: 1013016559 Ogden Clinic - Roy (435) 207-4800 Salt Lake City, UT 84123 Wasatch Therapy Inc - Roy 3485 West 5200 South (801) 265-2212 1967 West 5700 South Roy, UT 84067 Cache Roy, UT 84067 (801) 475-3000 (801) 774-8600 Logan Washington Spanish Lillywhite, Mitch PT ~* 84341 Hurricane NPI: 1396291753 Erickson, Randall PT ~* Wasatch Therapy Inc - Roy Zia, Kimberly PA ~ 84737 NPI: 1366602484 1967 West 5700 South NPI: 1720464936 Robinson, Russell PA ~ Wasatch Peak Physical Roy, UT 84067 Ihc Budge Clinic Internal NPI: 1699176255 Therapy - Roy (801) 774-8600 Medicine - Logan Ihc Hurricane Valley Clinic 3443 West 5600 South Ste 1350 North 500 East - Hurricane 130 Wood, Dorian PT * Logan, UT 84341 75 North 2260 West Roy, UT 84067 NPI: 1376532911 (435) 792-1980 Hurricane, UT 84737 (801) 443-8008 Ogden Clinic - Roy (435) 635-6500 3485 West 5200 South Iron Goff, Nathan PT * Roy, UT 84067 Cedar City Saint George NPI: 1629066675 (801) 475-3000 Ogden Clinic - Roy 84720 84770 3485 West 5200 South Physician Assistant Johnson, Dayne PA ~ Wright, Jeffrey PA ~ Roy, UT 84067 NPI: 1669505178 NPI: 1003898198 (801) 475-3000 Box Elder Southwest Spine And Pain Southwest Spine And Pain Care Specialists - Cedar Care Specialists - St George Itaaehau, Melissa PT ~* Brigham City City 2 NPI: 1043319528 1303 North Main St 2107 West Sunset Blvd Ste Wasatch Therapy Inc - Roy 84302 Cedar City, UT 84720 102 1967 West 5700 South Dalton, Tara PA ~* (435) 586-2229 Saint George, UT 84770 Roy, UT 84067 NPI: 1770579146 (435) 619-8630 (801) 774-8600 Box Elder Community Salt Lake Health Center - Brigham 84790 Jenkins, Rusty PT ~* City Salt Lake City Snyder, Ethan PA ~ NPI: 1376723106 5 West 200 North 84102 NPI: 1386876761 Wasatch Therapy Inc - Roy Brigham City, UT 84302 Newman, Steve PA ~ Utah Gastroenterology - St 1967 West 5700 South (435) 723-7999 George Site Roy, UT 84067 NPI: 1033244215 House Call Doctors Hcd 368 East Riverside Dr Ste (801) 774-8600 Martin, Colby PA ~* A NPI: 1982033098 Wellness - Salt Lake 522 East 100 South Saint George, UT 84790 Judd, Robyn PT ~* Box Elder Community (435) 673-1149 NPI: 1295834679 Health Center - Brigham Salt Lake City, UT 84102 Wasatch Therapy Inc - Roy City (801) 485-5055 1967 West 5700 South 5 West 200 North Roy, UT 84067 Brigham City, UT 84302 (801) 774-8600 (435) 723-7999 Spanish

319 Specialty Providers / Proveedores Especializados Physician Assistant continued/seguido

Wright, Jeffrey PA ~ 84132 Davis Iron NPI: 1003898198 Mendenhall, Shaun MD ~ Bountiful Cedar City Southwest Spine And Pain Pediatric Plastic Surgery Care Specialists - St George 84010 84720 652 South Medical Center 50 North Medical Dr Dr Ste 110 Salt Lake City, UT 84132 Cheng, Christine MD ~* Klomp, Steven MD ~* Saint George, UT 84790 (801) 662-1700 NPI: 1306848338 NPI: 1588611602 (435) 656-2424 Spanish Christine A Cheng Md - Intermountain Cedar City Bountiful Specialty Clinic - Cedar Weber South Jordan 415 South Medical Dr Ste City 84009 D102 1303 North Main St Ste B Roy Bountiful, UT 84010 Cedar City, UT 84720 Mendenhall, Shaun MD ~ (801) 298-9774 (435) 868-5500 84067 Pediatric Plastic Surgery - Lythgoe, Todd PA ~ South Jordan Health Kjar, Joseph MD ~ Salt Lake NPI: 1477571065 Center NPI: 1700952231 Ogden Clinic - Grand View 5126 West Daybreak Pkwy Premier Plastic Surgery Draper 3485 West 5200 South South Jordan, UT 84009 Group Of Utah Llc - 84020 Roy, UT 84067 (801) 213-5200 Gregory J Kjar S (801) 475-3900 Spanish 1551 South Renaissance Warnock, Steven MD ~* Towne Dr Ste 360 NPI: 1457337594 Plastic And Plastic Surgery Bountiful, UT 84010 Premier Plastic Surgery (801) 295-9105 Group Of Utah Llc - Draper Reconstructive Cache Thompson, Scott MD ~* 11762 South State St Ste Surgery Logan NPI: 1356378095 220 Draper, UT 84020 84341 Mountain West Ear Nose Salt Lake & Throat Head & Neck - (801) 571-2020 Andersen, Blaine MD ~* Bountiful Salt Lake City NPI: 1538279609 1551 South Main St Ste Salt Lake City 84113 Blaine Perkes Andersen Md 310 84102 - Logan Mendenhall, Shaun MD ~ Bountiful, UT 84010 1300 North 500 East Ste (801) 295-5581 Cheng, Christine MD ~* Pediatric Plastic Surgery 260 NPI: 1306848338 100 North Mario Capecchi Logan, UT 84341 Layton Christine A Cheng Md - Dr (435) 753-3400 Salt Lake City Salt Lake City, UT 84113 84041 1002 East South Temple (801) 662-1700 Isom, Casey MD ~* Ste 202 Spanish Yates, York DO ~* NPI: 1215964275 NPI: 1851377725 Salt Lake City, UT 84102 Ihc Isom Plastic Surgery - Tanner Memorial Clinic - (801) 298-9774 Pannucci, Christopher Logan MD ~* Layton 1350 North 500 East Ste 2121 North 1700 West Reuben, Brian MD ~ NPI: 1083737738 310 NPI: 1447457221 Pediatric Plastic Surgery - Layton, UT 84041 Logan, UT 84341 (801) 773-4840 Ihc Salt Lake Clinic - Pch (435) 787-1108 Urology 100 North Mario Capecchi Cantonese, Mandarin 389 South 900 East Dr Salt Lake City, UT 84102 Salt Lake City, UT 84113 (385) 282-2500 (801) 662-1700

320 Specialty Providers / Proveedores Especializados Plastic Surgery continued/seguido

84107 Gociman, Barbu MD ~* 84117 84132 Hugh Ferguson, Robert NPI: 1396900841 Griner, Devan MD ~* Goodwin, Isak MD ~* MD ~ Pediatric Plastic Surgery - NPI: 1780895755 NPI: 1669698247 NPI: 1366640153 Pcos Plastic Surgery Associates - Pediatric Plastic Surgery Intermountain Plastic 81 North Mario Capecchi Holladay 50 North Medical Dr Surgery Center - Murray Dr 5089 South 900 East Ste Salt Lake City, UT 84132 5169 South Cottonwood St Salt Lake City, UT 84113 100 (801) 662-1700 Ste 420 (801) 213-3599 Salt Lake City, UT 84117 Salt Lake City, UT 84107 (801) 743-0700 Goodwin, Isak MD ~* (801) 507-1650 Kastenberg, Zachary NPI: 1669698247 Spanish MD ~* Petersen, Jason MD ~* Pediatric Plastic Surgery - NPI: 1518191915 NPI: 1215105804 Uuhsc 84113 Pediatric Surgeons Nuvista Plastic Surgery - 50 North Medical Dr 100 North Mario Capecchi Murray Salt Lake City, UT 84132 Agarwal, Cori MD ~* Dr 5353 South 960 East Ste (801) 662-1700 NPI: 1306978960 Salt Lake City, UT 84113 150 Pediatric Plastic Surgery - (801) 662-2950 Salt Lake City, UT 84117 Kastenberg, Zachary Pch (801) 261-5791 100 North Mario Capecchi Kwok, Alvin MD ~* MD ~* Dr NPI: 1518191915 NPI: 1275695546 Schmelzer, Rodney Salt Lake City, UT 84113 Pediatric Plastic Surgery Pediatric Surgery - (801) 662-1700 MD ~* University Of Utah 100 North Mario Capecchi NPI: 1487626297 Hospital Dr Plastic Surgery Associates - 50 North Medical Dr Agarwal, Jayant MD ~* Salt Lake City, UT 84113 Holladay Salt Lake City, UT 84132 NPI: 1508878372 (801) 662-1700 5089 South 900 East Ste Pediatric Plastic Surgery - Mandarin (801) 581-2121 Pch 100 Salt Lake City, UT 84117 Kwok, Alvin MD ~* 100 North Mario Capecchi Moores, Neal MD ~* (801) 743-0700 Dr NPI: 1427374636 NPI: 1275695546 Salt Lake City, UT 84113 Pediatric Plastic Surgery Pediatric Plastic Surgery (801) 662-1700 100 North Mario Capecchi 84120 50 North Medical Dr Dr Rodrigues, Robert MD * Salt Lake City, UT 84132 Crombie, Courtney Salt Lake City, UT 84113 NPI: 1316910748 (801) 662-1700 MD ~* (801) 662-1700 Granger Medical - West Mandarin NPI: 1619067204 Valley Pediatric Plastic Surgery - Rockwell, William MD ~* 3725 West 4100 South Sandy Pch NPI: 1841380466 Salt Lake City, UT 84120 84094 (801) 965-3600 100 North Mario Capecchi Pediatric Plastic Surgery - Hancey, Matthew MD ~ Dr Pch NPI: 1174737548 Salt Lake City, UT 84113 100 North Mario Capecchi 84124 Ihc Alta View Plastic (801) 662-1700 Dr Fairbanks, Grant MD ~* Surgery Specialists - Sandy Salt Lake City, UT 84113 NPI: 1013056357 9450 South 1300 East Gociman, Barbu MD ~* (801) 662-1700 Grant A Fairbanks Md Pc - Sandy, UT 84094 NPI: 1396900841 Salt Lake (801) 501-6250 Pediatric Plastic Surgery - Rockwell, William MD ~* 1151 East 3900 South Ste Pch NPI: 1841380466 B110 Lindley, Thomas MD ~ 100 North Mario Capecchi Pediatric Plastic Surgery - Salt Lake City, UT 84124 NPI: 1104934785 Dr Pcos (801) 268-8838 Ihc Alta View Plastic Salt Lake City, UT 84113 81 North Mario Capecchi Italian, Spanish Surgery Specialists - Sandy (801) 662-1700 Dr 9450 South 1300 East Salt Lake City, UT 84113 Sandy, UT 84094 (801) 213-3599 (801) 501-6250

321 Specialty Providers / Proveedores Especializados Plastic Surgery continued/seguido

West Jordan Marion, Michael MD ~* Jensen, Mark MD ~* Weber NPI: 1942402433 NPI: 1184602351 84088 Michael D Marion Md Pc - Revere Health - Provo - Ogden Griner, Devan MD ~* Lehi Hand Wrist And Elbow 84403 NPI: 1780895755 680 East Main St Ste 202 Center Peak Ent Associates Llc - Lehi, UT 84043 1055 North 500 West Ste Rinard, Jeremy MD ~ West Jordan (801) 331-8554 207 NPI: 1861637225 3570 West 9000 South Ste Portugese Provo, UT 84604 Ihc Mckay Dee 140 (801) 375-4263 Dermatology & Plastic West Jordan, UT 84088 Sanderson, Mark MD ~* Surgery - Ogden (801) 702-9191 NPI: 1073604609 Jensen, Mark MD ~* 4403 Harrison Blvd Ste Revere Health - Lehi - NPI: 1184602351 3680 Utah North Valley Ortho & Revere Health - Provo - Ogden, UT 84403 Plastic Surgery Orthopedic Specialty Ctr (801) 387-4750 American Fork 680 East Main St 1055 North 500 West Ste 84003 Lehi, UT 84043 121 Plastic Surgery (801) 763-3885 Provo, UT 84604 Jensen, Mark MD ~* Korean (801) 373-7350 Within The Head NPI: 1184602351 And Neck Revere Health - Af - Sanderson, Mark MD ~* Otolaryngology Ste 211 Orem NPI: 1073604609 Salt Lake 1175 East 50 South Ste 211 84057 Revere Health - Provo - American Fork, UT 84003 Bishop, Jon MD ~* Internal Medicine Salt Lake City (801) 418-0870 NPI: 1609818616 1055 North 500 West Ste Jon Bishop Md Pc - Orem 212, Bldg C 84113 Jensen, Mark MD ~* 700 West 800 North Ste Provo, UT 84604 Rockwell, William MD ~* NPI: 1184602351 442 (801) 374-2362 NPI: 1841380466 Revere Heatlth - Af - Orem, UT 84057 Korean Pediatric Plastic Surgery - Plastic & Recons (801) 802-0120 Pch 1175 East 50 South Ste 171 Washington 100 North Mario Capecchi American Fork, UT 84003 Payson Dr (801) 418-0904 Saint George 84651 Salt Lake City, UT 84113 84770 (801) 662-1700 Sanderson, Mark MD ~* Jensen, Mark MD ~* NPI: 1073604609 NPI: 1184602351 Isom, Casey MD ~* Rockwell, William MD ~* Revere Health - Af - North Revere Health - Payson - NPI: 1215964275 NPI: 1841380466 Valley Orthopedics And Orthopedic Specialty Ctr Ihc Dixie Acute Rehab - St Pediatric Plastic Surgery - Sports Med 15 South 1000 East Ste 150 George Pcos 1184 East 80 North Payson, UT 84651 544 South 400 East 81 North Mario Capecchi American Fork, UT 84003 (801) 465-9534 Saint George, UT 84770 Dr (801) 763-3885 (435) 688-4700 Salt Lake City, UT 84113 Korean Provo Cantonese, Mandarin (801) 213-3599 Lehi 84604 84790 84117 84043 Griner, Devan MD ~* Klomp, Steven MD ~* NPI: 1780895755 Morris, Lisa MD ~* Griner, Devan MD ~* NPI: 1588611602 NPI: 1881839041 Peak Ent Associates Llc - Ihc Southern Utah Plastic NPI: 1780895755 Provo Plastic Surgery Associates - Peak Ent Associates Llc - Surgery & Dermatology - Holladay 1055 North 300 West Ste St George Lehi 401 5089 South 900 East Ste 3000 North Triumph Blvd 652 South Medical Center 100 Provo, UT 84604 Dr Ste 300 Ste 260 (801) 357-7499 Salt Lake City, UT 84117 Lehi, UT 84043 Saint George, UT 84790 (801) 743-0700 (801) 768-3500 (435) 251-3670 Spanish

322 Specialty Providers / Proveedores Especializados Plastic Surgery Within The Head And Neck continued/seguido

Washington Cache Pedersen, Curtis DPM ~* Davis NPI: 1366452757 Saint George Logan Ihc Logan Regional Bountiful 84790 84341 Orthopedics - Logan 84010 1350 North 500 East Gardner, Kent MD ~* Burgon, Andrew DPM ~* Logan, UT 84341 Anderson, Ryan DPM ~* NPI: 1881702355 NPI: 1407296189 (435) 716-2800 NPI: 1053334730 Southern Utah Ear Nose & Daniel J Huff Podiatry Foot & Ankle Specialists Of Throat Llc - St George Dpm Pc - Logan Richman, Brian DPM ~ Utah - Bountiful 1490 East Foremaster Dr 1219 North 400 East NPI: 1831124247 596 West 750 South Ste Ste 350 Logan, UT 84341 Brian Richman Dpm Pc - 200 Saint George, UT 84790 (435) 787-1023 Logan Bountiful, UT 84010 (435) 628-3334 550 East 1400 North Ste N (801) 292-4425 Japanese Cook, Gregory DPM ~* Logan, UT 84341 French, German NPI: 1558504548 (435) 752-1038 Podiatrist Cook Foot & Ankle Anderson, Ryan DPM ~* Specialists - Logan Rigby, Ryan DPM ~* NPI: 1053334730 Box Elder 550 East 1400 North Ste B NPI: 1356505259 Utah Podiatric Physicians Logan, UT 84341 Ihc Logan Regional And Surgeons Group - 425 Brigham City (435) 752-9011 Orthopedics - Logan Medical 84302 1350 North 500 East 425 Medical Dr Ste 215 Edwards, David DPM ~* Logan, UT 84341 Bountiful, UT 84010 Heninger, Spencer NPI: 1235125212 (435) 716-2800 (801) 292-9222 DPM ~* Daniel J Huff Podiatry French, German NPI: 1790781292 Dpm Pc - Logan Alpine Orthopaedic 1219 North 400 East Providence Anderson, Ryan DPM ~* Specialists - Brigham City Logan, UT 84341 84332 NPI: 1053334730 1030 South Medical Dr Ste (435) 787-1023 Burgon, Andrew DPM ~* Utah Podiatric Physicians A NPI: 1407296189 And Surgeons Group - 596 Brigham City, UT 84302 Heninger, Spencer Daniel J Huff Podiatry West (435) 723-9700 DPM ~* Dpm Pc - Providence 596 West 750 South Ste NPI: 1790781292 272 North Spring Creek 200 Tremonton Alpine Orthopaedic Pkway Bountiful, UT 84010 84337 Specialists - Logan Providence, UT 84332 (801) 292-4425 2310 North 400 East Ste A (435) 787-1023 French, German Heninger, Spencer Logan, UT 84341 DPM ~* (435) 787-2000 Edwards, David DPM ~* Campbell, Jason DPM ~* NPI: 1790781292 NPI: 1235125212 NPI: 1700193711 Alpine Orthopaedic Huff, Daniel DPM ~* Daniel J Huff Podiatry Foot & Ankle Specialists Of Specialists - Tremonton NPI: 1437364445 Dpm Pc - Providence Utah - Bountiful 905 North 1000 West Daniel J Huff Podiatry 272 North Spring Creek 596 West 750 South Ste Tremonton, UT 84337 Dpm Pc - North Logan Pkway 200 (435) 787-2000 2380 North 400 East Ste G Providence, UT 84332 Bountiful, UT 84010 Logan, UT 84341 (435) 787-1023 (801) 292-4425 (435) 787-1023 Huff, Daniel DPM ~* Frost, Colby DPM ~* Pedersen, Curtis DPM ~* NPI: 1437364445 NPI: 1619284627 NPI: 1366452757 Daniel J Huff Podiatry Foot & Ankle Specialists Of Ihc Logan Hyperbaric And Dpm Pc - Providence Utah - Bountiful Wound Care - Logan 272 North Spring Creek 596 West 750 South Ste 1400 North 500 East Pkway 200 Logan, UT 84341 Providence, UT 84332 Bountiful, UT 84010 (435) 716-2250 (435) 787-1023 (801) 292-4425

323 Specialty Providers / Proveedores Especializados Podiatrist continued/seguido

Hronek, Anna DPM ~ Seegmiller, Richard Kaysville Clark, Scott DPM ~* NPI: 1538500731 DPM ~* NPI: 1700865748 Ihc Bountiful Clinic - NPI: 1174539449 84037 Utah Podiatry Group Pc - Bountiful Utah Podiatry Group Pc - Flitton, Todd DPM ~* Layton 390 North Main St Bountiful 2 NPI: 1699751461 1660 West Antelope Dr Ste Bountiful, UT 84010 440 Medical Drive Ste 1U Tanner Memorial Clinic - 110 (801) 294-1000 Bountiful, UT 84010 Kaysville Layton, UT 84041 (801) 292-5070 380 North 400 West (801) 505-5277 Mcmanama, Craig Kaysville, UT 84037 DPM ~* Toole, Douglas DPM ~* (801) 773-4840 Oaks, Gary DPM ~* NPI: 1659430254 NPI: 1740543834 NPI: 1922294768 West Valley Foot & Ankle Foot & Ankle Specialists Of Warby, David DPM ~* Utah Podiatry Group Pc - Center Pc - Bountiful Utah - Bountiful NPI: 1912949421 Layton 513 West 2600 South 596 West 750 South Ste Utah Podiatric Physicians 1660 West Antelope Dr Ste Bountiful, UT 84010 200 And Surgeons Group - 110 (801) 292-9202 Bountiful, UT 84010 Kaysville Layton, UT 84041 Spanish (801) 292-4425 275 North 300 West Ste (801) 505-5277 Spanish 403 Seagle, Bryan DPM ~* Kaysville, UT 84037 Potter, Brooks DPM ~* NPI: 1194799247 Clearfield (801) 544-9441 NPI: 1629054580 Foot & Ankle Specialists Of German Tanner Memorial Clinic - Utah - Bountiful 84015 Layton 596 West 750 South Ste Gaertner-Crison, Gretel Layton 2121 North 1700 West 200 DPM ~* Layton, UT 84041 Bountiful, UT 84010 NPI: 1629187547 84040 (801) 773-4840 (801) 292-4425 Legacy Point Family Warby, David DPM ~* Spanish French Medicine Center - West NPI: 1912949421 Point David H Warby Dpm Inc - Richman, Brian DPM ~ Seagle, Bryan DPM ~* 3110 West 300 North Ste Layton NPI: 1831124247 NPI: 1194799247 A 2950 North Church St Ste Brian Richman Dpm Pc - Utah Podiatric Physicians Clearfield, UT 84015 303 Layton And Surgeons Group - 425 (801) 614-5140 Layton, UT 84040 1660 West Antelope Dr Ste Medical Spanish (801) 544-9441 110 425 Medical Dr Ste 215 German Layton, UT 84041 Bountiful, UT 84010 Farmington (801) 825-4709 (801) 292-9222 84025 84041 French Bruse, Jason DPM ~* Rushton, Ryan DPM Campbell, Jason DPM ~* NPI: 1679502710 NPI: 1013007632 Seagle, Bryan DPM ~* NPI: 1700193711 Ogden Clinic - Davis Uuhc Davis Clinic NPI: 1194799247 Wasatch Foot & Ankle Family Physicians 1492 West Antelope Dr Ste Utah Podiatric Physicians Institute Llc - Farmington 3225 West Gordon Ave Ste 150 And Surgeons Group - 596 670 Shepard Ln Ste 102 1 Layton, UT 84041 West Farmington, UT 84025 Layton, UT 84041 (801) 741-8800 596 West 750 South Ste (801) 451-7500 (801) 397-6150 200 Japanese Seegmiller, David Bountiful, UT 84010 Frost, Colby DPM ~* DPM ~* (801) 292-4425 NPI: 1619284627 Carter, Tyson DPM ~ NPI: 1619914751 French Wasatch Foot & Ankle NPI: 1578902896 Utah Podiatry Group Pc - Institute Llc - Farmington Layton Parkway Podiatry - Layton 670 Shepard Ln Ste 102 Layton 1660 West Antelope Dr Ste Farmington, UT 84025 201 West Layton Parkway 110 (801) 451-7500 Ste 1A Layton, UT 84041 Layton, UT 84041 (801) 505-5277 (801) 543-6750 ~ Accepting new patients/Aceptando a nuevos pacientes * Accepts Medicaid/Acepta Medicaid ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

324 Specialty Providers / Proveedores Especializados Podiatrist continued/seguido

Seegmiller, Richard Reber, Leon DPM ~* Salt Lake Seagle, Bryan DPM ~* DPM ~* NPI: 1336179886 NPI: 1194799247 NPI: 1174539449 Advanced Foot And Ankle Draper Foot & Ankle Specialists Of Utah Podiatry Group Pc - - Cedar City 84020 Utah - Draper Layton 1811 West Royal Hunte Dr 11762 South State St Ste 1660 West Antelope Dr Ste Ste 2 Anderson, Ryan DPM ~* 340 110 Cedar City, UT 84720 NPI: 1053334730 Draper, UT 84020 Layton, UT 84041 (435) 586-2225 Foot & Ankle Specialists Of (801) 566-7297 (801) 505-5277 Utah - Draper French Reber, Leon DPM ~* 11762 South State St Ste Smith, Terry DPM ~ NPI: 1336179886 340 Seagle, Bryan DPM ~* NPI: 1013972157 Foot And Ankle Institute Draper, UT 84020 NPI: 1194799247 Utah Podiatry Group Pc - Inc - Cedar City (801) 566-7297 Utah Podiatric Physicians Layton 1811 West Royal Hunte Dr French, German And Surgeons Group - 1660 West Antelope Dr Ste Cedar City, UT 84720 11762 S State 110 (435) 586-2225 Anderson, Ryan DPM ~* 11762 S State St Ste 340 Layton, UT 84041 NPI: 1053334730 Draper, UT 84020 (801) 505-5277 Webb, Brad DPM ~* Utah Podiatric Physicians (801) 566-7297 NPI: 1518900562 And Surgeons Group - French Syracuse Advanced Foot And Ankle 11762 S State - Cedar City 11762 S State St Ste 340 Toole, Douglas DPM ~* 84075 1811 West Royal Hunte Dr Draper, UT 84020 NPI: 1740543834 Potter, Brooks DPM ~* Ste 2 (801) 566-7297 Foot & Ankle Specialists Of NPI: 1629054580 Cedar City, UT 84720 French, German Utah - Draper Tanner Memorial Clinic - (435) 586-2225 11762 South State St Ste Syracuse German Campbell, Jason DPM ~* 340 2038 West 1900 South NPI: 1700193711 Draper, UT 84020 Syracuse, UT 84075 Webb, Brad DPM ~* Foot & Ankle Specialists Of (801) 566-7297 (801) 773-4840 NPI: 1518900562 Utah - Draper Spanish Spanish Foot And Ankle Institute 11762 South State St Ste Inc - Cedar City 340 Holladay Iron 1811 West Royal Hunte Dr Draper, UT 84020 Cedar City, UT 84720 (801) 566-7297 84117 Cedar City (435) 586-2225 Jones, Steven DPM * 84720 German Frost, Colby DPM ~* NPI: 1245256973 NPI: 1619284627 Steven R Jones Dpm - Clark, Gary DPM ~* 84721 Foot & Ankle Specialists Of Holladay NPI: 1609861152 Utah - Draper 2361 Murray Holladay Rd Gary W Clark Dpm Pc - Webb, Brad DPM ~* 11762 South State St Ste Holladay, UT 84117 Cedar City NPI: 1518900562 340 (801) 277-8512 166 West 1325 North Ste Paiute Medical Clinic - Draper, UT 84020 300 Cedar City (801) 566-7297 Cedar City, UT 84720 440 North Paiute Dr Magna (435) 867-8521 Cedar City, UT 84721 Larsen, Clint DPM ~* 84044 (435) 586-1112 NPI: 1861656332 Banks, Justin DPM ~* Peterson, Ryan DPM ~* German Utah Podiatric Physicians NPI: 1356726749 NPI: 1245486307 And Surgeons Group - Magna Center For Family Foot And Ankle Institute 11800 S State Medicine - Magna Inc - Cedar City 11800 S State St Ste 350 3665 South 8400 West Ste 1811 West Royal Hunte Dr Draper, UT 84020 110 Cedar City, UT 84720 (801) 261-1391 Magna, UT 84044 (435) 586-2225 (801) 250-9638

325 Specialty Providers / Proveedores Especializados Podiatrist continued/seguido

Midvale Rowan, Gregory DPM ~ Oaks, Gary DPM ~* Edwards, Annemarie NPI: 1376854067 NPI: 1922294768 DPM ~ 84047 Ihc Salt Lake Clinic - Utah Podiatry Group Pc - NPI: 1538171467 Goebel, Christiaan Podiatry Sugarhouse Ihc Cottonwood Podiatry - DPM ~* 389 South 900 East 2159 South 700 East Ste Murray NPI: 1659683381 Salt Lake City, UT 84102 150 181 East Medical Tower Utah Podiatric Physicians (385) 282-2450 Salt Lake City, UT 84106 Dr And Surgeons Group - (801) 505-5277 Salt Lake City, UT 84107 Midvale Seegmiller, David (801) 314-7730 101 E Fort Union Blvd Ste DPM ~* Seegmiller, David Spanish B NPI: 1619914751 DPM ~* Midvale, UT 84047 Utah Podiatry Group Pc - NPI: 1619914751 Edwards, Annemarie (801) 561-1011 Downtown Utah Podiatry Group Pc - DPM ~ Spanish 24 South 1100 East Ste 210 Sugarhouse NPI: 1538171467 Salt Lake City, UT 84102 2159 South 700 East Ste Ihc Intermountain Senior Riverton (801) 505-5277 150 Clinic - Murray Salt Lake City, UT 84106 181 East Medical Tower 84065 Seegmiller, Richard (801) 505-5277 Dr Hamblin, Kelly DPM ~* DPM ~* Salt Lake City, UT 84107 NPI: 1770515926 NPI: 1174539449 Seegmiller, Richard (801) 314-4544 Granger Medical - Riverton Utah Podiatry Group Pc - DPM ~* Spanish 12391 South 4000 West Downtown NPI: 1174539449 Riverton, UT 84065 24 South 1100 East Ste 210 Utah Podiatry Group Pc - Huff, Daniel DPM ~* (801) 302-1700 Salt Lake City, UT 84102 Sugarhouse NPI: 1437364445 (801) 505-5277 2159 South 700 East Ste Daniel J Huff Podiatry Reagan, John DPM ~ 150 Dpm Pc - Murray NPI: 1275896359 Smith, Terry DPM ~ Salt Lake City, UT 84106 279 East 5900 South Ste Ihc Southridge Clinic NPI: 1013972157 (801) 505-5277 102 Medical Specialties - Utah Podiatry Group Pc - Salt Lake City, UT 84107 Riverton Downtown Smith, Terry DPM ~ (801) 261-0159 3723 West 12600 South 24 South 1100 East Ste 210 NPI: 1013972157 Riverton, UT 84065 Salt Lake City, UT 84102 Utah Podiatry Group Pc - 84111 (801) 285-4200 (801) 505-5277 Sugarhouse Spanish Eddy, Thomas DPM ~* 2159 South 700 East Ste NPI: 1528354693 84106 150 Sacred Circle Health Care - Salt Lake City Salt Lake City, UT 84106 Goshute - Salt Lake Clark, Scott DPM ~* (801) 505-5277 84102 NPI: 1700865748 660 South 200 East Ste 250 Salt Lake City, UT 84111 Clark, Scott DPM ~* Utah Podiatry Group Pc - 84107 NPI: 1700865748 Sugarhouse (435) 234-1194 Utah Podiatry Group Pc - 2159 South 700 East Ste Davis, Nathan DPM ~* Downtown 150 NPI: 1730165572 84117 24 South 1100 East Ste 210 Salt Lake City, UT 84106 Nathan W Davis Dpm Pc - Goebel, Christiaan Salt Lake City, UT 84102 (801) 505-5277 Murray DPM ~* (801) 505-5277 154 Myrtle Ave Ste 201 NPI: 1659683381 Daniels, Paul DPM ~ Salt Lake City, UT 84107 Salt Lake City Foot And Oaks, Gary DPM ~* NPI: 1760499180 (801) 743-2909 Ankle Clinic NPI: 1922294768 Paul N Daniels Dpm - Salt Spanish 4578 South Highland Dr Utah Podiatry Group Pc - Lake Ste 380 Downtown 1449 East 3300 South Salt Lake City, UT 84117 24 South 1100 East Ste 210 Salt Lake City, UT 84106 (801) 274-9060 Salt Lake City, UT 84102 (801) 483-1015 Spanish (801) 505-5277 Russian

326 Specialty Providers / Proveedores Especializados Podiatrist continued/seguido

84118 84123 Seagle, Bryan DPM ~* 84129 Johnson, Jeffrey DPM ~* Brown, H Ronald NPI: 1194799247 Campbell, Craig DPM ~* NPI: 1447323886 DPM ~* Utah Podiatric Physicians NPI: 1841288651 Twin Peaks Medical Pc - NPI: 1619965225 And Surgeons Group - Salt Southwest Foot Clinic - Salt Kearns H R Brown Dpm - Lake Lake 4956 West 6200 South Ste Taylorsville 1377 East 3900 South Ste 5255 South 4015 West Ste 316 4370 South Redwood Rd 100 140 Salt Lake City, UT 84118 Salt Lake City, UT 84123 Salt Lake City, UT 84124 Salt Lake City, UT 84129 (801) 647-8888 (801) 967-3338 (801) 262-1172 (801) 969-1434 German, Russian, Spanish French Spanish 84124 Shelton, Scott DPM ~* 84120 Anderson, Mikol DPM ~ NPI: 1710114962 Sandy Burleigh, William NPI: 1992910905 Utah Podiatric Physicians 84093 DPM ~* Mikol Anderson Pc - Salt And Surgeons Group - Salt Shelton, Scott DPM ~* NPI: 1023040276 Lake Lake NPI: 1710114962 Granger Medical - West 1250 East 3900 South Ste 1377 East 3900 South Ste Alpine Foot And Ankle Valley 420 100 Clinic - Sandy 3725 West 4100 South Salt Lake City, UT 84124 Salt Lake City, UT 84124 1434 East 9400 South Ste Salt Lake City, UT 84120 (801) 269-9939 (801) 262-1172 203 (801) 965-3600 Portugese, Spanish Sandy, UT 84093 Spanish Anderson, Ryan DPM ~* (801) 571-7911 NPI: 1053334730 Stewart, Jeffrey DPM ~* Portugese, Spanish Hamblin, Kelly DPM ~* Utah Podiatric Physicians NPI: 1184623092 NPI: 1770515926 And Surgeons Group - Salt Utah Podiatric Physicians Shelton, Scott DPM ~* Granger Medical - West Lake And Surgeons Group - Salt NPI: 1710114962 Valley 1377 East 3900 South Ste Lake Utah Podiatric Physicians 3725 West 4100 South 100 1377 East 3900 South Ste And Surgeons Group - Salt Lake City, UT 84120 Salt Lake City, UT 84124 100 Sandy (801) 965-3600 (801) 262-1172 Salt Lake City, UT 84124 1434 East 9400 South Ste French, German (801) 262-1172 203 84121 Italian, Spanish Sandy, UT 84093 Dickerson, Jason DPM ~* Goebel, Christiaan (801) 571-7911 NPI: 1528039377 DPM ~* Warby, David DPM ~* Portugese, Spanish Heiden Davidson NPI: 1659683381 NPI: 1912949421 Orthopedics - Cottonwood Utah Podiatric Physicians Utah Podiatric Physicians 84094 Heights And Surgeons Group - Salt And Surgeons Group - Salt 6360 South 3000 East Ste Lake Lake Phillips, Stanley DPM ~* 210 1377 East 3900 South Ste 1377 East 3900 South Ste NPI: 1841202397 Salt Lake City, UT 84121 100 100 Stanley J Phillips Dpm Pc - (435) 615-8822 Salt Lake City, UT 84124 Salt Lake City, UT 84124 Sandy Spanish (801) 262-1172 (801) 262-1172 9690 South 1300 East Ste Spanish German 120 Sandy, UT 84094 Thomas, Benjamin (801) 501-4335 DPM ~ Larsen, Clint DPM ~* Williams, Trevor DPM ~* NPI: 1043659055 NPI: 1861656332 NPI: 1881642676 Foothill Clinic - 6360 South Utah Podiatric Physicians Utah Podiatric Physicians 6360 South 3000 East Ste And Surgeons Group - Salt And Surgeons Group - Salt 100 Lake Lake Salt Lake City, UT 84121 1377 East 3900 South Ste 1377 East 3900 South Ste (801) 365-1032 100 100 Salt Lake City, UT 84124 Salt Lake City, UT 84124 (801) 262-1172 (801) 262-1172

327 Specialty Providers / Proveedores Especializados Podiatrist continued/seguido

Schiffgen, Stephen Huff, Daniel DPM ~* West Valley City Rogers, Scott DPM ~* DPM ~* NPI: 1437364445 NPI: 1821046418 NPI: 1477556298 Daniel J Huff Podiatry 84120 Tooele Foot & Ankle Clinic Stephen T Schiffgen Dpm - Dpm Pc - West Jordan Mcmanama, Craig - Tooele Sandy 3584 West 9000 South Ste DPM ~* 2356 North 400 East Ste 9690 South 1300 East Ste 301 NPI: 1659430254 104 120 West Jordan, UT 84088 West Valley Foot & Ankle Tooele, UT 84074 Sandy, UT 84094 (801) 255-8633 Center Pc - West Valley (435) 882-0711 (801) 501-4335 3465 South Pioneer Pkwy German Oaks, Gary DPM ~* Ste 3 South Jordan NPI: 1922294768 West Valley City, UT Utah Utah Podiatry Group Pc - 84120 84095 West Jordan (801) 966-3556 American Fork Call Jr, Donald DPM ~* 8822 South Redwood Rd Spanish 84003 NPI: 1861594624 Ste E121 Donald R Call Jr Dpm Llc - West Jordan, UT 84088 Tooele Gibson, Brandt DPM ~* South Jordan (801) 505-5277 NPI: 1841271095 1325 West South Jordan Tooele Mountain West Foot & Pkwy Ste 105 Seegmiller, David 84074 Ankle Institute - American South Jordan, UT 84095 DPM ~* Fork (801) 254-3123 NPI: 1619914751 Halladay, Kim DPM ~* 36 North 1100 East Ste B Spanish Utah Podiatry Group Pc - NPI: 1902809528 American Fork, UT 84003 West Jordan Tooele Foot & Ankle Clinic (801) 756-0765 West Jordan 8822 South Redwood Rd - Tooele Spanish Ste E121 2356 North 400 East Ste 84084 West Jordan, UT 84088 104 Mckenzie Ii, David Williams, Trevor DPM ~* (801) 505-5277 Tooele, UT 84074 DPM ~* NPI: 1881642676 (435) 882-0711 NPI: 1245541937 Foot And Ankle Specialists Seegmiller, Richard Rogers Foot And Ankle Pllc - West Jordan DPM ~* Mckenzie Ii, David Institute Inc - American 1561 West 7000 South Ste NPI: 1174539449 DPM ~* Fork 100 Utah Podiatry Group Pc - NPI: 1245541937 1248 East 90 North Ste 101 West Jordan, UT 84084 West Jordan Tooele Foot & Ankle Clinic American Fork, UT 84003 (801) 569-2696 8822 South Redwood Rd - Tooele (801) 756-4200 Ste E121 2356 North 400 East Ste Polish 84088 West Jordan, UT 84088 104 (801) 505-5277 Tooele, UT 84074 Phillips, Stanley DPM ~* Clark, Scott DPM ~* (435) 882-0711 NPI: 1841202397 NPI: 1700865748 Smith, Terry DPM ~ Polish Foot And Ankle Clinics Of Utah Podiatry Group Pc - Utah Pc - American Fork West Jordan NPI: 1013972157 Utah Podiatry Group Pc - Mckenzie Ii, David 1184 East 80 North 8822 South Redwood Rd DPM ~* American Fork, UT 84003 Ste E121 West Jordan 8822 South Redwood Rd NPI: 1245541937 (801) 763-3885 West Jordan, UT 84088 Tooele Orthopaedics And (801) 505-5277 Ste E121 West Jordan, UT 84088 Sports Medicine Specialists Rogers, Mark DPM ~* (801) 505-5277 - Tooele NPI: 1619958345 Hamblin, Kelly DPM ~* 2321 North 400 East Ste Central Utah Foot Clinic NPI: 1770515926 300 Llc - American Fork - Site Granger Medical - West Tooele, UT 84074 120 North 1220 East Ste 12 Jordan (435) 833-9180 American Fork, UT 84003 3181 West 9000 South Polish (801) 756-4200 West Jordan, UT 84088 Spanish (801) 352-5600

328 Specialty Providers / Proveedores Especializados Podiatrist continued/seguido

Rogers, Mark DPM ~* Lehi 84097 84604 NPI: 1619958345 Rogers Foot And Ankle 84043 Mckell, Scott DPM ~* Clegg, Jared DPM ~* Institute Inc - American Mckenzie Ii, David NPI: 1497820054 NPI: 1588664759 Fork DPM ~* Foot And Ankle Clinics Of Cascade Foot And Ankle - 1248 East 90 North Ste 101 NPI: 1245541937 Utah Pc - Orem - Mckell Provo American Fork, UT 84003 Tooele Orthopaedics And 504 East 770 North 1973 North State St (801) 756-4200 Sports Medicine Specialists Orem, UT 84097 Provo, UT 84604 Spanish - Lehi (801) 765-1718 (801) 373-2499 3000 North Triumph Blvd Swedish Rogers, Scott DPM ~* Ste 340 Payson NPI: 1821046418 Lehi, UT 84043 84651 Clegg, Jared DPM ~* Central Utah Foot Clinic (435) 833-9180 NPI: 1588664759 Polish Savage, David DPM ~* Utah Podiatry Group Pc - Llc - American Fork - Site NPI: 1891789491 Provo 120 North 1220 East Ste 12 Aspen Foot And Ankle Llc - 1973 North State St American Fork, UT 84003 Phillips, Stanley DPM ~* Payson Provo, UT 84604 (801) 756-4200 NPI: 1841202397 1120 East 100 North Ste 2 (801) 505-5277 German Foot And Ankle Clinics Of Payson, UT 84651 Swedish Utah Pc - Lehi (801) 465-1345 Rogers, Scott DPM ~* 680 East Main St Japanese NPI: 1821046418 Lehi, UT 84043 Humpherys, Scott (801) 763-3885 DPM ~* Rogers Foot And Ankle Provo NPI: 1275647596 Institute Inc - American Scott Humpherys Dpm - Fork Tranter, Devin DPM ~* 84601 1355 N University 1248 East 90 North Ste 101 NPI: 1528409513 Rogers, Mark DPM ~* 1355 N University Ave Ste American Fork, UT 84003 Physicians Group Of Utah NPI: 1619958345 125 (801) 756-4200 - Lehi Central Utah Foot Clinic Provo, UT 84604 German 3000 North Triumph Blvd Llc - Provo - Site (801) 225-3095 Lehi, UT 84043 260 West 800 North (801) 789-4488 Rogers, Thomas DPM ~* Provo, UT 84601 Santaquin NPI: 1720069446 (801) 375-5353 Central Utah Foot Clinic Orem Spanish 84655 Llc - American Fork - Site 84057 Ollerton, Matthew Gerald 120 North 1220 East Ste 12 Rogers, Scott DPM ~* DPM ~* American Fork, UT 84003 Hoyal, James DPM ~* NPI: 1821046418 NPI: 1518959733 (801) 756-4200 NPI: 1538192406 Central Utah Foot Clinic Foot And Ankle Clinics Of Spanish James I Hoyal Dpm Pc - Llc - Provo - Site Utah Pc - Santaquin Orem 260 West 800 North 57 West Main St Eagle Mountain 1798 North State St Orem, UT 84057 Provo, UT 84601 Santaquin, UT 84655 84005 (801) 375-5353 (801) 754-3122 (801) 224-6464 German German Tranter, Devin DPM ~* NPI: 1528409513 Patty, Daniel DPM ~* Rogers, Thomas DPM ~* Eagle Mountain Health NPI: 1437445509 NPI: 1720069446 Center - Eagle Mountain Foot And Ankle Clinics Of Central Utah Foot Clinic 3943 East Pony Express Utah Pc - Orem - Patty Llc - Provo - Site Pkwy Ste 120 157 North 400 West Ste B7 260 West 800 North Eagle Mountain, UT 84005 Orem, UT 84057 Provo, UT 84601 (801) 429-8037 (801) 226-2421 (801) 375-5353 Spanish

329 Specialty Providers / Proveedores Especializados Podiatrist continued/seguido

Saratoga Springs Spanish Fork Reber, Leon DPM ~* Saint George NPI: 1336179886 84045 84660 Foot And Ankle Institute 84770 Mckenzie Ii, David Nelson, Michael DPM ~ Inc - Hurricane Burton, Stephen DPM ~* DPM ~* NPI: 1710909122 52 South 850 West Ste 101 NPI: 1306843099 NPI: 1245541937 Nebo Foot And Ankle Llc - Hurricane, UT 84737 Foot And Ankle Institute Rogers Foot And Ankle Spanish Fork (435) 635-4609 Inc - St George Institute Inc - Saratoga 65 West 200 North Ste 1 754 South Main St Ste 3 Springs Spanish Fork, UT 84660 Smith, Lary DPM ~* Saint George, UT 84770 1305 North Commerce Ste (801) 794-3856 NPI: 1093713539 (435) 628-2671 120 Foot And Ankle Institute Saratoga Springs, UT Springville Inc - Hurricane Magnesen, David 84045 52 South 850 West Ste 101 DPM ~* (801) 756-4200 84663 Hurricane, UT 84737 NPI: 1699779066 Polish Ollerton, Matthew Gerald (435) 635-4609 Southwest Foot & Ankle - DPM ~* St George Rogers, Mark DPM ~* NPI: 1518959733 Van Gils, Carl DPM ~* 676 South Bluff St Ste 205 NPI: 1619958345 Foot And Ankle Clinics Of NPI: 1518964212 Saint George, UT 84770 Rogers Foot And Ankle Utah Pc - Springville Foot And Ankle Institute (435) 628-5690 Institute Inc - Saratoga 5 East 400 North Inc - Hurricane Spanish Springs Springville, UT 84663 52 South 850 West Ste 101 1305 North Commerce Ste (801) 491-3668 Hurricane, UT 84737 Powell, Andrew DPM ~* 120 German (435) 635-4609 NPI: 1861499568 Saratoga Springs, UT Foot And Ankle Institute 84045 Washington Ivins Inc - St George (801) 756-4200 754 South Main St Ste 3 Spanish Hurricane 84738 Saint George, UT 84770 84737 Burton, Stephen DPM ~* (435) 628-2671 Rogers, Scott DPM ~* NPI: 1306843099 NPI: 1821046418 Burton, Stephen DPM ~* Foot And Ankle Institute Reber, Keith DPM ~* Central Utah Foot Clinic NPI: 1306843099 Inc - Ivins NPI: 1669479358 Llc - Saratoga Springs Foot And Ankle Institute 272 East Center St Ste 101 Foot And Ankle Institute 76 East Commerce Dr Ste Inc - Hurricane Ivins, UT 84738 Inc - St George 204 52 South 850 West Ste 101 (435) 628-2671 754 South Main St Ste 3 Saratoga Springs, UT Hurricane, UT 84737 Saint George, UT 84770 84045 (435) 635-4609 Van Gils, Carl DPM ~* (435) 628-2671 (801) 900-1130 NPI: 1518964212 German Peterson, Ryan DPM ~* Foot And Ankle Institute Reber, Leon DPM ~* NPI: 1245486307 Inc - Ivins NPI: 1336179886 Rogers, Scott DPM ~* Foot And Ankle Institute 272 East Center St Ste 101 Foot And Ankle Institute NPI: 1821046418 Inc - Hurricane Ivins, UT 84738 Inc - St George Rogers Foot And Ankle 52 South 850 West Ste 101 (435) 628-2671 754 South Main St Ste 3 Institute Inc - Saratoga Hurricane, UT 84737 Saint George, UT 84770 Springs (435) 635-4609 Webb, Brad DPM ~* (435) 628-2671 1305 North Commerce Ste NPI: 1518900562 120 Powell, Andrew DPM ~* Shivwits Medical Clinic - Smith, Lary DPM * Saratoga Springs, UT NPI: 1861499568 Ivins NPI: 1093713539 84045 Foot And Ankle Institute 6109 West 3700 North Foot And Ankle Institute (801) 756-4200 Inc - Hurricane Ivins, UT 84738 Inc - St George German 52 South 850 West Ste 101 (435) 688-8198 754 South Main St Ste 3 Hurricane, UT 84737 German Saint George, UT 84770 (435) 635-4609 (435) 628-2671

330 Specialty Providers / Proveedores Especializados Podiatrist continued/seguido

Stewart, Jeffrey DPM ~* Carter, Tyson DPM ~ Walker, Kevin DPM Roy NPI: 1184623092 NPI: 1578902896 NPI: 1013905819 Coral Desert Foot & Ankle Ihc Mckay Dee Foot And Ogden Clinic Professional 84067 Pc - St George Ankle - Ogden Center - South Oaks, Gary DPM ~* 1490 East Foremaster Dr 4403 Harrison Blvd Ste 4700 Harrison Blvd NPI: 1922294768 Ste 250 2835 Ogden, UT 84403 Tanner Memorial Clinic - Saint George, UT 84770 Ogden, UT 84403 (801) 475-3870 Roy (435) 634-9225 (801) 387-7945 Spanish 3443 West 5600 South Ste Italian, Spanish 100 Frost, Colby DPM ~* Woolley, Mark DPM ~ Roy, UT 84067 Van Gils, Carl DPM ~* NPI: 1619284627 NPI: 1629213780 (801) 773-4840 NPI: 1518964212 Wasatch Foot & Ankle Wasatch Foot & Ankle Foot And Ankle Institute Institute Llc - Ogden Institute Llc - Ogden Podiatrist - Foot & Inc - St George 955 East Chambers St Ste 955 East Chambers St Ste 754 South Main St Ste 3 200 200 Ankle Surgery Saint George, UT 84770 Ogden, UT 84403 Ogden, UT 84403 (435) 628-2671 (801) 627-2122 (801) 627-2122 Box Elder Dutch 84790 Murrah, Chantel DPM ~* Brigham City NPI: 1093791311 84404 84302 Stewart, Jeffrey DPM ~* Chantel B Murrah Dpm NPI: 1184623092 Cook, Gregory DPM ~* Sautter, Travis DPM ~ Phd - Ogden NPI: 1558504548 Advanced Foot And Ankle 955 East Chambers St Ste NPI: 1124045877 - St George Farr West Medical Arts Cook Foot & Ankle 200 Bldg 1490 East Foremaster Dr Ogden, UT 84403 Specialists - Brigham City Ste 250 2850 North 2000 West 990 South Medical Dr Ste (801) 627-2122 Ogden, UT 84404 Saint George, UT 84790 Spanish U3 (435) 634-9225 (801) 744-1118 Brigham City, UT 84302 Italian, Spanish Murrah, Chantel DPM ~* (435) 734-9623 NPI: 1093791311 84405 Weber Wasatch Foot & Ankle Agres, Susan DPM ~* Cache Ogden Institute Llc - Ogden NPI: 1053560789 Logan 955 East Chambers St Ste Wasatch Podiatry - Ogden 84403 200 5275 Adams Ave Ste A 84341 Bruse, Jason DPM * Ogden, UT 84403 Ogden, UT 84405 Sautter, Travis DPM ~ NPI: 1679502710 (801) 627-2122 (801) 430-8406 NPI: 1124045877 Ogden Clinic Professional Spanish Cook Foot & Ankle Center - South Glover, David DPM ~* Specialists - Logan 4700 Harrison Blvd Pedersen, Curtis DPM ~* NPI: 1740371681 550 East 1400 North Ste B Ogden, UT 84403 NPI: 1366452757 Mountain View Foot & Logan, UT 84341 (801) 475-3870 Ihc Mckay Dee Wound Ankle Institute - Ogden (435) 752-9011 Japanese And Hyperbaric Center - 6112 South 1550 East Ste Ogden 201 Davis Campbell, Jason DPM ~* 4401 Harrison Blvd Ste Ogden, UT 84405 NPI: 1700193711 1885 (801) 479-7505 Bountiful Wasatch Foot & Ankle Ogden, UT 84403 Spanish 84010 Institute Llc - Ogden (801) 387-4870 955 East Chambers St Ste Church, Robert DPM ~* 200 NPI: 1023390531 Ogden, UT 84403 Utah Podiatry Group Pc - (801) 627-2122 Bountiful 2 440 Medical Drive Ste 1U Bountiful, UT 84010 (801) 292-5070

331 Specialty Providers / Proveedores Especializados Podiatrist - Foot & Ankle Surgery continued/seguido

Church, Robert DPM ~* Kitterman, Ryan DPM ~* Washington Podiatrist - Foot NPI: 1023390531 NPI: 1174811442 Wasatch Foot And Ankle Utah Podiatry Group Pc - Saint George Surgery Specialists - Bountiful Downtown 84770 440 Medical Dr Ste 2 24 South 1100 East Ste 210 Davis Bountiful, UT 84010 Salt Lake City, UT 84102 Cameron, Landon DPM ~ (801) 298-1160 (801) 505-5277 NPI: 1598119463 Bountiful Coral Desert Foot & Ankle 84010 Gulso, Gregory DPM ~ 84106 Pc - St George NPI: 1316025323 1490 East Foremaster Dr Church, Robert DPM ~* Gulso Podiatry Llc - Church, Robert DPM ~* Ste 250 NPI: 1023390531 Bountiful NPI: 1023390531 Saint George, UT 84770 Utah Podiatry Group Pc - 415 South Medical Dr Ste Utah Podiatry Group Pc - (435) 634-9225 Bountiful 2 C200 Sugarhouse 440 Medical Drive Ste 1U Bountiful, UT 84010 2159 South 700 East Ste Dameron, Layne DPM ~ Bountiful, UT 84010 (801) 294-8266 150 NPI: 1639249782 (801) 292-5070 Salt Lake City, UT 84106 Southwest Foot & Ankle - (801) 505-5277 St George Church, Robert DPM ~* Layton 676 South Bluff St Ste 205 NPI: 1023390531 84040 84107 Saint George, UT 84770 Wasatch Foot And Ankle Gulso, Gregory DPM ~ Sekulic, Selina DPM ~ (435) 628-5690 Specialists - Bountiful NPI: 1316025323 NPI: 1891082830 Portugese, Spanish 440 Medical Dr Ste 2 David H Warby Dpm Inc - Final Kick Ankle And Foot Bountiful, UT 84010 Layton Clinic Llc - Slc Weber (801) 298-1160 2950 North Church St Ste 348 East 4500 South Ste 303 370 Ogden Salt Lake Layton, UT 84040 Salt Lake City, UT 84107 84403 Salt Lake City (801) 544-9441 (385) 770-7203 Clayton, Paul DPM ~ NPI: 1538318951 84102 84041 84124 Ihc Mckay Dee Foot And Church, Robert DPM ~* Kitterman, Ryan DPM ~* Ellsworth, Ryan DPM ~* Ankle - Ogden NPI: 1023390531 NPI: 1174811442 NPI: 1104130574 4403 Harrison Blvd Ste Utah Podiatry Group Pc - Utah Podiatry Group Pc - Utah Podiatric Physicians 2835 Downtown Layton And Surgeons Group - Salt Ogden, UT 84403 24 South 1100 East Ste 210 1660 West Antelope Dr Ste Lake (801) 387-7945 Salt Lake City, UT 84102 110 1377 East 3900 South Ste (801) 505-5277 Layton, UT 84041 100 Woolley, Mark DPM ~ (801) 505-5277 Salt Lake City, UT 84124 NPI: 1629213780 84106 (801) 262-1172 Wasatch Foot & Ankle Institute Llc - Ogden Church, Robert DPM ~* Salt Lake NPI: 1023390531 West Jordan 955 East Chambers St Ste Salt Lake City 200 Utah Podiatry Group Pc - 84088 Ogden, UT 84403 Sugarhouse 84102 (801) 627-2122 2159 South 700 East Ste Kitterman, Ryan DPM ~* 150 Church, Robert DPM ~* NPI: 1174811442 Dutch NPI: 1023390531 Salt Lake City, UT 84106 Utah Podiatry Group Pc - (801) 505-5277 Utah Podiatry Group Pc - West Jordan Downtown 8822 South Redwood Rd 24 South 1100 East Ste 210 Ste E121 Salt Lake City, UT 84102 West Jordan, UT 84088 (801) 505-5277 (801) 505-5277

332 Specialty Providers / Proveedores Especializados Podiatrist - Foot Surgery continued/seguido

84117 Riverton Salt Lake City Salt Lake Harper, Spence DPM ~ 84096 84111 Salt Lake City NPI: 1851394803 Egbert, Jonathon ~ Olsen, Lisa APRN ~* 84111 Spence D Harper Dpm Pc - NPI: 1699069542 NPI: 1134105364 Murray Avesis Third Party Center For Human Salt Lake Valley Health 999 East Murray Holladay Administrators Inc Potential - Salt Lake Department ~* Dr Ste 102 13686 So Redwood Rd 265 East 100 South Ste 250 NPI: 1235260795 Salt Lake City, UT 84117 Suite C Salt Lake City, UT 84111 Salt Lake County Health (801) 274-9062 Riverton, UT 84096 (801) 483-2447 Department (801) 446-8100 610 South 200 East Prosthodontics 84115 Salt Lake City, UT 84111 Utah (385) 468-4225 Davis Olavson, Paul NP ~ Lindon NPI: 1770560690 84116 Layton Family Counseling Center - 84042 Salt Lake City Salt Lake Valley Health 84040 Egbert, Jonathon ~ 447 West Bearcat Drive Department ~* Egbert, Jonathon ~ NPI: 1699069542 Salt Lake City, UT 84115 NPI: 1235260795 NPI: 1699069542 Avesis Third Party (801) 355-2846 Rose Park Public Health Avesis Third Party Administrators Inc Center Administrators Inc 537 West 550 North Suite Weber 799 North Redwood Rd 2950 North Church St Ste E Ste A 302 Lindon, UT 84042 Ogden Salt Lake City, UT 84116 Layton, UT 84040 (801) 785-6000 84403 (385) 468-3660 (801) 771-0090 Psych/Mental Sanders, Bart NP ~ 84190 Salt Lake NPI: 1760788160 Salt Lake Valley Health Health - Nurse Mckay Dee Behavioral Department ~* Draper Health Institute - Ogden 5030 Harrison Blvd NPI: 1235260795 84020 Practitioner Salt Lake Valley Health Ogden, UT 84403 Department - Salt Lake Egbert, Jonathon ~ Salt Lake (801) 387-5620 2001 South State St Ste NPI: 1699069542 S2500 Avesis Third Party Murray Public Health Or Salt Lake City, UT 84190 Administrators Inc (385) 468-4114 656 East 11400 S Ste H 84107 Welfare Agency Draper, UT 84020 Olavson, Paul NP ~ (801) 572-2006 NPI: 1770560690 Davis Sandy Family Counseling Center - 84070 Herriman Murray Clearfield 650 East 4500 South Ste Salt Lake Valley Health 84096 300 84015 Department ~* NPI: 1235260795 Egbert, Jonathon ~ Murray, UT 84107 Davis County Health (801) 261-3500 Department ~* Salt Lake City Health NPI: 1699069542 Department South East Avesis Third Party NPI: 1952460362 Davis County Health Center Administrators Inc 9340 South 700 East 13292 South 5600 W Department - Clearfield 22 South State St Sandy, UT 84070 Herriman, UT 84096 (385) 468-4330 (801) 302-8787 Clearfield, UT 84015 (801) 525-5000

333 Specialty Providers / Proveedores Especializados Public Health Or Welfare Agency continued/seguido

West Valley City Davis 84721 Salt Lake City 84120 Bountiful Moon, Theodore MD * 84101 NPI: 1568438455 Salt Lake Valley Health 84010 Bird, Garrett MD ~* Department ~* Ihc St George Pulmonary NPI: 1164638573 NPI: 1235260795 Hammond, Gregory Clinic - Cedar City The Heart & Lung Institute Ellis R Shipp Public Health MD ~* 110 West 1325 North Ste Of Utah - Salt Lake Center NPI: 1942374020 100 82 South 1100 East Ste 103 4535 South 5600 West Silverton Group Llc - Cedar City, UT 84721 Salt Lake City, UT 84101 West Valley City, UT Bountiful (435) 251-2600 (801) 263-2370 84120 401 South 400 East Spanish French, Spanish (385) 468-3700 Bountiful, UT 84010 (801) 295-2361 Saifee, Mustafa MD ~* Dupont, Gregory MD ~* Utah NPI: 1568428357 NPI: 1306943121 Reddy, Chakravarthy Advanced Pulmonary Sleep The Heart & Lung Institute Provo MD ~* Disorders & Internal Med Llc - Ceda Of Utah - Salt Lake 84601 NPI: 1508962176 82 South 1100 East Ste 103 Silverton Group Llc - 110 West 1325 North Ste Salt Lake City, UT 84101 Utah County Health Bountiful 175 (801) 263-2370 Department ~* 401 South 400 East Cedar City, UT 84721 NPI: 1891865010 Bountiful, UT 84010 (435) 688-7770 Hammond, Gregory Utah County Health (801) 295-2361 Hindi MD ~* Department - South Hindi, Kannada, Telugu NPI: 1942374020 University Salt Lake The Heart & Lung Institute 151 South University Ave Layton Of Utah - Salt Lake Ste 1900 Riverton 84041 82 South 1100 East Ste 103 Provo, UT 84601 84065 Salt Lake City, UT 84101 (801) 851-7000 Alexander, Gary MD ~* Cloward, Tom MD ~* (801) 263-2370 NPI: 1265418024 NPI: 1053407726 Pulmonary Disease Tanner Memorial Clinic - Ihc Riverton Campus Sleep Klein, David MD ~* Layton Program - Riverton NPI: 1124075437 Cache 2121 North 1700 West 3723 West 12600 South Ste The Heart & Lung Institute Layton, UT 84041 480 Of Utah - Salt Lake Providence (801) 773-4840 Riverton, UT 84065 82 South 1100 East Ste 103 84332 Spanish (801) 285-4870 Salt Lake City, UT 84101 (801) 263-2370 Pearce, Michael MD ~* Iron NPI: 1568478832 Farney, Robert MD ~* Ihc South Cache Valley Cedar City NPI: 1841386513 84102 Ihc Riverton Campus Sleep Clinic - Providence 84720 Francis, Kurt MD * 190 South Hwy 165 Program - Riverton NPI: 1578588018 Providence, UT 84332 Kline, Michael MD ~* 3723 West 12600 South Ste St Marks Professional (435) 755-3300 NPI: 1073531331 480 Services Llc - Salt Lake Intermountain Cedar City Riverton, UT 84065 508 East South Temple Ste Specialty Clinic - Cedar (801) 285-4870 102 City Italian Salt Lake City, UT 84102 1303 North Main St Ste B (801) 521-9600 Cedar City, UT 84720 (435) 868-5500

334 Specialty Providers / Proveedores Especializados Pulmonary Disease continued/seguido

84103 Cloward, Tom MD ~* Hammond, Gregory Pandita, Sunny MD ~* Farney, Robert MD ~* NPI: 1053407726 MD ~* NPI: 1023095809 NPI: 1841386513 Ihc Intermountain Sleep NPI: 1942374020 Granger Medical - Ihc Lds Campus Sleep Program Tosh - Murray The Heart & Lung Institute Cottonwood Sleep & Lung - Avenues - Salt Lake 5770 South 250 East Ste Of Utah - Main Office Murray 440 D St Ste 200 340 5979 South Fashion Blvd 5801 South Fashion Blvd Salt Lake City, UT 84103 Salt Lake City, UT 84107 Salt Lake City, UT 84107 Ste 280 (801) 408-3617 (801) 314-2400 (801) 263-2370 Salt Lake City, UT 84107 Italian (801) 260-5864 Crossno, Peter MD ~ Hammond, Gregory Hindi, Urdu NPI: 1083761936 MD ~* 84107 Intermountain NPI: 1942374020 Woods, Jamile MD ~* Bird, Garrett MD ~* Multidisciplinary Clinic The Heart & Lung Institute NPI: 1114931540 NPI: 1164638573 5121 South Cottonwood St Of Utah - Pulmonary Intermountain The Heart & Lung Institute Salt Lake City, UT 84107 Clinic Multidisciplinary Clinic Of Utah - Pulmonary (801) 507-7000 5980 South Fashion Blvd 5121 South Cottonwood St Clinic Salt Lake City, UT 84107 Salt Lake City, UT 84107 5980 South Fashion Blvd Dienhart, David MD ~* (801) 263-2370 (801) 507-7000 Salt Lake City, UT 84107 NPI: 1184601940 (801) 263-2370 Granger Medical - Klein, David MD ~* 84124 French, Spanish Cottonwood Sleep & Lung - NPI: 1124075437 Francis, Kurt MD ~* Murray The Heart & Lung Institute NPI: 1578588018 Brown, Samuel MD ~ 5801 South Fashion Blvd Of Utah - Main Office The Heart Center At St NPI: 1013998947 Ste 280 5979 South Fashion Blvd Marks - Millcreek Intermountain Salt Lake City, UT 84107 Salt Lake City, UT 84107 1160 East 3900 South Ste Multidisciplinary Clinic (801) 260-5864 (801) 263-2370 2000 5121 South Cottonwood St Salt Lake City, UT 84124 Salt Lake City, UT 84107 Dupont, Gregory MD ~* Klein, David MD ~* (801) 226-3418 (801) 507-7000 NPI: 1306943121 NPI: 1124075437 The Heart & Lung Institute The Heart & Lung Institute Simpson, Robert MD ~* Chowdhary, Rasheel Of Utah - Main Office Of Utah - Pulmonary NPI: 1609973684 MD ~* 5979 South Fashion Blvd Clinic Thyroid Institute Of Utah - NPI: 1467656264 Salt Lake City, UT 84107 5980 South Fashion Blvd Slc The Heart & Lung Institute (801) 263-2370 Salt Lake City, UT 84107 1377 East 3900 South Ste Of Utah - Pulmonary (801) 263-2370 200 Clinic Farney, Robert MD ~* Salt Lake City, UT 84124 5980 South Fashion Blvd NPI: 1841386513 Nelson, Patricia MD ~* (801) 508-5880 Salt Lake City, UT 84107 Ihc Imed Campus Sleep NPI: 1629051206 (801) 263-2370 Program - Murray Granger Medical - Urdu Simpson, Robert MD ~* 5121 South Cottonwood St Cottonwood Sleep & Lung - NPI: 1609973684 Salt Lake City, UT 84107 Murray Utah Addiction Medicine - Cloward, Tom MD ~* (801) 314-2400 5801 South Fashion Blvd Peak Ent - Slc NPI: 1053407726 Italian Ste 280 1377 East 3900 South Ste Ihc Imed Campus Sleep Salt Lake City, UT 84107 200 Program - Murray Farney, Robert MD ~* (801) 260-5864 Salt Lake City, UT 84124 5121 South Cottonwood St NPI: 1841386513 (801) 852-8440 Salt Lake City, UT 84107 Ihc Intermountain Sleep (801) 314-2400 Program Tosh - Murray 5770 South 250 East Ste 340 Salt Lake City, UT 84107 (801) 314-2400 Italian

335 Specialty Providers / Proveedores Especializados Pulmonary Disease continued/seguido

84132 Woods, Jamile MD ~* Hammond, Gregory Pfeffer, Kathleen MD * Pfeffer, Kathleen MD * NPI: 1114931540 MD ~* NPI: 1700986346 NPI: 1700986346 Lds Hospital - Service NPI: 1942374020 Utah Sleep Specialists Llc - University Of Utah General 8Th Ave C St The Heart & Lung Institute West Jordan Pediatrics - 50 N Medical Salt Lake City, UT 84143 Of Utah - Jordan Valley 9103 South 1300 West Ste Dr (801) 408-1100 3570 West 9000 South Ste 103 50 North Medical Dr 100 West Jordan, UT 84088 Salt Lake City, UT 84132 Sandy West Jordan, UT 84084 (801) 432-8690 (801) 581-2205 (801) 263-2370 84094 West Valley City Cloward, Tom MD ~* Klein, David MD ~* 84143 NPI: 1053407726 NPI: 1124075437 84120 Ansari, Sikandar MD ~* Ihc Alta View Sleep The Heart & Lung Institute Bird, Garrett MD ~* NPI: 1740470731 Program Of Utah - Jordan Valley NPI: 1164638573 Silverton Group Llc - Slc 9660 South 1300 East 3570 West 9000 South Ste The Heart & Lung Institute 8Th Avenue C Street Sandy, UT 84094 100 Of Utah - West Valley Salt Lake City, UT 84143 (801) 501-2358 West Jordan, UT 84084 3336 South 4155 West Ste (801) 408-7100 (801) 263-2370 203 Harris, Dixie MD ~* West Valley City, UT Blagev, Denitza MD ~ NPI: 1740296730 84088 84120 NPI: 1871728469 Alta View Clinic (801) 263-2370 Chowdhary, Sandeep French, Spanish Lds Hospital - Service Pulmonary - Sandy MD ~* 8Th Ave C St 9450 South 1300 East NPI: 1891726162 Salt Lake City, UT 84143 Sandy, UT 84094 Granger Medical - West Hammond, Gregory (801) 408-1100 (801) 501-6333 Jordan MD ~* 3181 West 9000 South NPI: 1942374020 Cloward, Tom MD ~* West Jordan West Jordan, UT 84088 The Heart & Lung Institute NPI: 1053407726 (801) 352-5600 Of Utah - West Valley Ihc Lds Campus Sleep 84084 3336 South 4155 West Ste Program - Salt Lake Bird, Garrett MD ~* 203 325 8Th Ave NPI: 1164638573 Dupont, Gregory MD ~* West Valley City, UT Salt Lake City, UT 84143 The Heart & Lung Institute NPI: 1306943121 84120 (801) 408-3617 Of Utah - Jordan Valley Utah Sleep Specialists Llc - (801) 263-2370 3570 West 9000 South Ste West Jordan 100 9103 South 1300 West Ste Farney, Robert MD ~* 103 Klein, David MD ~* NPI: 1841386513 West Jordan, UT 84084 NPI: 1124075437 (801) 263-2370 West Jordan, UT 84088 Ihc Lds Campus Sleep (801) 432-8690 The Heart & Lung Institute Program - Salt Lake French, Spanish Of Utah - West Valley 325 8Th Ave 3336 South 4155 West Ste Salt Lake City, UT 84143 Chowdhary, Rasheel Farrukh, Imad MD ~* 203 (801) 408-3617 MD ~* NPI: 1851498273 West Valley City, UT Italian NPI: 1467656264 Utah Lung Center Llc - 84120 The Heart & Lung Institute West Jordan (801) 263-2370 3584 West 9000 South Ste Reddy, Chakravarthy Of Utah - Jordan Valley 3570 West 9000 South Ste 201 MD ~* West Jordan, UT 84088 NPI: 1508962176 100 West Jordan, UT 84084 (801) 562-5864 Silverton Group Llc - Slc Arabic 8Th Avenue C Street (801) 263-2370 Salt Lake City, UT 84143 Urdu (801) 408-7100 Hindi, Kannada, Telugu

336 Specialty Providers / Proveedores Especializados Pulmonary Disease continued/seguido

Tooele Pandita, Sunny MD ~* Payson Al Shuqairat, Talaat NPI: 1023095809 MD ~* Tooele Granger Medical - Tooele 84651 NPI: 1104875574 84074 Sleep & Lung Al Shuqairat, Talaat Revere Health - Provo - 71 East 1280 North MD ~* Internal Medicine Bird, Garrett MD ~* Tooele, UT 84074 NPI: 1104875574 1055 North 500 West Ste NPI: 1164638573 (801) 260-5864 Revere Health - Mt View 212, Bldg C The Heart & Lung Institute Hindi, Urdu Hospital Payson Provo, UT 84604 Of Utah - Tooele 1000 East 100 North 3Rd (801) 374-2362 2326 North 400 East Bldg Peng, Wei MD ~* Floor Arabic C Ste 202 NPI: 1295831865 Payson, UT 84651 Tooele, UT 84074 The Heart & Lung Institute (801) 373-4366 Bishop, Clark MD ~* (801) 263-2370 Of Utah - Tooele Arabic NPI: 1841206844 French, Spanish 2326 North 400 East Bldg Ihc Utah Valley Pulmonary C Ste 202 Al Shuqairat, Talaat Clinic - Provo Dienhart, David MD ~* Tooele, UT 84074 MD ~* 395 West Billdog Blvd Ste NPI: 1184601940 (801) 263-2370 NPI: 1104875574 504 Granger Medical - Tooele Chinese Revere Health - Payson - Provo, UT 84604 Sleep & Lung Pulmonary & Internal (801) 357-7291 71 East 1280 North Utah Medicine Tooele, UT 84074 910 East 100 North Ste 105 Harris, Dixie MD ~* (801) 260-5864 American Fork Payson, UT 84651 NPI: 1740296730 84003 (801) 465-4813 Ihc Utah Valley Tia/Stroke Dupont, Gregory MD ~* Arabic Clinic - Provo NPI: 1306943121 Hill, Tracy MD ~* 1034 North 500 West Ste The Heart & Lung Institute NPI: 1992711253 Provo 501 Of Utah - Tooele Ihc American Fork Provo, UT 84604 2326 North 400 East Bldg Pulmonary - Am Fork 84601 (801) 357-8879 C Ste 202 98 North 1100 East Simpson, Robert MD ~* Tooele, UT 84074 American Fork, UT 84003 NPI: 1609973684 Hill, Tracy MD ~* (801) 263-2370 (801) 492-2270 Utah Addiction Medicine - NPI: 1992711253 Peak Ent - Provo Ihc Utah Valley Hyperbaric Hammond, Gregory Pearce, Michael MD ~* 619 North 500 West And Wound Care - Provo MD ~* NPI: 1568478832 Provo, UT 84601 1034 North 500 West NPI: 1942374020 Ihc American Fork (801) 852-9440 Provo, UT 84604 The Heart & Lung Institute Pulmonary - Am Fork (801) 357-8156 Of Utah - Tooele 98 North 1100 East 84604 2326 North 400 East Bldg American Fork, UT 84003 Al Shuqairat, Talaat Pearce, Michael MD ~* C Ste 202 (801) 492-2270 NPI: 1568478832 Tooele, UT 84074 MD ~* NPI: 1104875574 Ihc Utah Valley Pulmonary (801) 263-2370 Sperry, Matthew MD ~* Clinic - Provo NPI: 1871773168 Revere Health - Provo - Endocrinology 395 West Billdog Blvd Ste Nelson, Patricia MD ~* Ihc American Fork 504 NPI: 1629051206 Pulmonary - Am Fork 1055 North 500 West Ste 212 Provo, UT 84604 Granger Medical - Tooele 98 North 1100 East (801) 357-7291 Sleep & Lung American Fork, UT 84003 Provo, UT 84604 71 East 1280 North (801) 492-2270 (801) 429-8095 Arabic Ross, Douglas MD ~* Tooele, UT 84074 NPI: 1780690198 (801) 260-5864 Utah Sleep Medicine Center - Provo 1055 North 300 West Ste 402 Provo, UT 84604 (801) 357-7291

337 Specialty Providers / Proveedores Especializados Pulmonary Disease continued/seguido

Saleh, Samer MD ~ Kline, Michael MD ~* Weber Radiology, NPI: 1205931037 NPI: 1073531331 Ihc Utah Valley Pulmonary Ihc St George Pulmonary Ogden Diagnostic Clinic - Provo Clinic - St George 84403 395 West Billdog Blvd Ste 1380 East Medical Center Salt Lake 504 Dr Ste 2200 Anderson, Christopher Provo, UT 84604 Saint George, UT 84790 MD ~* Salt Lake City NPI: 1497794150 (801) 357-7291 (435) 251-2600 84107 French, Spanish Ogden Pulmonary Moon, Theodore MD * Associates Pllc - Ogden Olson, Christopher NP ~ Wahab, Raed MD ~ NPI: 1568438455 4403 Harrison Blvd Ste NPI: 1306997630 NPI: 1285841437 Ihc St George Pulmonary 3815 Ihc Murray Vascular And Ihc Utah Valley Pulmonary Clinic - St George Ogden, UT 84403 Vein - Murray Clinic - Provo 1380 East Medical Center (801) 387-2575 5323 South Woodrow St 395 West Billdog Blvd Ste Dr Ste 2200 French, German, Spanish, Ste 101 504 Saint George, UT 84790 Swedish Salt Lake City, UT 84107 Provo, UT 84604 (435) 251-2600 (801) 261-8346 (801) 357-7291 Spanish Ivester, Charles MD ~* Arabic, French NPI: 1376585372 Reproductive Reddy, Chakravarthy Ogden Pulmonary Washington MD ~* Associates Pllc - Ogden Endocrinology NPI: 1508962176 4403 Harrison Blvd Ste Saint George Ihc St George Pulmonary 3815 Salt Lake Ogden, UT 84403 84770 Clinic - St George 1380 East Medical Center (801) 387-2575 Salt Lake City Saifee, Mustafa MD ~* Dr Ste 2200 84108 NPI: 1568428357 Saint George, UT 84790 Janowski, Wojciech Advanced Pulmonary Sleep MD ~* Peterson, Charles MD (435) 251-2600 NPI: 1316037930 Disorders & Internal Med Hindi, Kannada, Telugu NPI: 1316150477 Llc - St G Ogden Pulmonary Utah Center For 640 East 700 South Ste 105 Associates Pllc - Ogden Reproductive Medicine Saifee, Mustafa MD ~* 675 Arapeen Dr Ste 205 Saint George, UT 84770 NPI: 1568428357 4403 Harrison Blvd Ste (435) 688-7770 3815 Salt Lake City, UT 84108 Ihc St George Pulmonary (801) 581-4838 Hindi Clinic - St George Ogden, UT 84403 1380 East Medical Center (801) 387-2575 84790 Dr Ste 2200 Polish Rheumatology Ferguson, Bryce MD ~* Saint George, UT 84790 (435) 251-2600 Paulman, Roger MD ~* Cache NPI: 1700094380 NPI: 1760404974 Ihc St George Pulmonary Hindi Logan Clinic - St George Ogden Pulmonary 1380 East Medical Center Strawter, Christopher Associates Pllc - Ogden 84341 MD ~* 4403 Harrison Blvd Ste Dr Ste 2200 3815 Vonk, Harold MD ~* Saint George, UT 84790 NPI: 1457678427 NPI: 1023298882 Ihc St George Pulmonary Ogden, UT 84403 (435) 251-2600 (801) 387-2575 Ihc Budge Clinic Medical Clinic - St George Specialists - Logan Hallenborg, Carl MD ~* 1380 East Medical Center 1350 North 500 East Dr Ste 2200 Pittman, Joel MD ~* NPI: 1508978651 NPI: 1871675132 Logan, UT 84341 Pulmonary & Sleep Clinic - Saint George, UT 84790 (435) 716-1980 (435) 251-2600 Ogden Pulmonary St George Associates Pllc - Ogden Dutch 2019 East Riverside Dr 4403 Harrison Blvd Ste Saint George, UT 84790 3815 (435) 656-1699 Ogden, UT 84403 German (801) 387-2575

338 Specialty Providers / Proveedores Especializados Rheumatology continued/seguido

Walker, Corey MD ~* Sanghvi, Shruti MD ~ Darley, Michael MD ~* Weber NPI: 1295707677 NPI: 1518073220 NPI: 1538458146 Ihc Budge Clinic Medical Ihc Salt Lake Clinic - Rheumatology Clinic Of Ogden Specialists - Logan Rheumatology Utah - Lehi 84403 1350 North 500 East 389 South 900 East 3000 North Triumph Ste Logan, UT 84341 Salt Lake City, UT 84102 260 Booth, Jeffrey MD ~ (435) 716-1980 (385) 282-2750 Lehi, UT 84043 NPI: 1174552830 Korean (801) 768-3500 Ihc Mckay Dee 84107 Rheumatology - Ogden Davis 4403 Harrison Blvd Ste Lee, Seung Yoon MD ~ Provo 3650 Layton NPI: 1649567835 84604 Ogden, UT 84403 Ihc Cottonwood (801) 387-7125 84041 Darley, Michael MD ~* Rheumatology Clinic - Salt NPI: 1538458146 Austad, Gregory MD ~* Lake Peak Ent Associates Llc - Dames, Shelby MD ~ NPI: 1558574087 181 East Medical Tower Provo NPI: 1528000940 Tanner Memorial Clinic - Dr 1055 North 300 West Ste Ihc Mckay Dee Layton Salt Lake City, UT 84107 401 Rheumatology - Ogden 2121 North 1700 West (801) 314-7800 Provo, UT 84604 4403 Harrison Blvd Ste Layton, UT 84041 (801) 357-7499 3650 (801) 773-4840 84124 Ogden, UT 84403 Spanish Shaskey, David MD ~ Darley, Michael MD ~* (801) 387-7125 NPI: 1033220603 NPI: 1538458146 Salt Lake Granger Medical - Rheumatology Clinic Of Lupash, Daniel MD ~ Wasatch Utah - Provo NPI: 1619154135 Salt Lake City 1160 East 3900 South Ste 1055 North 300 West Ste Ihc Mckay Dee 84102 1000 301 Rheumatology - Ogden 4403 Harrison Blvd Ste Bakewell, Catherine Salt Lake City, UT 84124 Provo, UT 84604 (801) 262-1771 (801) 852-9600 3650 MD ~ Ogden, UT 84403 NPI: 1336151786 (801) 387-7125 Ihc Salt Lake Clinic - Sandy Washington Infusion 84094 Saint George Morgan, Michael MD ~ 389 South 900 East NPI: 1659507747 Salt Lake City, UT 84102 Lundberg, Max MD ~* 84790 NPI: 1265426621 Ihc Mckay Dee (385) 282-2750 Mathews, Jeffrey MD ~* Rheumatology - Ogden German Granger Medical Clinic - 11333 S 1000 E Ste 100 NPI: 1518968015 4403 Harrison Blvd Ste Southwest Spine And Pain 3650 Bakewell, Catherine 11333 South 1000 East Ste 100 Care Specialists - St George Ogden, UT 84403 MD ~ 652 South Medical Center (801) 387-7125 NPI: 1336151786 Sandy, UT 84094 (801) 571-4100 Dr Ste 110 Ihc Salt Lake Clinic - Saint George, UT 84790 Youssef, Jameel MD ~ Rheumatology Utah (435) 656-2424 NPI: 1831477256 389 South 900 East Swedish Ihc Mckay Dee Salt Lake City, UT 84102 Lehi Rheumatology - Ogden (385) 282-2750 4403 Harrison Blvd Ste German 84043 3650 Darley, Michael MD ~* Ogden, UT 84403 Sanghvi, Shruti MD ~ NPI: 1538458146 (801) 387-7125 NPI: 1518073220 Peak Ent Associates Llc - Ihc Salt Lake Clinic - Lehi Infusion 3000 North Triumph Blvd 389 South 900 East Ste 260 Salt Lake City, UT 84102 Lehi, UT 84043 (385) 282-2750 (801) 768-3500 ~ Accepting new patients/Aceptando a nuevos pacientes * Accepts Medicaid/Acepta Medicaid ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

339 Specialty Providers / Proveedores Especializados

Sleep Disorder 84103 Mazzola, Robert MD ~* Dupont, Gregory MD ~* NPI: 1629142898 NPI: 1306943121 Diagnostic Mazzola, Robert MD ~* NPI: 1629142898 Ihc Intermountain Sleep Utah Sleep Specialists Llc - Ihc Lds Campus Sleep Program Tosh - Murray West Jordan Salt Lake Avenues - Salt Lake 5770 South 250 East Ste 9103 South 1300 West Ste 340 103 Salt Lake City 440 D St Ste 200 Salt Lake City, UT 84103 Salt Lake City, UT 84107 West Jordan, UT 84088 84117 (801) 408-3617 (801) 314-2400 (801) 432-8690 Precision Diagnostic Tooele Services ~ 84105 84143 NPI: 1871691246 Hardman, Lara MD ~ Cloward, Tom MD ~* Tooele NPI: 1053407726 Precision Diagnostic NPI: 1659325348 84074 Services - Salt Lake City Ihc Memorial Clinic - Ihc Lds Campus Sleep 4885 South 900 East Ste Sugarhouse Program - Salt Lake Dupont, Gregory MD ~* 107 2000 South 900 East 325 8Th Ave NPI: 1306943121 Salt Lake City, UT 84117 Salt Lake City, UT 84105 Salt Lake City, UT 84143 The Heart & Lung Institute (801) 266-0399 (801) 464-7500 (801) 408-3617 Of Utah - Tooele 2326 North 400 East Bldg Sleep Medicine - Sandy C Ste 202 84107 Tooele, UT 84074 Internal Medicine Cloward, Tom MD ~* 84094 (801) 263-2370 NPI: 1053407726 Cloward, Tom MD ~* Salt Lake Ihc Imed Campus Sleep NPI: 1053407726 Utah Program - Murray Ihc Alta View Sleep Riverton 5121 South Cottonwood St Program Payson Salt Lake City, UT 84107 9660 South 1300 East 84065 (801) 314-2400 Sandy, UT 84094 84651 Boulton, Cynthia NP ~ (801) 501-2358 Al Shuqairat, Talaat NPI: 1750397238 Cloward, Tom MD ~* MD ~* Ihc Southridge Clinic NPI: 1053407726 Harris, Dixie MD ~* NPI: 1104875574 Surgical Specialties - Ihc Intermountain Sleep NPI: 1740296730 Revere Health - Mt View Riverton Program Tosh - Murray Alta View Clinic Hospital Payson 3723 West 12600 South Ste 5770 South 250 East Ste Pulmonary - Sandy 1000 East 100 North 3Rd 270 340 9450 South 1300 East Floor Riverton, UT 84065 Salt Lake City, UT 84107 Sandy, UT 84094 Payson, UT 84651 (801) 285-4600 (801) 314-2400 (801) 501-6333 (801) 373-4366 Arabic Cloward, Tom MD ~* Dupont, Gregory MD ~* West Jordan NPI: 1053407726 NPI: 1306943121 Al Shuqairat, Talaat Ihc Riverton Campus Sleep The Heart & Lung Institute 84088 MD ~* Program - Riverton Of Utah - Main Office Chowdhary, Sandeep NPI: 1104875574 3723 West 12600 South Ste 5979 South Fashion Blvd MD ~* Revere Health - Payson - 480 Salt Lake City, UT 84107 NPI: 1891726162 Pulmonary & Internal Riverton, UT 84065 (801) 263-2370 Granger Medical - West Medicine (801) 285-4870 Jordan 910 East 100 North Ste 105 Mazzola, Robert MD ~* 3181 West 9000 South Payson, UT 84651 Salt Lake City NPI: 1629142898 West Jordan, UT 84088 (801) 465-4813 Ihc Imed Campus Sleep (801) 352-5600 Arabic 84101 Program - Murray Dupont, Gregory MD ~* 5121 South Cottonwood St NPI: 1306943121 Salt Lake City, UT 84107 The Heart & Lung Institute (801) 314-2400 Of Utah - Salt Lake 82 South 1100 East Ste 103 Salt Lake City, UT 84101 (801) 263-2370 ~ Accepting new patients/Aceptando a nuevos pacientes * Accepts Medicaid/Acepta Medicaid ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

340 Specialty Providers / Proveedores Especializados Sleep Medicine - Internal Medicine continued/seguido

Provo Weber Lehi Sleep Medicine - 84604 Ogden 84043 Psychiatry & Al Shuqairat, Talaat 84403 Porter, Glen MD ~* MD ~* NPI: 1205825973 Neurology NPI: 1104875574 Hammond, Richard DO * Ihc Saratoga Springs Revere Health - Provo - NPI: 1174541742 Family Practice - Saratoga Weber Endocrinology Ogden Clinic - Skyline Springs 1055 North 500 West Ste 6112 South 1550 East Ste 354 West State Rd 73 Ogden 212 101 Lehi, UT 84043 84403 Provo, UT 84604 Ogden, UT 84403 (801) 766-4567 (801) 475-3800 Smith, Roger DO ~ (801) 429-8095 Mandarin NPI: 1407837974 Arabic Hammond, Richard DO * Ihc Mckay Dee Sleep Pleasant Grove Center - Ogden Al Shuqairat, Talaat NPI: 1174541742 Ogden Clinic Professional 84062 4403 Harrison Blvd Ste MD ~* 2600 NPI: 1104875574 Center - North Porter, Glen MD ~* 4650 Harrison Blvd Ogden, UT 84403 Revere Health - Provo - NPI: 1205825973 (801) 387-5650 Internal Medicine Ogden, UT 84403 Glen T Porter Md Pc - 1055 North 500 West Ste (801) 475-3000 Pleasant Grove 212, Bldg C 872 North 2000 West Ste Specialist Provo, UT 84604 Iqbal, Suleman MD ~ A (801) 374-2362 NPI: 1497840805 Pleasant Grove, UT 84062 Utah Arabic Ihc Mckay Dee Sleep (801) 492-8900 Center - Ogden Mandarin Orem Harris, Dixie MD ~* 4403 Harrison Blvd Ste 84057 2600 NPI: 1740296730 Saratoga Springs Grover, Steven MD ~ Ihc Utah Valley Tia/Stroke Ogden, UT 84403 (801) 387-5650 84045 NPI: 1144374174 Clinic - Provo Ihc Summit Ob/Gyn - 1034 North 500 West Ste Porter, Glen MD ~* Orem 501 Sleep Medicine - NPI: 1205825973 505 West 400 North Provo, UT 84604 Otolaryngology Glen T Porter Md Pc - Orem, UT 84057 (801) 357-8879 Saratoga Springs (801) 714-3422 354 West State Road 73 French Washington Utah Saratoga Springs, UT 84045 Saint George American Fork (801) 855-2930 Payson 84790 84003 Mandarin 84651 Watkins, Kirk MD ~* Porter, Glen MD ~* Grover, Steven MD ~ NPI: 1326220559 NPI: 1205825973 NPI: 1144374174 Ihc Dixie Regional Sleep Ihc Utah Valley Ent - Ihc Payson Clinic - Payson Disorders Center - St North Valley - American 854 Turf Farm Rd Ste 1 George Fork Payson, UT 84651 652 South Medical Center 98 North 1100 East Ste 203 (801) 465-6200 Dr Ste 310 American Fork, UT 84003 French Saint George, UT 84790 (801) 492-2245 (435) 251-3940 Mandarin Spanish

341 Specialty Providers / Proveedores Especializados Specialist continued/seguido

Provo Maughan, Page SLP ~* Davis Frank, Matthew SLP ~* NPI: 1134648736 NPI: 1942571583 84604 Speech Language Hearing Bountiful Intermountain Ear Nose Grover, Steven MD ~ Center - Logan 84010 And Throat Specialists - NPI: 1144374174 6410 Old Main Hill Draper Ihc Summit Womens Logan, UT 84322 Walker, Megan SLP ~* 756 East 12200 South Center - Provo (435) 797-1346 NPI: 1083976815 Draper, UT 84020 1157 North 300 West Ste American Sign Language Ogden Clinic - Bountiful 3 (801) 328-2522 301 1551 S Renaissance Towne Provo, UT 84604 Mecham, Jamie SLP ~* Dr Ste 310 Hampton, Emily SLP ~* (801) 357-7009 NPI: 1992107312 Bountiful, UT 84010 NPI: 1588181341 French Speech Language Hearing (801) 295-5581 Functionabilities Inc - Center - Logan Draper Speech-Language 6410 Old Main Hill Layton 12453 South 265 West Ste Logan, UT 84322 84041 B Pathologist (435) 797-1346 Draper, UT 84020 Harker, Lyssandra SLP ~* (801) 443-7775 Cache Mosman, Kristin SLP ~* NPI: 1407304694 NPI: 1821255654 Tanner Memorial Clinic - Mckinney, Jina SLP ~* Logan Speech Language Hearing Layton NPI: 1124554787 2121 North 1700 West 84322 Center - Logan Functionabilities Inc - 6410 Old Main Hill Layton, UT 84041 Draper Amundson, Deborah Logan, UT 84322 (801) 773-4840 12453 South 265 West Ste SLP ~* (435) 797-1346 B NPI: 1518242106 Spanish Siciliano, Anna SLP ~* Draper, UT 84020 Speech Language Hearing NPI: 1104947233 (801) 443-7775 Center - Logan Schofield, Kendra SLP ~* Tanner Memorial Clinic - Portugese, Spanish 6410 Old Main Hill NPI: 1932625985 Layton Logan, UT 84322 Speech Language Hearing 2121 North 1700 West Pacejka, Esperanza (435) 797-1346 Center - Logan Layton, UT 84041 SLP ~* 6410 Old Main Hill (801) 773-4840 NPI: 1679077523 Andrus, Jill SLP ~* Logan, UT 84322 Functionabilities Inc - NPI: 1497198592 (435) 797-1346 Walker, Megan SLP ~* Draper Speech Language Hearing NPI: 1083976815 12453 South 265 West Ste Center - Logan Smoot, Jeanette SLP ~* Ogden Clinic - Layton 2 B 6410 Old Main Hill NPI: 1568847861 2255 North 1700 West Ste Draper, UT 84020 Logan, UT 84322 Speech Language Hearing 200 (801) 443-7775 (435) 797-1346 Center - Logan Layton, UT 84041 6410 Old Main Hill (801) 776-2180 Herriman Bingham, Chad SLP ~* Logan, UT 84322 NPI: 1275750440 (435) 797-1346 Salt Lake 84096 Speech Language Hearing Draper Browning, Victoria Center - Logan 84341 SLP ~* 6410 Old Main Hill 84020 NPI: 1871873356 Logan, UT 84322 Gantz, Kathryn SLP Clerico, Gina CCC-SLP ~ Browning Speech Therapy (435) 797-1346 NPI: 1073606612 Llc - Herriman Logan Regional Hospital - NPI: 1356519300 Gina Marie Clerico Ma Ccc 6558 West Candice View Martin, Nicole SLP ~* Service Cove NPI: 1689059982 1400 North 500 East Slp - Sandy 1805 Lone Oak Dr Herriman, UT 84096 Speech Language Hearing Logan, UT 84341 (801) 493-9690 Center - Logan (435) 716-5320 Draper, UT 84020 6410 Old Main Hill (801) 495-1245 Logan, UT 84322 (435) 797-1346

342 Specialty Providers / Proveedores Especializados Speech-Language Pathologist continued/seguido

Salt Lake City 84108 84124 Wheeler, Katrina SLP ~* 84102 Dees, Anneliese SLP ~* Gurrister, Maria SLP ~* NPI: 1730566050 NPI: 1164878716 NPI: 1194978742 Udac - Neonatal Frank, Matthew SLP ~* Vmh - Autism Center Of Wasatch Speech & Follow-Up Program - Salt NPI: 1942571583 Learning Guardsman Way Language Center - Salt Lake Intermountain Ear Nose 780 South Guardsman Lake 44 North Mario Capecchi And Throat Specialists - Way 2120 East 3900 South Ste Dr Utah Dept Of Health 900 East Salt Lake City, UT 84108 200 Salt Lake City, UT 84132 22 South 900 East (888) 949-4864 Salt Lake City, UT 84124 (801) 587-2255 Salt Lake City, UT 84102 (801) 308-0400 (801) 328-2522 Spanish Wheeler, Katrina SLP ~* 84113 NPI: 1730566050 Gummersall, Dawn Harris, Jori SLP ~* Gurrister, Thomas University Of Utah General SLP ~* NPI: 1841332723 SLP ~* Pediatrics - 44 Mario NPI: 1336694389 Udac Division NPI: 1073533295 Capecchi Dr Alternative Behavior 100 N Mario Capecchi Dr Wasatch Speech & 44 North Mario Capecchi Strategies - Salt Lake Salt Lake City, UT 84113 Language Center - Salt Dr 515 South 700 East Ste 2A (801) 587-2255 Lake Salt Lake City, UT 84132 Salt Lake City, UT 84102 2120 East 3900 South Ste (801) 587-2255 (801) 935-4171 Wheeler, Katrina SLP ~* 200 NPI: 1730566050 Salt Lake City, UT 84124 Sandy 84103 General Pediatrics - Pch (801) 308-0400 84094 Wheeler, Katrina SLP ~* 100 North Mario Capecchi NPI: 1730566050 Dr 84132 White, Linda SLP ~ Udac - Child Development Salt Lake City, UT 84113 NPI: 1194798322 Program - Shriners (801) 662-1000 Wheeler, Katrina SLP ~* Linda Rae White Ms Hospital NPI: 1730566050 Ccc-Slp - Sandy 1275 East Fairfax Rd Wheeler, Katrina SLP ~* General Pediatrics - 11934 South Cedar Ridge Salt Lake City, UT 84103 NPI: 1730566050 University Of Utah Rd (801) 587-2255 Udac - Child Development Hospital Sandy, UT 84094 Program - Pch 50 North Medical Dr (801) 576-9606 100 North Mario Capecchi Salt Lake City, UT 84132 84107 Dr (801) 581-2205 Utah Jackman, Jennifer SLP ~ Salt Lake City, UT 84113 NPI: 1760787915 (801) 587-2255 Wheeler, Katrina SLP ~* Lehi Intermountain Medical NPI: 1730566050 84043 Center Physicians Group - 84117 Udac - Child Development Murray Site Program - Primary Petersen, Ashley SLP ~* 5121 South Cottonwood St Stapley, Marcia SLP ~* 44 North Mario Capecchi NPI: 1295090595 Salt Lake City, UT 84107 NPI: 1992952527 Dr Utah Dept Of Health Dry Creek Physical (801) 507-6600 Hand & Orthopedic Salt Lake City, UT 84132 Therapy - Lehi North Rehabilitation Specialists - (801) 587-2255 Triumph Taylor, Jennifer SLP ~ Murray 3000 North Triumph Blvd NPI: 1659507663 5151 South 900 East Ste Wheeler, Katrina SLP ~* Ste 310 Intermountain 100 NPI: 1730566050 Lehi, UT 84043 Multidisciplinary Clinic Salt Lake City, UT 84117 Udac - Heart Center (801) 766-4244 5121 South Cottonwood St (801) 261-3321 Neurodevelopmental Salt Lake City, UT 84107 Program (801) 507-7000 44 North Mario Capecchi Dr Utah Dept Of Health Salt Lake City, UT 84132 (801) 587-2255

343 Specialty Providers / Proveedores Especializados Speech-Language Pathologist continued/seguido

Payson Washington Wheeler, Katrina SLP ~* Cache NPI: 1730566050 84651 Saint George Udac - Neonatal Logan Boucher, Kurtt SLP ~* 84790 Follow-Up Program - 84341 NPI: 1871750059 Ogden Physical & Sports Therapy Harris, Jori SLP ~* 2540 Washington Blvd Campbell, Darren MD ~* Services - Payson NPI: 1841332723 Ogden Regional Center NPI: 1124007836 15 South 1000 East Ste 25 Udac - Child Development Ogden, UT 84401 Ihc Logan Regional Payson, UT 84651 Program - Washington (801) 587-2255 Orthopedics - Logan (801) 465-5610 County 1350 North 500 East 1380 East Medical Center Wheeler, Katrina SLP ~* Logan, UT 84341 Provo Dr Ste 4500 NPI: 1730566050 (435) 716-2800 Saint George, UT 84790 University Of Utah General 84601 (801) 587-2255 Pediatrics - Ogden Crum, Ashley MD ~ Harris, Jori SLP ~* 2540 Washington Blvd NPI: 1245673946 NPI: 1841332723 Peters, Jane SLP ~ Ogden, UT 84401 Alpine Orthopaedic Udac - Neonatal NPI: 1114933157 (801) 587-2255 Specialists - Logan Follow-Up Program - Drmc Rehab Services 2310 North 400 East Ste A Provo 652 South Medical Center 84403 Logan, UT 84341 151 South University Ave Dr Ste Ll10 (435) 787-2000 Ste 1610 Saint George, UT 84790 Hanson, Hugh SLP ~* Spanish Provo, UT 84601 (435) 251-2250 NPI: 1275565830 (801) 587-2255 Hugh J Hanson Slp - Ogden Harrison, Tye DO ~* Wheeler, Katrina SLP ~* 978 East Chambers St Ste 1 NPI: 1053631069 Wheeler, Katrina SLP ~* NPI: 1730566050 Ogden, UT 84403 Ihc Logan Regional NPI: 1730566050 Udac - Child Development (801) 399-5601 Orthopedics - Logan Udac - Neonatal Program - Washington Spanish 1350 North 500 East Follow-Up Program - County Logan, UT 84341 Provo 1380 East Medical Center Neider, Tristan SLP ~* (435) 716-2800 151 South University Ave Dr Ste 4500 NPI: 1306037288 Ste 1610 Saint George, UT 84790 Ogden Speech & Hearing Davis Provo, UT 84601 (801) 587-2255 Center - Ogden (801) 587-2255 978 East Chambers St Ste 1 Bountiful Weber Ogden, UT 84403 84010 (801) 399-5601 Wheeler, Katrina SLP ~* Ogden Martindale, Brett MD ~ NPI: 1730566050 NPI: 1164860573 University Of Utah General 84401 Sports Medicine - Ogden Clinic - Bountiful Pediatrics - Provo Harris, Jori SLP ~* Family Medicine 1560 Renaissance Town 151 South University Ave NPI: 1841332723 Dr Ste 210 Ste 1610 Udac - Child Development Box Elder Bountiful, UT 84010 Provo, UT 84601 Program - Ogden (801) 397-6100 (801) 587-2225 2540 Washington Blvd Brigham City German Ogden, UT 84401 84604 (801) 587-2255 84302 Martindale, Brett MD ~ Thomas, Curtis CCC- Crum, Ashley MD ~ NPI: 1164860573 A ~* Wheeler, Katrina SLP ~* NPI: 1245673946 Ogden Clinic - Cope NPI: 1184761736 NPI: 1730566050 Alpine Orthopaedic Family Medicine Peak Ent Associates Llc - Udac - Child Development Specialists - Brigham City 185 South 400 East Ste 100 Provo Program - Ogden 1030 South Medical Dr Ste Bountiful, UT 84010 1055 North 300 West Ste 2540 Washington Blvd A (801) 397-6200 401 Ogden, UT 84401 Brigham City, UT 84302 German Provo, UT 84604 (801) 587-2255 (435) 723-9700 (801) 357-7499 Spanish

344 Specialty Providers / Proveedores Especializados Sports Medicine - Family Medicine continued/seguido

Clearfield Salt Lake 84107 84094 84015 Draper Nielsen, Curtis DO ~* Mcintyre, James MD ~* NPI: 1013237502 NPI: 1043446602 Monson, Nicholas DO ~* 84020 NPI: 1720303837 Emere Utah Llc - Murray Granger Medical Clinic - Davis Orthopedics & Sports Mcintyre, James MD ~* 5296 South Commerce Dr Sandy Medicine - Pgu - Clinton NPI: 1043446602 Ste 104 9844 South 1300 East Ste 1407 North 2000 West Ste Granger Medical Clinic - Salt Lake City, UT 84107 100 F Draper - 11724 (385) 474-8888 Sandy, UT 84094 Clearfield, UT 84015 11724 South State St (801) 571-9433 (801) 773-3900 Draper, UT 84020 84118 Cantonese Spanish (801) 576-2000 Cosgrave Ii, Michael Cantonese DO ~* West Jordan Layton NPI: 1720252117 84088 Salt Lake City 84041 Oval Sports Medicine Cosgrave Ii, Michael 84102 5662 South Cougar Ln Ste Jay Jr, Rodney MD ~* 311 DO ~* NPI: 1225201148 Joy, Elizabeth MD ~ Salt Lake City, UT 84118 NPI: 1720252117 Davis Orthopedics & Sports NPI: 1487768131 (801) 912-8210 Jordan Valley Internal Medicine - Pgu - Layton Ihc Live Well Center Salt Spanish Medicine - Ste 100 Lake City - Salt Lake 3570 West 9000 South Ste 2132 North 1700 West Ste 100 230 389 South 900 East 84121 Layton, UT 84041 Salt Lake City, UT 84102 West Jordan, UT 84088 (801) 773-3900 (385) 282-2700 Mcintyre, James MD ~* (801) 569-2384 Finnish, French, Spanish NPI: 1043446602 Spanish 84103 Granger Medical Clinic - Cottonwood Heights Utah May, Todd DO ~ Joy, Elizabeth MD ~ NPI: 1295716918 6322 South 3000 East NPI: 1487768131 Salt Lake City, UT 84121 American Fork Layton Parkway Ihc Orthopedic Specialty Orthopedics And Sports (801) 912-8210 84003 Group - Lds Campus - Salt Cantonese Medicine - Layton Lake Gordon, Christopher 201 West Layton Pkwy Ste 324 10Th Ave Ste 100 MD ~ 1B Salt Lake City, UT 84103 Sandy NPI: 1922232867 Layton, UT 84041 (801) 408-8700 84070 Ihc Utah Valley Sports (801) 543-6775 Cosgrave Ii, Michael Medicine North Valley - Veigel, Jake MD ~ DO ~* American Fork Monson, Nicholas DO ~* NPI: 1720196785 NPI: 1720252117 98 North 1100 East Ste 103 NPI: 1720303837 Ihc Orthopedic Specialty Comprehensive American Fork, UT 84003 Davis Orthopedics & Sports Group - Lds Campus - Salt Orthopedics And Sports (801) 492-2330 Medicine - Pgu - Layton Lake Medicine 2132 North 1700 West Ste 324 10Th Ave Ste 100 9350 South 150 East Ste Slater, Ryan MD ~* 230 Salt Lake City, UT 84103 460 NPI: 1346478476 Layton, UT 84041 (801) 408-8700 Sandy, UT 84070 Revere Health - Af - North (801) 773-3900 (801) 533-2002 Valley Orthopedics And Spanish 84105 Spanish Sports Med Veigel, Jake MD ~ 1184 East 80 North NPI: 1720196785 American Fork, UT 84003 Ihc Memorial Clinic - (801) 763-3885 Sugarhouse 2000 South 900 East Salt Lake City, UT 84105 (801) 464-7500

345 Specialty Providers / Proveedores Especializados Sports Medicine - Family Medicine continued/seguido

Lehi Robinson, Eric MD ~ 84604 Robinson, Eric MD ~ 84043 NPI: 1265639223 Evans, Matthew MD ~ NPI: 1265639223 Ihc Utah Valley Sports NPI: 1043486384 Ihc Utah Valley Sports Evans, Matthew MD ~ Medicine Uvsc - Orem Ihc Utah Valley Sports Medicine - Provo NPI: 1043486384 800 West University Pkwy Medicine - Provo 1157 North 300 West Ste Ihc Saratoga Springs Orem, UT 84058 1157 North 300 West Ste 201 Family Practice - Saratoga (801) 357-7129 201 Provo, UT 84604 Springs Spanish Provo, UT 84604 (801) 357-1200 354 West State Rd 73 (801) 357-1200 Spanish Lehi, UT 84043 Payson (801) 766-4567 84651 Gordon, Christopher Weber MD ~ Ogden Hansen, Kellen DO ~ Gordon, Christopher NPI: 1922232867 NPI: 1396007316 MD ~ 84403 Advanced Sports & NPI: 1922232867 Ihc Utah Valley Sports Orthopedics - Lehi Ihc Payson Clinic - Payson Medicine - Provo Martindale, Brett MD ~ 3401 North Center St Ste 854 Turf Farm Rd Ste 1 1157 North 300 West Ste NPI: 1164860573 100 Payson, UT 84651 201 Ogden Clinic Professional Lehi, UT 84043 (801) 465-6200 Provo, UT 84604 Center - North (801) 753-7770 (801) 357-1200 4650 Harrison Blvd Spanish Robinson, Eric MD ~ Ogden, UT 84403 NPI: 1265639223 Nielsen, Curtis DO ~* (801) 475-3000 Nielsen, Curtis DO ~* Ihc Payson Clinic - Payson NPI: 1013237502 German NPI: 1013237502 854 Turf Farm Rd Ste 1 Ihc Utah Valley Sports Advanced Sports & Payson, UT 84651 Medicine - Provo Martindale, Brett MD ~ Orthopedics - Lehi (801) 465-6200 1157 North 300 West Ste NPI: 1164860573 3401 North Center St Ste Spanish 201 Ogden Clinic Professional 100 Provo, UT 84604 Center - South Lehi, UT 84043 Pleasant Grove (801) 357-1200 4700 Harrison Blvd (801) 753-7770 Ogden, UT 84403 84062 Pratte, Mitchell DO ~ (801) 475-3870 Orem Chappell, Craig DO ~* NPI: 1396782207 German NPI: 1689832412 Ihc Utah Valley Sports 84057 In2it Medical Llc - Pleasant Medicine - Provo Scharmann, Stephen Slater, Ryan MD ~* Grove 1157 North 300 West Ste MD ~ NPI: 1346478476 1888 West 800 North 201 NPI: 1295805117 Revere Health - Orem - Pleasant Grove, UT 84062 Provo, UT 84604 Ihc Mckay Dee Orthopedic Orthopedic Specialty Ctr (801) 610-7321 (801) 357-1200 & Sports Medicine - Ogden 700 West 800 North Ste 3895 Harrison Blvd 100 Provo Rich, Brent DO ~ Ogden, UT 84403 Orem, UT 84057 NPI: 1982614319 (801) 387-7678 (801) 373-7350 84602 Ihc Utah Valley Sports Rich, Brent DO ~ Medicine - Provo 84405 1157 North 300 West Ste 84058 NPI: 1982614319 Martindale, Brett MD ~ Ihc Utah Valley Sports 201 Gordon, Christopher Provo, UT 84604 NPI: 1164860573 Medicine Byu Ext - Provo Ogden Clinic - South MD ~ 87 Smith Field House (801) 357-1200 NPI: 1922232867 Cantonese Ogden Ihc Utah Valley Sports Provo, UT 84602 5740 Crestwood Dr Medicine Uvsc - Orem (801) 357-1200 Ogden, UT 84405 800 West University Pkwy Cantonese (801) 479-7771 Orem, UT 84058 German (801) 357-7129

346 Specialty Providers / Proveedores Especializados

Sports Medicine - Salt Lake Salt Lake City Daynes, Jacob DO ~* NPI: 1528220753 Physical Medicine Draper 84102 Tooele Clinic Corporation - 84020 Pepper, Michelle MD ~* 2326 N 400 E & Rehabilitation NPI: 1295881811 2326 North 400 East Bldg Pepper, Michelle MD ~* Hofmann Arthritis C, Ste 100 Davis NPI: 1295881811 Institute Pllc - Salt Lake Tooele, UT 84074 Hofmann Arthritis Reg (435) 843-0180 Bountiful Institute Pllc - Draper 24 South 1100 East Ste 101 Spanish 84010 11613 South State St Salt Lake City, UT 84102 Draper, UT 84020 (801) 355-6468 Utah Bell, Christopher MD ~ (801) 355-6468 NPI: 1669592069 84103 American Fork Ihc Sports Medicine Riverton Specialists - Bountiful Bell, Christopher MD ~ 84003 280 North Main St 84065 NPI: 1669592069 Weenig, Karl MD ~* Bountiful, UT 84010 Abrams, Svetlana DO ~ Ihc Orthopedic Specialty NPI: 1740242973 (801) 298-2495 NPI: 1841557469 Group - Lds Campus - Salt Revere Health - Af - North Ihc Orthopedic Specialty Lake Valley Orthopedics And Layton Group - Riverton Campus - 324 10Th Ave Ste 100 Sports Med 84041 Riverton Salt Lake City, UT 84103 1184 East 80 North 3723 West 12600 South Ste (801) 408-8700 American Fork, UT 84003 Pepper, Michelle MD ~* 460 (801) 763-3885 NPI: 1295881811 Riverton, UT 84065 Sandy Finnish Hofmann Arthritis (801) 285-4650 84094 Institute Pllc - Antelope Dr Lehi 1492 West Antelope Drive Brady, John MD ~ Abrams, Svetlana DO ~ Ste 110 NPI: 1760654685 NPI: 1841557469 84043 Layton, UT 84041 Ihc Orthopedic Specialty Ihc Orthopedic Specialty Weenig, Karl MD ~* (801) 355-6468 Group - Riverton Campus - Group - Alta View - Sandy NPI: 1740242973 Riverton 9450 South 1300 East Ste Revere Health - Lehi - Iron 3723 West 12600 South Ste 120 North Valley Ortho & 460 Sandy, UT 84094 Plastic Surgery Cedar City Riverton, UT 84065 (801) 501-6150 680 East Main St 84720 (801) 285-4650 Lehi, UT 84043 Newman, Steven MD ~* Tooele (801) 763-3885 NPI: 1134157613 Brinton, David MD ~ Tooele Finnish Cedar Ridge Family NPI: 1093820706 Medicine - Cedar City Ihc Orthopedic Specialty 84074 Orem 110 West 1325 North Ste Group - Riverton Campus - Daynes, Jacob DO ~* 84057 200 Riverton NPI: 1528220753 Cedar City, UT 84720 3723 West 12600 South Ste Mountain West Weenig, Karl MD ~* (435) 586-7676 460 Orthopedics & Sports NPI: 1740242973 Riverton, UT 84065 Medicine Revere Health - Orem - (801) 285-4650 1929 North Aaron Dr Ste Orthopedic Specialty Ctr 84721 Portugese 700 West 800 North Ste Newman, Steven MD ~* L 100 NPI: 1134157613 Tooele, UT 84074 Orem, UT 84057 Paiute Medical Clinic - (435) 843-3859 (801) 373-7350 Cedar City Spanish Finnish 440 North Paiute Dr Cedar City, UT 84721 (435) 586-1112

347 Specialty Providers / Proveedores Especializados Sports Medicine - Physical Medicine & Rehabilitation continued/seguido

Payson Blackham, Jason MD ~ Cache Harker, David MD ~* NPI: 1821293242 NPI: 1710996020 84651 Ihc Mckay Dee Orthopedic Logan Ihc Logan Hyperbaric And Weenig, Karl MD ~* & Sports Medicine - Ogden 84341 Wound Care - Logan NPI: 1740242973 3895 Harrison Blvd 1400 North 500 East Revere Health - Payson - Ogden, UT 84403 Anderson, Allan MD ~* Logan, UT 84341 Orthopedic Specialty Ctr (801) 387-7678 NPI: 1710991344 (435) 716-2250 15 South 1000 East Ste 150 Canyon View Orthopedics - Payson, UT 84651 Surgery Logan Marshall, Gregg MD ~* (801) 465-9534 1350 North 500 East Ste NPI: 1013134550 130 Finnish Box Elder Ihc Budge Clinic General Logan, UT 84341 Surgery - Logan Provo Brigham City (435) 792-1950 1350 North 500 East Logan, UT 84341 84604 84302 Anderson, Allan MD ~* (435) 716-1950 Weenig, Karl MD ~* Walker, Derrick DO ~* NPI: 1710991344 NPI: 1740242973 NPI: 1427040823 Ihc Budge Clinic General Murphy, Kevin MD ~* Revere Health - Provo - Brigham Center For Surgery - Logan NPI: 1083641385 Orthopedic Specialty Ctr Womens Health - Brigham 1350 North 500 East Ihc Budge Clinic Surgical 1055 North 500 West Ste City Logan, UT 84341 Specialists - Logan 121 984 South Medical Dr Ste (435) 716-1950 1350 North 500 East Provo, UT 84604 4 Logan, UT 84341 (801) 373-7350 Brigham City, UT 84302 Anderson, Allan MD ~* (435) 752-1693 Finnish (435) 723-0329 NPI: 1710991344 Spanish Ihc Logan Hyperbaric And Washington Walker, Derrick DO ~* Wound Care - Logan Weiss, Bartley MD ~* NPI: 1427040823 1400 North 500 East NPI: 1942210364 Ivins Mountainstar Brigham Logan, UT 84341 Ihc Budge Clinic General 84738 Obgyn - Brigham City (435) 716-2250 Surgery - Logan 970 South Medical Dr Ste 1350 North 500 East Newman, Steven MD ~* 202 Hansen, Mark MD ~* Logan, UT 84341 NPI: 1134157613 Brigham City, UT 84302 NPI: 1689646507 (435) 716-1950 Shivwits Medical Clinic - (435) 695-2273 Mountainstar Medical Spanish Ivins Group Cache Valley Llc - 6109 West 3700 North Logan Weiss, Bartley MD ~* Ivins, UT 84738 Tremonton 2380 North 400 East Ste A (435) 688-8198 NPI: 1942210364 84337 Logan, UT 84341 Ihc Logan Hyperbaric And Murphy, Kevin MD ~* (435) 713-1300 Wound Care - Logan Weber NPI: 1083641385 Spanish 1400 North 500 East Ogden Ihc Bear River Family Logan, UT 84341 Medicine - Tremonton Harker, David MD ~* (435) 716-2250 84403 935 North 1000 West NPI: 1710996020 Spanish Bell, Christopher MD ~ Tremonton, UT 84337 Ihc Budge Clinic General NPI: 1669592069 (435) 207-4800 Surgery - Logan Ihc Mckay Dee Orthopedic Spanish 1350 North 500 East & Sports Medicine - Ogden Logan, UT 84341 3895 Harrison Blvd (435) 716-1950 Ogden, UT 84403 (801) 387-7678

348 Specialty Providers / Proveedores Especializados Surgery continued/seguido

Davis Todd, Russell MD ~* Van Wagoner, Zachary 84721 NPI: 1538158282 MD ~* Bountiful Day, Trevor DO ~* Lakeview Urology & NPI: 1346549912 NPI: 1861732257 84010 General Surgery Llc - Tanner Memorial Clinic - Bountiful Layton Utah Surgical Associates - Clark, Kevin MD * 620 East Medical Dr Ste 2121 North 1700 West Cedar City NPI: 1235127291 150B Layton, UT 84041 166 West 1325 North Kevin Newell Clark Md - Bountiful, UT 84010 (801) 773-4840 Cedar City, UT 84721 Bountiful (801) 298-3247 Spanish (435) 628-1641 425 Medical Dr Ste 101 Bountiful, UT 84010 Layton Wilson, Peter MD ~* Munford, Michael MD ~* (801) 298-9409 NPI: 1518998921 NPI: 1164494076 84041 Davis Comprehensive Michael I Munford Md Pc - Fisher, Kerry MD ~ Jensen, Joseph DO ~* Health - Center For Cedar City NPI: 1932156346 NPI: 1164463477 Infectious Desease 1251 Northfield Rd Ste 202 Ihc Bountiful Clinic - Davis Surgical Associates - 1492 West Antelope Dr Ste Cedar City, UT 84721 Bountiful Layton 203 (435) 867-0300 390 North Main St 1580 West Antelope Dr Ste Layton, UT 84041 Bountiful, UT 84010 130 (801) 773-7500 Salt Lake (801) 294-1000 Layton, UT 84041 French, Spanish Draper Dutch (801) 728-9555 Spanish Wilson, Peter MD ~* 84020 Oberg, Jon MD ~* NPI: 1518998921 Cavin, Ian DO ~* NPI: 1316035942 Jensen, Joseph DO ~* Davis General Surgery - NPI: 1184647315 Bountiful Surgical NPI: 1164463477 Layton - Pgu Granger Medical Clinic - Association - Bountiful Physicians Group Of Utah 1580 West Antelope Dr Ste Draper - 11724 425 Medical Dr Ste 101 - Layton 280 11724 South State St Bountiful, UT 84010 1580 West Antelope Dr Ste Layton, UT 84041 Draper, UT 84020 (801) 295-7444 130B (801) 820-7655 (801) 576-2000 Layton, UT 84041 French, Spanish Oberg, Jon MD ~* (801) 728-9555 Cavin, Ian DO ~* NPI: 1316035942 Spanish Wilson, Peter MD ~* NPI: 1184647315 Lakeview Urology & NPI: 1518998921 Mountainstar General General Surgery Llc - Morrell, David MD * Peter V Wilson Md Pc - Surgery - Draper Bountiful NPI: 1720064694 Layton 74 Kimballs Ln Ste 210 620 East Medical Dr Ste Tanner Memorial Clinic - 1580 West Antelope Dr Ste Draper, UT 84020 150B Layton 130 (801) 566-3062 Bountiful, UT 84010 2121 North 1700 West Layton, UT 84041 (801) 298-3247 Layton, UT 84041 (801) 728-9555 Chachas, Angelo MD ~* (801) 773-4840 French, Spanish NPI: 1194726232 Todd, Russell MD ~* German Mountainstar General NPI: 1538158282 Iron Surgery - Draper Bountiful Surgical Oberg, Jon MD ~* 74 Kimballs Ln Ste 210 Association - Bountiful NPI: 1316035942 Cedar City Draper, UT 84020 425 Medical Dr Ste 101 Tanner Memorial Clinic - 84720 (801) 566-3062 Bountiful, UT 84010 Layton (801) 295-7444 2121 North 1700 West Stults, Michael MD ~* NPI: 1528087236 Davis, Charles MD ~* Layton, UT 84041 NPI: 1326136565 (801) 773-4840 Ihc Southern Utah Surgical Associates - Cedar City Granger Medical Clinic - 166 West 1325 North Ste Draper - 11724 350 11724 South State St Cedar City, UT 84720 Draper, UT 84020 (435) 586-8192 (801) 576-2000 Japanese, Spanish

349 Specialty Providers / Proveedores Especializados Surgery continued/seguido

Le, Dinhkim MD ~* Riverton Chachas, Angelo MD ~* Richards, Nathan MD ~ NPI: 1588845101 NPI: 1194726232 NPI: 1568663425 Pgu - Foothill Family 84065 Alpine Surgery Division - Ihc Salt Lake Clinic - Clinic - Draper Brockbank, Aaron MD ~ Salt Lake City Surgical Specialists 13953 South Bangerter NPI: 1568510626 24 South 1100 East Ste 302 389 South 900 East Pkwy Ihc Southridge Clinic Salt Lake City, UT 84102 Salt Lake City, UT 84102 Draper, UT 84020 Surgical Specialties - (801) 478-0010 (385) 282-2500 (385) 900-4090 Riverton Vietnamese 3723 West 12600 South Ste Christensen, Brent MD ~ 84103 270 NPI: 1275570293 Chabot, Elizabeth MD ~ Preciado, Alfonso MD ~* Riverton, UT 84065 Ihc Salt Lake Clinic - (801) 285-4600 NPI: 1346530375 NPI: 1962401315 Surgical Specialists Avenues General Surgery - Mountainstar General 389 South 900 East Salt Lake Surgery - Draper Chung, Alice MD ~ Salt Lake City, UT 84102 324 East 10Th Ave Ste 200 74 Kimballs Ln Ste 210 NPI: 1487970737 (385) 282-2500 Salt Lake City, UT 84103 Draper, UT 84020 Ihc Southridge Clinic Korean (801) 408-7500 (801) 566-3062 Surgical Specialties - Riverton Spanish Le, Dinhkim MD ~* Christensen, Brent MD ~ 3723 West 12600 South Ste NPI: 1588845101 270 NPI: 1275570293 Holladay Specialty Surgery Of Utah - Avenues General Surgery - Riverton, UT 84065 Salt Lake 84124 (801) 285-4600 Salt Lake 82 South 1100 East Ste 103 324 East 10Th Ave Ste 200 Kim, Benjamin MD ~* Salt Lake City, UT 84102 Salt Lake City, UT 84103 NPI: 1487681102 Murdock, Cabot MD ~ (801) 384-4640 (801) 408-7500 Utah Cancer Institute Llc - NPI: 1225024961 Vietnamese Holladay Ihc Southridge Clinic Korean 1220 East 3900 South Ste Surgical Specialties - Mintz, Steven MD ~ 4F Riverton Fisher, Kerry MD ~ NPI: 1871516641 NPI: 1932156346 Holladay, UT 84124 3723 West 12600 South Ste Alpine Surgery Division - (801) 268-8223 270 Avenues General Surgery - Salt Lake City Salt Lake Korean Riverton, UT 84065 24 South 1100 East Ste 302 (801) 285-4600 324 East 10Th Ave Ste 200 Salt Lake City, UT 84102 Salt Lake City, UT 84103 Magna (801) 478-0010 (801) 408-7500 Salt Lake City Dutch 84044 Regenass, Heidi MD ~ Atherton, Justin DO ~* 84102 NPI: 1225258965 Reading, Teresa MD ~ NPI: 1386876167 Atherton, Justin DO ~* Utah Cancer Specialists Pc Magna Center For Family NPI: 1386876167 NPI: 1043259781 - 389 South Avenues General Surgery - Medicine - Magna Specialty Surgery Of Utah - 389 South 900 East Ste 100 3665 South 8400 West Ste Salt Lake Salt Lake Salt Lake City, UT 84102 324 East 10Th Ave Ste 200 110 82 South 1100 East Ste 103 (385) 282-2125 Magna, UT 84044 Salt Lake City, UT 84102 Salt Lake City, UT 84103 (801) 408-7500 (801) 250-9638 (801) 384-4640 Richards, Christina MD ~* Richards, Nathan MD ~ Chabot, Elizabeth MD ~ NPI: 1922123694 NPI: 1346530375 NPI: 1568663425 Bariatric Medicine Avenues General Surgery - Ihc Salt Lake Clinic - Institute - Salt Lake Surgical Specialists Salt Lake 1046 East 100 South Ste 324 East 10Th Ave Ste 200 389 South 900 East 110 Salt Lake City, UT 84102 Salt Lake City, UT 84103 Salt Lake City, UT 84102 (801) 408-7500 (385) 282-2500 (801) 746-2885 French

350 Specialty Providers / Proveedores Especializados Surgery continued/seguido

84106 Preciado, Alfonso MD ~* Zendejas -Ruiz, Ivan Campsen, Paul MD ~* Regenass, Heidi MD ~ NPI: 1962401315 MD ~* NPI: 1427104017 NPI: 1225258965 Mountainstar General NPI: 1760542054 Pediatric Transplant - Pcos Utah Cancer Specialists Pc Surgery - Murray Canyon Surgical Associates 81 North Mario Capecchi - South Salt Lake 4000 South 700 East Ste 9 Llc - Murray Dr 3838 South 700 East Ste Salt Lake City, UT 84107 5171 South Cottonwood St Salt Lake City, UT 84113 100 (801) 262-3564 Ste 650 (801) 662-2950 Salt Lake City, UT 84106 Spanish Salt Lake City, UT 84107 (801) 269-0231 (801) 507-9600 Kim, Robin MD ~* Price, Raymond MD ~ French, Spanish NPI: 1679519771 NPI: 1386669018 Department Of Pediatrics - 84107 Ihc Intermountain Surgical 84109 Pch Anderson, Eric MD ~* Specialists - Murray Le, Dinhkim MD ~* 100 North Mario Capecchi NPI: 1649319500 5169 South Cottonwood St NPI: 1588845101 Dr Ihc Intermountain Surgical Ste 410 Pgu - Foothill Family Salt Lake City, UT 84113 Specialists - Murray Salt Lake City, UT 84107 Clinic - North (801) 662-1000 5169 South Cottonwood St (801) 507-1600 2295 South Foothill Dr Ste 410 Thai Salt Lake City, UT 84109 Kim, Robin MD ~* Salt Lake City, UT 84107 (801) 486-3021 NPI: 1679519771 (801) 507-1600 Price, Robert MD ~* Vietnamese Pediatric Surgeons - Pch NPI: 1679598312 100 North Mario Capecchi Byrge, Nickolas MD ~ Ihc Intermountain Surgical Dr NPI: 1619292745 Specialists - Murray 84113 Salt Lake City, UT 84113 Ihc Intermountain Surgical 5169 South Cottonwood St Brooke, Benjamin MD ~* (801) 662-2950 Specialists - Murray Ste 410 NPI: 1982754107 5169 South Cottonwood St Salt Lake City, UT 84107 Pediatric Surgeons - Pch Kim, Robin MD ~* Ste 410 (801) 507-1600 100 North Mario Capecchi NPI: 1679519771 Salt Lake City, UT 84107 French Dr Pediatric Transplant - Pcos (801) 507-1600 Salt Lake City, UT 84113 81 North Mario Capecchi Rasmussen, Clark MD ~ (801) 662-2950 Dr Cavin, Ian DO ~* NPI: 1134136906 Salt Lake City, UT 84113 NPI: 1184647315 Ihc Intermountain Surgical Brooke, Benjamin MD ~* (801) 662-2950 Mountainstar General Specialists - Murray NPI: 1982754107 Surgery - Murray 5169 South Cottonwood St Pediatric Vascular Surgery Mckellar, Stephen MD ~* 4000 South 700 East Ste 9 Ste 410 - Pch NPI: 1407821846 Salt Lake City, UT 84107 Salt Lake City, UT 84107 100 North Mario Capecchi Pediatric Cardiothoracic (801) 262-3564 (801) 507-1600 Dr Surgeons - Pcos Portugese, Spanish Salt Lake City, UT 84113 81 North Mario Capecchi Chachas, Angelo MD ~* (801) 662-2950 Dr NPI: 1194726232 Rodriguez-Davalos, Salt Lake City, UT 84113 Mountainstar General Manuel MD ~* Campsen, Paul MD ~* (801) 662-5566 Surgery - Murray NPI: 1306996053 NPI: 1427104017 Dutch 4000 South 700 East Ste 9 Canyon Surgical Associates Pediatric Surgeons - Pch Salt Lake City, UT 84107 Llc - Murray 100 North Mario Capecchi Mckellar, Stephen MD ~* (801) 262-3564 5171 South Cottonwood St Dr NPI: 1407821846 Ste 650 Salt Lake City, UT 84113 Pediatric Cardiothoracic Patterson, Robert MD ~ Salt Lake City, UT 84107 (801) 662-2950 Surgeons - Salt Lake NPI: 1285723114 (801) 507-9600 100 North Mario Capecchi Intermountain Plastic Spanish Dr Surgery Center - Murray Salt Lake City, UT 84113 5169 South Cottonwood St (801) 662-5566 Ste 420 Dutch Salt Lake City, UT 84107 (801) 507-1650

351 Specialty Providers / Proveedores Especializados Surgery continued/seguido

Nelson, Edward MD ~* Eakin, Jeffrey MD ~* Chachas, Angelo MD ~* Preciado, Alfonso MD ~* NPI: 1518057124 NPI: 1932308822 NPI: 1194726232 NPI: 1962401315 Pediatric Surgeons - Pch Specialty Surgery Of Utah - Mountainstar General Mountainstar General 100 North Mario Capecchi West Valley Surgery - St Marks Surgery - St Marks Dr 3336 South Pioneer Pkwy 1250 East 3900 South Ste 1250 East 3900 South Ste Salt Lake City, UT 84113 Ste 306 460 460 (801) 662-2950 Salt Lake City, UT 84120 Salt Lake City, UT 84124 Salt Lake City, UT 84124 (801) 964-3855 (801) 262-3654 (801) 262-3654 Nelson, Edward MD ~* Spanish NPI: 1518057124 Hollingsed, Timothy Davis, Charles MD ~* Pediatric Transplant - Pcos MD ~* NPI: 1326136565 84143 81 North Mario Capecchi NPI: 1790716181 Granger Medical - Summit Mintz, Steven MD ~ Dr Granger Medical - West Urology - Holladay NPI: 1871516641 Salt Lake City, UT 84113 Valley 4252 South Highland Dr Ldsh Multidisciplinary (801) 662-2950 3725 West 4100 South Ste 200 Clinic Salt Lake City, UT 84120 Salt Lake City, UT 84124 8Th Ave & C St Rofaiel, George ~* (801) 965-3600 (801) 993-1800 Salt Lake City, UT 84143 NPI: 1265622138 Japanese, Spanish (801) 408-8998 Pediatric Transplant - Pcos Le, Dinhkim MD ~* 81 North Mario Capecchi NPI: 1588845101 Leckman, Scott MD ~* Reading, Teresa MD ~ Dr Specialty Surgery Of Utah - NPI: 1588637730 NPI: 1043259781 Salt Lake City, UT 84113 West Valley Scott A Leckman Md - Ldsh Multidisciplinary (801) 662-2950 3336 South Pioneer Pkwy Holladay Clinic Ste 306 1220 East 3900 South Ste 8Th Ave & C St Skarda, David MD ~* Salt Lake City, UT 84120 3G Salt Lake City, UT 84143 NPI: 1356398010 (801) 964-3855 Salt Lake City, UT 84124 (801) 408-8998 Pediatric Surgeons Vietnamese (801) 268-4924 100 North Mario Capecchi Spanish Dr 84121 Sandy Salt Lake City, UT 84113 Le, Dinhkim MD ~* Mckinlay, Rodrick MD ~* 84094 (801) 662-2950 NPI: 1588845101 NPI: 1245245992 Lewis, Shane MD ~ Spanish Pgu - Foothill Family Rocky Mountain NPI: 1588831861 Clinic - South Associated Physicians - Salt Alta View Clinic General Skarda, David MD ~* 6360 South 3000 East Ste Lake Surgery - Sandy NPI: 1356398010 100 1160 East 3900 South Ste 9450 South 1300 East Pediatric Surgeons - Pch Salt Lake City, UT 84121 4100 Sandy, UT 84094 100 North Mario Capecchi (801) 365-1032 Salt Lake City, UT 84124 (801) 501-6333 Dr Vietnamese (801) 268-3800 Japanese Salt Lake City, UT 84113 Spanish (801) 662-2950 84124 Lewis, Shane MD ~ Spanish Paulk, Nicholas MD ~* NPI: 1588831861 Cavin, Ian DO ~* NPI: 1467604298 Alta View Specialty Clinic - 84120 NPI: 1184647315 Nicholas J Paulk Md - Slc Sandy Granger Medical - Summit 1160 East 3900 South Ste Atherton, Justin DO ~* 9450 South 1300 East Urology - Holladay 4100 Sandy, UT 84094 NPI: 1386876167 4252 South Highland Dr Salt Lake City, UT 84124 Specialty Surgery Of Utah - (801) 501-6333 Ste 200 (801) 268-3800 Japanese West Valley Salt Lake City, UT 84124 Italian 3336 South Pioneer Pkwy (801) 993-1800 Ste 306 Salt Lake City, UT 84120 (801) 964-3855

352 Specialty Providers / Proveedores Especializados Surgery continued/seguido

Mawhinney, Mark MD ~ Kieryn, Anne MD ~* Cashmore, Blaine MD ~* Robinson, Paul MD ~ NPI: 1306090261 NPI: 1770652232 NPI: 1174576144 NPI: 1184685992 Alta View Clinic General Physicians Group Of Utah Tooele Clinic Corporation - Ihc American Fork Surgical Surgery - Sandy - West Jordan Ste 210 196 E 2000 N Ste 109 Associates - Am Fork 9450 South 1300 East 3592 West 9000 South Ste 196 East 2000 North Ste 98 North 1100 East Ste 202 Sandy, UT 84094 210 109 American Fork, UT 84003 (801) 501-6333 West Jordan, UT 84088 Tooele, UT 84074 (801) 492-2510 Spanish (801) 208-1050 (435) 228-0061 Lehi Mawhinney, Mark MD ~ Kieryn, Anne MD ~* Strindberg, Gail MD ~* NPI: 1306090261 NPI: 1770652232 NPI: 1104812395 84043 Ihc Sandy Clinic - Sandy Specialty Surgery Of Utah - General Surgery At Wennergren, John MD ~* 9500 South 1300 East West Jordan Northpointe - Tooele NPI: 1053545434 Sandy, UT 84094 3584 West 9000 South Ste 2376 North 400 East Ste Utah Surgical Associates - (801) 501-2100 304 A205 Lehi Spanish West Jordan, UT 84088 Tooele, UT 84074 3000 North Triumph Blvd (801) 601-4423 (435) 882-8111 Suite 250 West Jordan Lehi, UT 84043 Le, Dinhkim MD ~* Strindberg, Gail MD ~* (801) 852-9480 84088 NPI: 1588845101 NPI: 1104812395 Atherton, Justin DO ~* Specialty Surgery Of Utah - Oquirrh Surgical Services - Payson NPI: 1386876167 West Jordan Tooele Specialty Surgery Of Utah - 3584 West 9000 South Ste 196 East 2000 North Ste 84651 West Jordan 304 106 Hill, Bruce MD ~* 3584 West 9000 South Ste West Jordan, UT 84088 Tooele, UT 84074 NPI: 1699715664 304 (801) 601-4423 (435) 228-0061 Utah Surgical Associates - West Jordan, UT 84088 Vietnamese Payson (801) 601-4423 Utah 1000 East 15 South Ste 350 Preciado, Alfonso MD ~* Payson, UT 84651 Beck, Catherine MD ~* NPI: 1962401315 American Fork (801) 465-5602 NPI: 1922267459 Specialty Surgery Of Utah - 84003 Italian Specialty Surgery Of Utah - West Jordan West Jordan 3584 West 9000 South Ste Patterson, Robert MD ~ Van Wagoner, Zachary 3584 West 9000 South Ste 304 NPI: 1285723114 MD ~* 304 West Jordan, UT 84088 Ihc American Fork Surgical NPI: 1346549912 West Jordan, UT 84088 (801) 601-4423 Associates - Am Fork Utah Surgical Associates - (801) 601-4423 Spanish 98 North 1100 East Ste 202 Payson American Fork, UT 84003 1000 East 15 South Ste 350 Kieryn, Anne MD ~* Tooele (801) 492-2510 Payson, UT 84651 NPI: 1770652232 (801) 465-5602 Jordan Valley Internal Tooele Peugh, William MD ~ Spanish Medicine - Ste 140 84074 NPI: 1730147711 3570 West 9000 South Ste Ihc American Fork Surgical Provo 140 Cashmore, Blaine MD ~* Associates - Am Fork West Jordan, UT 84088 NPI: 1174576144 98 North 1100 East Ste 202 84604 (801) 964-3865 Oquirrh Surgical Services - American Fork, UT 84003 Cook, Craig MD ~* Tooele (801) 492-2510 NPI: 1851347090 196 East 2000 North Ste Utah Surgical Associates - 106 Provo Tooele, UT 84074 3550 North University Ave (435) 228-0061 Ste 250 Provo, UT 84604 (801) 374-9625

353 Specialty Providers / Proveedores Especializados Surgery continued/seguido

Engen, Todd MD ~* Sheffield, Clark MD ~* Washington Speakman, James MD ~* NPI: 1295705697 NPI: 1417906181 NPI: 1639279573 Excel Cosmetic Surgery Utah Surgical Associates - Saint George Utah Surgical Associates - Center - Provo Provo 84790 St George 1735 North State St 3550 North University Ave 1490 East Foremaster Dr Provo, UT 84604 Ste 250 Day, Trevor DO ~* Ste 200 (801) 379-2900 Provo, UT 84604 NPI: 1861732257 Saint George, UT 84790 (801) 374-9625 Utah Surgical Associates - (435) 628-1641 Garry, David MD ~* Japanese St George Spanish NPI: 1497702252 1490 East Foremaster Dr Utah Surgical Associates - Tittensor, Jennifer MD ~* Ste 200 Sutherland, John MD ~* Provo NPI: 1568497634 Saint George, UT 84790 NPI: 1932387198 3550 North University Ave Utah Surgical Associates - (435) 628-1641 Utah Surgical Associates - Ste 250 Provo St George Provo, UT 84604 3550 North University Ave Jennings, Cameron 1490 East Foremaster Dr (801) 374-9625 Ste 250 MD ~* Ste 200 Provo, UT 84604 NPI: 1790044527 Saint George, UT 84790 Gill, Brian MD ~* (801) 374-9625 Utah Surgical Associates - (435) 628-1641 NPI: 1164528717 Spanish St George Utah Surgical Associates - 1490 East Foremaster Dr Watson, Gregory DO ~ Provo Van Wagoner, Zachary Ste 200 NPI: 1770676793 3550 North University Ave MD ~* Saint George, UT 84790 Utah Surgical Associates - Ste 250 NPI: 1346549912 (435) 628-1641 St George Provo, UT 84604 Utah Surgical Associates - 1490 East Foremaster Dr (801) 374-9625 Provo Lewis, Ryan DO ~* Ste 200 3550 North University Ave NPI: 1942290622 Saint George, UT 84790 Peterson, Lee MD ~* Ste 250 Utah Surgical Associates - (435) 628-1641 NPI: 1316987613 Provo, UT 84604 St George Utah Surgical Associates - (801) 374-9625 1490 East Foremaster Dr Weber Provo Spanish Ste 200 3550 North University Ave Saint George, UT 84790 Ogden (435) 628-1641 Ste 250 Watts, David MD ~* 84403 Provo, UT 84604 NPI: 1700932068 Spanish (801) 374-9625 Utah Surgical Associates - Carabine, Steven MD ~ German Provo Miller, John MD ~* NPI: 1689761165 3550 North University Ave NPI: 1639279698 Ihc Northern Utah Rasmussen, Ralph MD ~* Ste 250 Utah Surgical Associates - Surgeons - Ogden NPI: 1528008588 Provo, UT 84604 St George 4403 Harrison Blvd Ste Utah Surgical Associates - (801) 374-9625 1490 East Foremaster Dr 1635 Provo Ste 200 Ogden, UT 84403 3550 North University Ave Saratoga Springs Saint George, UT 84790 (801) 387-7450 Ste 250 (435) 628-1641 Provo, UT 84604 84045 Dunning, Kyle MD * (801) 374-9625 Le, Dinhkim MD ~* Myers, Brad MD ~* NPI: 1548453582 Spanish NPI: 1588845101 NPI: 1700986635 Ogden Clinic Professional Jordan Valley Surgical Utah Surgical Associates - Center - North Specialists - Saratoga St George 4650 Harrison Blvd Springs 1490 East Foremaster Dr Ogden, UT 84403 24 West Sergeant Court Dr Ste 200 (801) 475-3000 Ste 101 Saint George, UT 84790 Saratoga Springs, UT (435) 628-1641 84045 (801) 601-4423 Vietnamese

354 Specialty Providers / Proveedores Especializados Surgery continued/seguido

Garvey, Sheila MD * Varela, Victor MD ~ South Jordan Utah NPI: 1245227792 NPI: 1538277660 Ogden Clinic Professional Ihc Northern Utah 84009 American Fork Center - North Surgeons - Ogden Mendenhall, Shaun MD ~ 84003 4650 Harrison Blvd 4403 Harrison Blvd Ste Pediatric Plastic Surgery - Ogden, UT 84403 1635 South Jordan Health Green, Matthew MD ~ (801) 475-3000 Ogden, UT 84403 Center NPI: 1588960405 (801) 387-7450 5126 West Daybreak Pkwy Ihc Utah Valley Grunander, Megan MD * South Jordan, UT 84009 Orthopaedics North Valley NPI: 1891987921 Surgery Of The (801) 213-5200 - American Fork Ogden Clinic Professional Spanish 98 North 1100 East Ste 103 Center - North Hand - Plastic American Fork, UT 84003 4650 Harrison Blvd Surgery Of The (801) 492-2330 Ogden, UT 84403 Surgery German (801) 475-3000 Hand - Surgery Salt Lake Orem Jordan, Edward MD * Salt Lake 84057 NPI: 1740277599 Salt Lake City Ogden Clinic - Skyline 84113 Magna Johnson, Curtis MD ~* 6112 South 1550 East Ste NPI: 1205939089 Mendenhall, Shaun MD ~ 84044 Revere Health - Orem - 101 Pediatric Plastic Surgery Ogden, UT 84403 Burrows, James MD ~* Orthopedic Specialty Ctr 100 North Mario Capecchi NPI: 1477506913 700 West 800 North Ste (801) 475-3800 Dr Spanish Associates In Orthopaedic 100 Salt Lake City, UT 84113 Surgery - Magna Orem, UT 84057 (801) 662-1700 3665 South 8400 West Ste (801) 373-7350 Jordan, Edward MD * Spanish NPI: 1740277599 200 Magna, UT 84044 Richards, Ryan MD ~* Ogden Clinic Professional Rockwell, William MD ~* Center - North (801) 964-3925 NPI: 1427149178 NPI: 1841380466 Revere Health - Orem - 4650 Harrison Blvd Pediatric Plastic Surgery - Ogden, UT 84403 Salt Lake City Orthopedic Specialty Ctr Pch 700 West 800 North Ste (801) 475-3000 100 North Mario Capecchi 84107 Spanish 100 Dr Hammon, Daniel MD ~ Orem, UT 84057 Salt Lake City, UT 84113 NPI: 1851334452 (801) 373-7350 Jordan, Edward MD * (801) 662-1700 Ihc Orthopedic Specialty NPI: 1740277599 Group - Tosh - Murray Payson Ogden Clinic Professional Rockwell, William MD ~* 5848 South Fashion Blvd Center - South NPI: 1841380466 Salt Lake City, UT 84107 84651 4700 Harrison Blvd Pediatric Plastic Surgery - (801) 314-4900 Johnson, Curtis MD ~* Ogden, UT 84403 Pcos NPI: 1205939089 (801) 475-3870 81 North Mario Capecchi West Valley City Revere Health - Payson - Spanish Dr Orthopedic Specialty Ctr Salt Lake City, UT 84113 84120 15 South 1000 East Ste 150 Moesinger, Robert MD ~ (801) 213-3599 Burrows, James MD ~* Payson, UT 84651 NPI: 1497717011 NPI: 1477506913 (801) 465-9534 Ihc Northern Utah 84132 Associates In Orthopaedic Surgeons - Ogden Mendenhall, Shaun MD ~ Surgery (Aos) - West Valley Richards, Ryan MD ~* 4403 Harrison Blvd Ste 3336 South Pioneer Pkwy 1635 Pediatric Plastic Surgery NPI: 1427149178 50 North Medical Dr Ste 102 Revere Health - Payson - Ogden, UT 84403 West Valley City, UT (801) 387-7450 Salt Lake City, UT 84132 Orthopedic Specialty Ctr (801) 662-1700 84120 15 South 1000 East Ste 150 Spanish (801) 568-3480 Payson, UT 84651 (801) 465-9534

355 Specialty Providers / Proveedores Especializados Surgery Of The Hand - Surgery continued/seguido

Provo Richards, Ryan MD ~* 84124 Weber NPI: 1427149178 84602 Karwande, Shreeka Ogden Revere Health - Provo - MD ~* Johnson, Curtis MD ~* Orthopedic Specialty Ctr 84405 NPI: 1205939089 1055 North 500 West Ste NPI: 1972693570 Revere Health - Provo 121 Mountainstar Karwande, Shreeka Orthopedic Office Provo, UT 84604 Cardiovascular Surgery - MD ~* 1130 Smith Fieldhouse (801) 373-7350 Holladay NPI: 1972693570 1160 East 3900 South Ste Mountainstar Provo, UT 84602 3500 (801) 373-7350 Weber Cardiovascular Surgery - Salt Lake City, UT 84124 Ogden Ste 110 Ogden (801) 743-4750 5405 South 500 East Ste 84604 110 Green, Matthew MD ~ 84405 Tooele Ogden, UT 84405 NPI: 1588960405 Barnett, Randall MD ~* (801) 476-6900 Ihc Utah Valley NPI: 1700883600 Tooele Orthopaedics Provo - Provo Alpine Plastic And 84074 Surgical Oncology 1157 North 300 West Ste Reconstructive Surgery 201 5405 South 500 East Ste Cox, Jordy MD ~* Provo, UT 84604 NPI: 1295833457 Salt Lake 101 The Heart & Lung Institute (801) 357-1200 Ogden, UT 84405 Salt Lake City German Of Utah - Tooele (801) 689-3506 2326 North 400 East Bldg 84107 Johnson, Curtis MD ~* C Ste 202 Surgical Critical Tooele, UT 84074 Bowles, Tawnya MD ~ NPI: 1205939089 NPI: 1679554141 Revere Health - Provo - (801) 263-2370 Care French, Spanish Ihc Intermountain Surgical Hand Wrist And Elbow Oncology - Murray Center Salt Lake 5169 South Cottonwood St 1055 North 500 West Ste Utah Ste 440 207 Salt Lake City Orem Salt Lake City, UT 84107 Provo, UT 84604 (801) 507-3915 (801) 375-4263 84101 84057 Cox, Jordy MD ~* Karwande, Shreeka Hyngstrom, John MD ~ Johnson, Curtis MD ~* NPI: 1295833457 MD ~* NPI: 1780832469 NPI: 1205939089 The Heart & Lung Institute NPI: 1972693570 Ihc Intermountain Surgical Revere Health - Provo - Of Utah - Salt Lake Mountainstar Oncology - Murray Orthopedic Specialty Ctr 82 South 1100 East Ste 103 Cardiovascular Surgery - 5169 South Cottonwood St 1055 North 500 West Ste Salt Lake City, UT 84101 698 West Ste 440 121 (801) 263-2370 698 West 800 North Ste Salt Lake City, UT 84107 Provo, UT 84604 French, Spanish 210 (801) 507-3915 (801) 373-7350 Orem, UT 84057 84107 (801) 714-6412 Miles, Joan MD ~ Richards, Ryan MD ~* Cox, Jordy MD ~* NPI: 1376764282 NPI: 1427149178 NPI: 1295833457 Ihc Orthopedic Specialty Revere Health - Provo - The Heart & Lung Institute Group - Imc - Murray Hand Wrist And Elbow Of Utah - Main Office 5169 South Cottonwood St Center 5979 South Fashion Blvd Ste 430 1055 North 500 West Ste Salt Lake City, UT 84107 Salt Lake City, UT 84107 207 (801) 263-2370 (801) 507-3475 Provo, UT 84604 French, Spanish Spanish (801) 375-4263

356 Specialty Providers / Proveedores Especializados

Thoracic Surgery Clayson, Stephen MD ~ Jones, Kent MD ~ Mckellar, Stephen MD ~* NPI: 1447207758 NPI: 1861422727 NPI: 1407821846 (Cardiothoracic Ihc Int Heart Ihc Int Heart Pediatric Cardiothoracic Cardiothoracic Surgery - Cardiothoracic Surgery - Surgeons - Pcos Vascular Surgery) Murray Murray 81 North Mario Capecchi 5169 South Cottonwood St 5169 South Cottonwood St Dr Davis Ste 600 Ste 600 Salt Lake City, UT 84113 Salt Lake City, UT 84107 Salt Lake City, UT 84107 (801) 662-5566 Bountiful (801) 507-3600 (801) 507-3600 Dutch 84010 Affleck, David MD ~* Collins, Michael MD ~ Reid, Bruce MD ~ Mckellar, Stephen MD ~* NPI: 1710979653 NPI: 1366577256 NPI: 1093757965 NPI: 1407821846 Mountainstar Ihc Int Heart Ihc Int Heart Pediatric Cardiothoracic Cardiovascular Surgery - Cardiothoracic Surgery - Cardiothoracic Surgery - Surgeons - Salt Lake Bountiful Murray Murray 100 North Mario Capecchi 620 E Medical Drive Ste 5169 South Cottonwood St 5169 South Cottonwood St Dr 150 Ste 600 Ste 600 Salt Lake City, UT 84113 Bountiful, UT 84010 Salt Lake City, UT 84107 Salt Lake City, UT 84107 (801) 662-5566 (801) 298-3247 (801) 507-3600 (801) 507-3600 Dutch Spanish Collins, Michael MD ~ Stringham, James MD ~* Sharma, Vikas ~* Salt Lake NPI: 1366577256 NPI: 1538182449 NPI: 1619282225 Intermountain The Heart & Lung Institute Pediatric Cardiothoracic Salt Lake City Thoracic,Lung, And Of Utah - Main Office Surgeons - Pcos Esophageal Surgery - 5979 South Fashion Blvd 81 North Mario Capecchi 84101 Murray Salt Lake City, UT 84107 Dr Stringham, James MD ~* 5169 South Cottonwood St (801) 263-2370 Salt Lake City, UT 84113 NPI: 1538182449 Ste 640 (801) 662-5566 The Heart & Lung Institute Salt Lake City, UT 84107 84113 Hindi Of Utah - Salt Lake (801) 507-3600 82 South 1100 East Ste 103 Glotzbach, Jason MD ~* NPI: 1467671701 Sharma, Vikas ~* Salt Lake City, UT 84101 Doty, John MD ~ NPI: 1619282225 (801) 263-2370 Pediatric Cardiothoracic NPI: 1700816667 Surgeons - Salt Lake Pediatric Cardiothoracic Ihc Int Heart 100 North Mario Capecchi Surgeons - Salt Lake 84102 Cardiothoracic Surgery - Dr 100 North Mario Capecchi Stringham, James MD ~* Murray Salt Lake City, UT 84113 Dr NPI: 1538182449 5169 South Cottonwood St (801) 662-5566 Salt Lake City, UT 84113 Cardiovascular Ste 600 (801) 662-5566 Hindi Consultants Of Utah Pc - Salt Lake City, UT 84107 Husain, Syed MD ~* Salt Lake City (801) 507-3600 NPI: 1790845873 82 South 1100 East Ste 103 Swedish Pediatric Cardiothoracic 84124 Salt Lake City, UT 84102 Surgeons - Salt Lake Affleck, David MD ~* (801) 263-2370 Griffin, David MD ~ 100 North Mario Capecchi NPI: 1710979653 NPI: 1790998789 Dr Mountainstar Intermountain Salt Lake City, UT 84113 Cardiovascular Surgery - 84107 Thoracic,Lung, And Caine, William MD ~ (801) 662-5566 Holladay Esophageal Surgery - Urdu 1160 East 3900 South Ste NPI: 1811075278 Murray Ihc Int Heart 3500 5169 South Cottonwood St Salt Lake City, UT 84124 Cardiothoracic Surgery - Ste 640 Murray (801) 743-4750 Salt Lake City, UT 84107 Spanish 5169 South Cottonwood St (801) 507-3600 Ste 600 Salt Lake City, UT 84107 (801) 507-3600

357 Specialty Providers / Proveedores Especializados Thoracic Surgery (Cardiothoracic Vascular Surgery) continued/seguido

Karwande, Shreeka West Valley City Mccann, Ulysse MD ~ Weber MD ~* NPI: 1700912219 NPI: 1972693570 84120 Ihc Utah Valley Heart & Ogden Mountainstar Stringham, James MD ~* Lung Surgical Associates - 84403 Cardiovascular Surgery - NPI: 1538182449 Provo Holladay The Heart & Lung Institute 1134 North 500 West Ste Cain, Albert MD ~ 1160 East 3900 South Ste Of Utah - West Valley 100 NPI: 1609984863 3500 3336 South 4155 West Ste Provo, UT 84604 Ihc Ogden Cardiovascular Salt Lake City, UT 84124 203 (801) 357-7081 Associates - Ogden (801) 743-4750 West Valley City, UT 4403 Harrison Blvd Ste 84120 Washington 3835 Schorlemmer, Gilbert (801) 263-2370 Ogden, UT 84403 MD ~* Saint George (801) 387-3475 French, German, Italian NPI: 1629060553 Tooele 84790 Mountainstar Cardiovascular Surgery - Tooele Bowles, Brent MD ~* Connors, Rafe MD ~ Holladay 84074 NPI: 1114950714 NPI: 1497954416 1160 East 3900 South Ste Ihc Cardiovascular & Ihc Ogden Cardiovascular 3500 Stringham, James MD ~* Thoracic Surgery - St Associates - Ogden Salt Lake City, UT 84124 NPI: 1538182449 George 4403 Harrison Blvd Ste (801) 743-4750 The Heart & Lung Institute 1380 East Medical Center 3835 Of Utah - Tooele Dr Ste 2600 Ogden, UT 84403 Thorne, J Kent MD ~* 2326 North 400 East Bldg Saint George, UT 84790 (801) 387-3475 NPI: 1356335970 C Ste 202 (435) 251-2700 German Mountainstar Tooele, UT 84074 Cardiovascular Surgery - (801) 263-2370 Eror, Alec MD ~* Goff, David MD ~ Holladay NPI: 1497720569 NPI: 1255449351 1160 East 3900 South Ste Utah Ihc Cardiovascular & Ihc Ogden Cardiovascular Thoracic Surgery - St Associates - Ogden 3500 Orem Salt Lake City, UT 84124 George 4403 Harrison Blvd Ste (801) 743-4750 84057 1380 East Medical Center 3835 Dr Ste 2600 Ogden, UT 84403 Karwande, Shreeka Saint George, UT 84790 (801) 387-3475 84132 MD ~* (435) 251-2700 German Varghese Jr, Thomas NPI: 1972693570 MD ~ Mountainstar Woodbury, Kory MD ~* 84405 NPI: 1427274349 Cardiovascular Surgery - NPI: 1225056575 Affleck, David MD ~* University Of Utah Adult 698 West Ihc Cardiovascular & Services 50 N Medical Dr 698 West 800 North Ste NPI: 1710979653 Thoracic Surgery - St Mountainstar 50 North Medical Dr 210 George Salt Lake City, UT 84132 Orem, UT 84057 1380 East Medical Center Cardiovascular Surgery - (801) 581-5311 (801) 714-6412 Ogden Ste 100B Dr Ste 2600 5405 South 500 East Ste Malayalam Saint George, UT 84790 Provo 100B (435) 251-2700 Ogden, UT 84405 West Jordan 84604 (801) 476-6900 84084 Dane, James MD ~ Spanish Stringham, James MD ~* NPI: 1083629828 NPI: 1538182449 Ihc Utah Valley Heart & The Heart & Lung Institute Lung Surgical Associates - Of Utah - Jordan Valley Provo 3570 West 9000 South Ste 1134 North 500 West Ste 100 100 West Jordan, UT 84084 Provo, UT 84604 (801) 263-2370 (801) 357-7081 ~ Accepting new patients/Aceptando a nuevos pacientes * Accepts Medicaid/Acepta Medicaid ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

358 Specialty Providers / Proveedores Especializados Thoracic Surgery (Cardiothoracic Vascular Surgery) continued/seguido

Karwande, Shreeka Trauma Surgery Undersea And 84124 MD ~* Hyperbaric Boyle, Bret DO ~ NPI: 1972693570 Salt Lake NPI: 1598844839 Mountainstar Medicine - Physician Wound Care Cardiovascular Surgery - Salt Lake City And Hyperbaric Service - Ogden Ste 110 84101 Emergency Salt Lake 5405 South 500 East Ste 1220 East 3900 South Ste 110 Cox, Jordy MD ~* Medicine 3A Ogden, UT 84405 NPI: 1295833457 Salt Lake City, UT 84124 (801) 476-6900 The Heart & Lung Institute Cache (801) 590-9064 Of Utah - Salt Lake Logan Zink, Robert MD ~* 82 South 1100 East Ste 103 Undersea And NPI: 1922067651 Salt Lake City, UT 84101 84341 Mountainstar (801) 263-2370 Hyperbaric Cardiovascular Surgery - French, Spanish Nail, Steven MD ~* Ogden Ste 100B NPI: 1114978137 Medicine - 5405 South 500 East Ste 84107 Ihc Logan Hyperbaric And Wound Care - Logan Preventive 100B Cox, Jordy MD ~* Ogden, UT 84405 1400 North 500 East Medicine (801) 476-6900 NPI: 1295833457 Logan, UT 84341 The Heart & Lung Institute (435) 716-2250 Of Utah - Main Office Zink, Robert MD ~* Iron 5979 South Fashion Blvd Salt Lake NPI: 1922067651 Salt Lake City, UT 84107 Cedar City Mountainstar (801) 263-2370 Salt Lake City 84721 Cardiovascular Surgery - French, Spanish Ogden Ste 200 84102 Cascio, Michael MD ~* 5405 South 500 East Ste Tooele Mcintosh, Scott MD ~* NPI: 1275541799 200 NPI: 1255427738 Ihc Cedar City Wound Ogden, UT 84405 Tooele Hyperbaric & Wound Care Clinic - Cedar City (801) 476-6900 84074 Care Center - Slc 1333 North Main St Ste 3 540 South Arapeen Dr Ste Cedar City, UT 84721 Transplant Surgery Cox, Jordy MD ~* 110 (435) 868-5656 NPI: 1295833457 Salt Lake City, UT 84102 Salt Lake The Heart & Lung Institute (801) 582-4268 Salt Lake Of Utah - Tooele Salt Lake City 2326 North 400 East Bldg 84108 Salt Lake City C Ste 202 84108 84107 Tooele, UT 84074 Mcintosh, Scott MD ~* Alonso, Diane MD ~* (801) 263-2370 NPI: 1255427738 Long, Deanne MD ~* NPI: 1275740607 French, Spanish Utah Center For NPI: 1023087343 Canyon Surgical Associates Hyperbaric Medicine - Salt Utah Center For Llc - Murray Lake Hyperbaric Medicine - Salt 5171 South Cottonwood St 540 Arapeen Dr Ste 110 Lake Ste 650 Salt Lake City, UT 84108 540 Arapeen Dr Ste 110 Salt Lake City, UT 84107 (801) 582-4268 Salt Lake City, UT 84108 (801) 507-9600 (801) 582-4268 Putnam, Cathey MD ~* NPI: 1437110368 Utah Center For Hyperbaric Medicine - Salt Lake 540 Arapeen Dr Ste 110 Salt Lake City, UT 84108 (801) 582-4268

359 Specialty Providers / Proveedores Especializados Undersea And Hyperbaric Medicine - Preventive Medicine continued/seguido

West Jordan Cascio, Michael MD ~* Goates, Brad MD ~* Goble, Deserae MD ~* NPI: 1275541799 NPI: 1396942785 NPI: 1366415770 84088 Ihc Dixie Wound And Ihc Logan Clinic - Logan Deserae J. Goble Md Pc - Moffat, Andrew DO ~* Hyperbaric - St George 412 North 200 East Providence NPI: 1942512751 544 South 400 East Logan, UT 84321 286 North Gateway Dr Ste Hyperbaric & Wound Care Saint George, UT 84770 (435) 713-2800 201 Center At Jordan Valley (435) 688-4293 Providence, UT 84332 Medical Ctr Ihc Health Services Inc ~* (435) 363-7853 3590 West 9000 South Ste Urgent Care Clinic NPI: 1245374313 105 Intermountain Logan Davis West Jordan, UT 84088 Cache Instacare (801) 601-2322 412 North 200 East Bountiful Hyde Park Logan, UT 84321 84010 Utah (435) 713-2710 84318 First Med ~* American Fork Avery, D MD ~* 84341 NPI: 1962652669 84003 NPI: 1780698316 Firstmed In Bountiful Ihc North Cache Valley Goble, Deserae MD ~* 1512 Renaissance Town Robins, Marc DO ~* Clinic - Hyde Park NPI: 1366415770 Dr NPI: 1780671453 4088 North Hwy 91 Gateway Medical - Logan Bountiful, UT 84010 Ihc American Fork Wound Hyde Park, UT 84318 2380 North 400 East Ste A (801) 295-6483 Care - Am Fork (435) 563-4900 Logan, UT 84341 98 North 1100 East Ste 302 German (435) 713-1300 Foster, Carla MD ~* American Fork, UT 84003 NPI: 1841237005 (801) 492-2260 Ihc Health Services Inc ~* Goble, Deserae MD ~* Rocky Mountain Family German, Italian NPI: 1407291974 NPI: 1366415770 Practice Llc - Bountiful Intermountain North Mountainstar Medical 1512 South Renaissance Provo Cache Valley Instacare Group Cache Valley Llc - Towne Dr 84604 4088 North Hwy 91 Logan Bountiful, UT 84010 Hyde Park, UT 84318 2380 North 400 East Ste A (801) 295-6483 Robins, Marc DO ~* (435) 563-4888 Logan, UT 84341 NPI: 1780671453 (435) 713-1300 Ihc Health Services Inc ~ Ihc Utah Valley Hyperbaric NPI: 1689709875 And Wound Care - Provo Hyrum Providence Intermountain Bountiful 1034 North 500 West 84319 84332 Instacare Provo, UT 84604 Goble, Deserae MD ~* 390 North Main St (801) 357-8156 NPI: 1366415770 Avery, D MD ~* Bountiful, UT 84010 German, Italian South Point Medical - NPI: 1780698316 (801) 397-6320 Hyrum Ihc South Cache Valley Washington Clinic - Providence Smith, Maureen NP ~ 26 West Center Ste 3A 190 South Hwy 165 Saint George Hyrum, UT 84319 NPI: 1730111311 (435) 245-3232 Providence, UT 84332 Nephrology Associates - 84770 (435) 755-3300 Wood Cross Logan German 572 West 750 South Beckstrand, Devin MD ~* Bountiful, UT 84010 NPI: 1497744478 84321 Broadhurst, Jeremy Ihc Dixie Wound And (801) 288-2634 Clark, Thomas MD ~* DO ~* Hyperbaric - St George NPI: 1114115664 544 South 400 East NPI: 1295741114 Ihc Logan Clinic - Logan Ihc South Cache Valley Saint George, UT 84770 Clinic - Providence (435) 688-4293 412 North 200 East Logan, UT 84321 190 South Hwy 165 (435) 713-2800 Providence, UT 84332 Portugese, Spanish (435) 755-3300 Spanish

360 Specialty Providers / Proveedores Especializados Urgent Care Clinic continued/seguido

Centerville Tanner Memorial Potter, Steven MD ~* 84721 Clinic ~* NPI: 1407922446 84014 NPI: 1447239355 Davis Medical Group - Pgu Corry, Mark MD ~* University Of Utah Tanner Memorial Clinic - - Layton NPI: 1033347158 Health Care ~* Kaysville 124 South Fairfield Rd Ihc Valley View Family NPI: 1699179267 380 North 400 West Layton, UT 84041 Medicine - Cedar City Uuhc Centerville Clinic Kaysville, UT 84037 (801) 927-3080 1333 North Main St 26 South Main St (801) 773-4840 Spanish Cedar City, UT 84721 Centerville, UT 84014 (435) 868-5500 (801) 693-7900 Layton Richardson, Charles Salt Lake 84040 MD ~* Clinton NPI: 1619105236 Draper Layton Family Tanner Memorial Clinic - 84015 Medicine ~* Layton 84020 Westside Medical NPI: 1538220306 2121 North 1700 West Ihc Health Services Inc ~ Clinic ~* Layton Family Medicine Layton, UT 84041 NPI: 1467878256 NPI: 1558439117 2950 North Church St Ste (801) 773-4840 Intermountain Draper Westside Medical Clinic 200 Spanish Instacare 1477 North 2000 West Ste Layton, UT 84040 12473 South Minuteman C (801) 771-7700 Tanner Memorial Dr Clinton, UT 84015 Clinic ~* Draper, UT 84020 (801) 774-8888 84041 NPI: 1447239355 (801) 495-7970 Cardon, Louis MD ~* Tanner Memorial Clinic - Kaysville NPI: 1689608895 Layton Medallus Medical ~* 84037 Tanner Memorial Clinic - 2121 North 1700 West NPI: 1437251279 Layton Layton, UT 84041 Medallus Medical - Draper Ihc Health Services Inc ~ (801) 773-4840 1126 East 12300 South NPI: 1831515626 2121 North 1700 West Layton, UT 84041 Draper, UT 84020 Intermountain Kaysville Syracuse (801) 545-0600 Creekside Instacare (801) 773-4840 French 435 North Main St 84075 Nelson, Todd MD ~* Kaysville, UT 84037 Tanner Memorial NPI: 1902917495 (801) 498-6000 Ihc Health Services Inc ~ NPI: 1710012745 Clinic ~* Granger Medical Clinic - Intermountain Layton NPI: 1447239355 Draper - 11724 Potter, Steven MD ~* Tanner Memorial Clinic - 11724 South State St NPI: 1407922446 Instacare 2075 North 1200 West Syracuse Draper, UT 84020 Ihc Kaysville Creekside 2038 West 1900 South (801) 576-2000 Clinic - Kaysville Layton, UT 84041 (801) 779-6200 Syracuse, UT 84075 435 North Main St (801) 773-4840 Vacharothone, Rachot Kaysville, UT 84037 Medallus Medical ~* MD ~* (801) 498-6000 Iron NPI: 1548228497 Spanish NPI: 1437251279 Medallus Medical - Layton Cedar City Medallus Medical - Draper 1868 North 1200 West 1126 East 12300 South Potter, Steven MD ~* 84720 Draper, UT 84020 NPI: 1407922446 Layton, UT 84041 (801) 614-9030 Ihc Health Services Inc ~* (801) 545-0600 Kaysville Family Medicine Spanish, Thai Pc - Kaysville NPI: 1225168610 307 North 300 West Ste Ogden Clinic Pc ~* Intermountain Cedar City 301 NPI: 1578550083 Instacare Kaysville, UT 84037 Ogden Clinic - Davis 962 South Sage Dr (801) 543-2221 Family Physicians Cedar City, UT 84720 Spanish 3225 West Gordon Ave Ste (435) 865-3440 1 Layton, UT 84041 (801) 397-6150 ~ Accepting new patients/Aceptando a nuevos pacientes * Accepts Medicaid/Acepta Medicaid ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

361 Specialty Providers / Proveedores Especializados Urgent Care Clinic continued/seguido

Herriman Murray Salt Lake City 84107 84096 84107 84102 Nelson, Cory DO ~* Esplin, Douglas MD ~ First Med ~* Ihc Health Services Inc ~ NPI: 1124339460 NPI: 1063421451 NPI: 1356359780 NPI: 1912250549 Emere Utah Llc - Murray Ihc Rose Canyon Clinic - Firstmed Clinic In Murray Intermountain Salt Lake 5296 South Commerce Dr Herriman 5911 South Fashion Blvd Instacare Ste 104 5541 West 13400 South Murray, UT 84107 389 South 900 East Salt Lake City, UT 84107 Herriman, UT 84096 (801) 266-6483 Salt Lake City, UT 84102 (385) 474-8888 (801) 871-4700 (385) 282-2400 84121 Nielsen, Curtis DO ~* Osborne, Bryce MD ~ Kirk, Stephen MD ~* NPI: 1013237502 NPI: 1194163782 Ihc Health Services Inc ~ NPI: 1578737979 Emere Utah Llc - Murray Ihc Rose Canyon Clinic - NPI: 1578687323 Salt Lake Regional 5296 South Commerce Dr Herriman Intermountain Holladay Comprehensive Ste 104 5541 West 13400 South Instacare Orthopedics & Sports Med Salt Lake City, UT 84107 Herriman, UT 84096 6272 South Highland Dr 82 South 1100 East Ste 403 (385) 474-8888 (801) 871-4700 Murray, UT 84121 Salt Lake City, UT 84102 Spanish (801) 871-6400 (801) 533-2002 Smith, Maureen NP ~ Spanish, Tagalog NPI: 1730111311 Riverton Nephrology Associates - Magna Salt Lake 84044 84065 Nelson, David DO ~* 650 East 4500 South Ste Ihc Health Services Inc ~ NPI: 1386676526 Exodus Healthcare Helping Hand Association 210 Network Pllc ~* NPI: 1477683357 Salt Lake City, UT 84107 Intermountain South Ridge - Salt Lake (801) 288-2634 NPI: 1306952783 Instacare & Kids Care 974 East South Temple Magna Center For Family Salt Lake City, UT 84102 3723 West 12600 South Ste 84111 Medicine Urgent Care 150 (801) 533-0070 3665 South 8400 West Riverton, UT 84065 Spanish Ngatuvai, Tauaina MD ~* Magna, UT 84044 (801) 285-4560 NPI: 1003992470 (801) 250-9638 84104 Lihai Medical Clinic Inc - Medallus Medical ~* First Med ~* Salt Lake City Stone, Gregory DO ~* NPI: 1437251279 NPI: 1922141191 313 East 900 South Ste 102 NPI: 1750348330 Medallus Medical - Firstmed Central Salt Lake City, UT 84111 Magna Center For Family Riverton 441 South Redwood Rd (801) 687-0511 Medicine - Magna 13348 South Market Salt Lake City, UT 84104 Spanish, Samoan 3665 South 8400 West Ste Center Dr (801) 973-2588 110 84112 Magna, UT 84044 Riverton, UT 84065 (801) 250-9638 (801) 844-1600 84105 University Of Utah Spanish Ihc Health Services Inc ~ Health Care ~* Smith, Maureen NP ~ NPI: 1477680221 NPI: 1528462231 Midvale NPI: 1730111311 Intermountain Memorial Uuhc Madsen Health Nephrology Associates - Instacare Center 84047 Riverton 2000 South 900 East 555 Foothill Blvd University Of Utah 12511 South Creek Salt Lake City, UT 84105 Salt Lake City, UT 84112 Health Care ~* Meadow Rd Ste 111 (801) 464-7777 (801) 581-8000 NPI: 1528462231 Riverton, UT 84065 Uuhc Greenwood Health (801) 288-2634 Center 7495 South State St Midvale, UT 84047 (801) 213-9400

362 Specialty Providers / Proveedores Especializados Urgent Care Clinic continued/seguido

84116 Stone, Gregory DO ~* Sandy 84095 NPI: 1750348330 Ihc Health Services Inc ~ Western Hills Medical 84070 Medallus Medical ~* NPI: 1194084996 Clinic - West Valley Ihc Health Services Inc ~ NPI: 1437251279 North Temple Clinic 3336 South Pioneer Pkwy NPI: 1578693750 Medallus Medical - South 54 North 800 West Ste 204 Intermountain Alta View Jordan Salt Lake City, UT 84116 Salt Lake City, UT 84120 Instacare 10433 South Redwood Rd (801) 408-8654 (801) 912-9700 9450 South 1300 East South Jordan, UT 84095 Spanish Sandy, UT 84070 (801) 501-0500 84119 (801) 501-2110 University Of Utah 84121 Vacharothone, Rachot Health Care ~* Kirk, Stephen MD ~* MD ~* NPI: 1598169203 First Med ~* NPI: 1578737979 NPI: 1548228497 Uuhc Redwood Health NPI: 1356359780 Comprehensive Medallus Medical - South Center Firstmed Cottonwood Orthopedics And Sports Jordan 1525 West 2100 South Heights Medicine 10433 South Redwood Rd Salt Lake City, UT 84119 1950 East 7000 South 9350 South 150 East Ste South Jordan, UT 84095 (801) 213-9900 Salt Lake City, UT 84121 460 (801) 501-0500 (801) 943-3300 Sandy, UT 84070 Spanish, Thai 84120 (801) 533-2002 84124 Spanish, Tagalog Taylorsville Cutlip, Cheryle MD * NPI: 1336171586 Medallus Medical ~* 84129 Granger Medical - West NPI: 1437251279 84094 Ihc Health Services Inc ~ Valley Medallus Medical - Hoffman, Gregory MD ~ NPI: 1902936008 3725 West 4100 South Holladay NPI: 1649275439 Intermountain Taylorsville Salt Lake City, UT 84120 3934 South 2300 East Ihc South Sandy Clinic - Instacare (801) 965-3600 Salt Lake City, UT 84124 Sandy 3845 West 4700 South (801) 849-8500 955 East 11400 South Taylorsville, UT 84129 Nelson, David DO * Sandy, UT 84094 (801) 840-2020 NPI: 1386676526 Nelson, Todd MD ~* (801) 571-0030 Granger Medical - West NPI: 1902917495 West Jordan Valley Granger Medical - Medallus Medical ~* 3725 West 4100 South Wasatch NPI: 1437251279 84088 Salt Lake City, UT 84120 1160 East 3900 South Ste Medallus Medical - Sandy First Med ~* (801) 965-3600 1000 7998 South 1300 East NPI: 1467478297 Spanish Salt Lake City, UT 84124 Sandy, UT 84094 Firstmed West Urgent Care (801) 262-1771 (801) 255-2000 8822 South Redwood Rd Smith, Maureen NP ~ West Jordan, UT 84088 NPI: 1730111311 Rassner, Leslie MD ~* South Jordan (801) 256-0009 Nephrology Associates - NPI: 1427022938 West Valley St Marks Family Medicine 84009 Hancey, Brian MD ~ 4052 West Pioneer Pkwy Clinic - Salt Lake University Of Utah NPI: 1851308902 Ste 101 1250 East 3900 South Ste Health Care ~* Ihc West Jordan Clinic - Salt Lake City, UT 84120 260 NPI: 1780088351 West Jordan (801) 288-2634 Salt Lake City, UT 84124 Uuhc South Jordan Health 2655 West 9000 South (801) 265-2000 Center West Jordan, UT 84088 5126 West Daybreak (801) 256-6343 Parkway Spanish South Jordan, UT 84009 (801) 213-4500

363 Specialty Providers / Proveedores Especializados Urgent Care Clinic continued/seguido

Ihc Health Services Inc ~ Schultz, Edward MD ~* Johnson, Cheryl MD ~* Ngatuvai, Tauaina MD ~* NPI: 1407982358 NPI: 1942287719 NPI: 1417066671 NPI: 1003992470 Intermountain West Granger Medical - Tooele Premier Family Medical - Premier Family Medical - Jordan Instacare 2326 North 400 East Bldg American Fork Site Af Pfm Pt Site 2655 West 9000 South C Ste 203 226 North 1100 East Ste A 1159 East 200 North Ste West Jordan, UT 84088 Tooele, UT 84074 American Fork, UT 84003 100 (801) 256-6399 (435) 843-4406 (801) 855-3850 American Fork, UT 84003 Spanish (801) 642-2890 Smith, Maureen NP ~ Macarthur, Toran MD ~* Spanish, Samoan NPI: 1730111311 Smith, Maureen NP ~ NPI: 1063521177 Nephrology Associates - NPI: 1730111311 Premier Family Medical - Ngatuvai, Tauaina MD ~* West Jordan Nephrology Associates - Af Pfm Pt Site NPI: 1003992470 3823 West 9000 South Tooele 1159 East 200 North Ste Premier Family Medical - West Jordan, UT 84088 1244 North Main St Ste 100 American Fork Site (801) 288-2634 101 American Fork, UT 84003 226 North 1100 East Ste A Tooele, UT 84074 (801) 642-2890 American Fork, UT 84003 West Valley City (801) 288-2634 Portugese (801) 855-3850 Spanish, Samoan 84120 Utah Macarthur, Toran MD ~* Medallus Medical ~* NPI: 1063521177 Robins, Marc DO ~* NPI: 1437251279 American Fork Premier Family Medical - NPI: 1780671453 Medallus Medical - West 84003 American Fork Site Ihc American Fork Wound Valley 226 North 1100 East Ste A Care - Am Fork 3451 South 5600 West Ste Hepworth, Paul MD ~ American Fork, UT 84003 98 North 1100 East Ste 302 F NPI: 1740608967 (801) 855-3850 American Fork, UT 84003 West Valley City, UT Ihc American Fork Portugese (801) 492-2260 84120 Instacare - American Fork German, Italian (801) 957-0900 98 North 1100 East Ste 101 Mcmanus, Shawn DO ~* American Fork, UT 84003 NPI: 1376707323 Eagle Mountain 84129 (801) 492-2550 Premier Family Medical - Af Pfm Pt Site 84005 University Of Utah Ihc Health Services Inc ~ Health Care ~* 1159 East 200 North Ste Macarthur, Toran MD ~* NPI: 1730217233 100 NPI: 1063521177 NPI: 1932503646 Intermountain American Uuhc Westridge Health American Fork, UT 84003 Premier Family Medical - Fork Instacare (801) 642-2890 Eagle Mountain Site Center 98 North 1100 East 3730 West 4700 South 3943 East Pony Express American Fork, UT 84003 Mcmanus, Shawn DO ~* Pkwy Ste 120 West Valley City, UT (801) 492-2550 84129 NPI: 1376707323 Eagle Mountain, UT 84005 (801) 213-9900 Premier Family Medical - (801) 789-5566 Johnson, Cheryl MD ~* American Fork Site Portugese NPI: 1417066671 Tooele 226 North 1100 East Ste A Premier Family Medical - American Fork, UT 84003 Mcmanus, Shawn DO ~* Tooele Af Pfm Pt Site (801) 855-3850 NPI: 1376707323 1159 East 200 North Ste Premier Family Medical - 84074 100 Medallus Medical ~* Eagle Mountain Site Ihc Health Services Inc ~* American Fork, UT 84003 NPI: 1437251279 3943 East Pony Express NPI: 1699071357 (801) 642-2890 Medallus Medical - Pkwy Ste 120 Intermountain Tooele American Fork Eagle Mountain, UT 84005 Instacare 476 North 900 West Ste C (801) 789-5566 777 North Main St American Fork, UT 84003 Tooele, UT 84074 (801) 492-1611 (435) 228-1200

364 Specialty Providers / Proveedores Especializados Urgent Care Clinic continued/seguido

Ngatuvai, Tauaina MD ~* Macarthur, Toran MD ~* Nielsen, Curtis DO ~* Macarthur, Toran MD ~* NPI: 1003992470 NPI: 1063521177 NPI: 1013237502 NPI: 1063521177 Premier Family Medical - Premier Family Medical - Advanced Sports & Premier Family Medical - Eagle Mountain Site Mountain Point Site Orthopedics - Lehi Lindon Site 3943 East Pony Express 3000 North Triumph Blvd 3401 North Center St Ste 275 West 200 North Pkwy Ste 120 Ste 220 100 Lindon, UT 84042 Eagle Mountain, UT 84005 Lehi, UT 84043 Lehi, UT 84043 (801) 796-1333 (801) 789-5566 (801) 753-4650 (801) 753-7770 Portugese Spanish, Samoan Portugese Smith, Maureen NP ~ Mcmanus, Shawn DO ~* Revere Health ~* Mcmanus, Shawn DO ~* NPI: 1730111311 NPI: 1376707323 NPI: 1093764805 NPI: 1376707323 Nephrology Associates - Premier Family Medical - Revere Health Care In Premier Family Medical - Lehi Lindon Pfm Pt Site Eagle Mountain Lehi Site 3000 North Triumph Blvd 275 West 200 North 4095 Pony Express 680 East Main St Ste 340 Lindon, UT 84042 Parkway Ste 1 Lehi, UT 84043 Lehi, UT 84043 (801) 756-3571 Eagle Mountain, UT 84005 (801) 768-1699 (801) 288-2634 (801) 429-8037 Mcmanus, Shawn DO ~* Mcmanus, Shawn DO ~* Utah Valley Urgent NPI: 1376707323 Lehi NPI: 1376707323 Care ~* Premier Family Medical - Premier Family Medical - NPI: 1437488319 Lindon Site 84043 Mountain Point Site Utah Valley Urgent Care 275 West 200 North Johnson, Cheryl MD ~* 3000 North Triumph Blvd 127 East Main St Ste E Lindon, UT 84042 NPI: 1417066671 Ste 220 Lehi, UT 84043 (801) 796-1333 Premier Family Medical - Lehi, UT 84043 (801) 766-9822 Lehi Site (801) 753-4650 Ngatuvai, Tauaina MD ~* 680 East Main St Lindon NPI: 1003992470 Lehi, UT 84043 Nelson, Cory DO ~* Premier Family Medical - (801) 768-1699 NPI: 1124339460 84042 Lindon Pfm Pt Site Advanced Sports & Johnson, Cheryl MD ~* 275 West 200 North Johnson, Cheryl MD ~* Orthopedics - Lehi NPI: 1417066671 Lindon, UT 84042 NPI: 1417066671 3401 North Center St Ste Premier Family Medical - (801) 756-3571 Premier Family Medical - 100 Lindon Pfm Pt Site Spanish, Samoan Mountain Point Site Lehi, UT 84043 275 West 200 North 3000 North Triumph Blvd (801) 753-7770 Lindon, UT 84042 Ngatuvai, Tauaina MD ~* Ste 220 (801) 756-3571 NPI: 1003992470 Lehi, UT 84043 Ngatuvai, Tauaina MD ~* Premier Family Medical - (801) 753-4650 NPI: 1003992470 Johnson, Cheryl MD ~* Lindon Site Premier Family Medical - NPI: 1417066671 275 West 200 North Macarthur, Toran MD ~* Lehi Site Premier Family Medical - Lindon, UT 84042 NPI: 1063521177 680 East Main St Lindon Site (801) 796-1333 Premier Family Medical - Lehi, UT 84043 275 West 200 North Spanish, Samoan Lehi Site (801) 768-1699 Lindon, UT 84042 680 East Main St Spanish, Samoan (801) 796-1333 Premier Family Lehi, UT 84043 Medical ~* (801) 768-1699 Ngatuvai, Tauaina MD ~* Macarthur, Toran MD ~* NPI: 1134563059 Portugese NPI: 1003992470 NPI: 1063521177 Premier Family Medical - Premier Family Medical - Premier Family Medical - Lindon Mountain Point Site Lindon Pfm Pt Site 275 West 200 North 3000 North Triumph Blvd 275 West 200 North Lindon, UT 84042 Ste 220 Lindon, UT 84042 (801) 796-1333 Lehi, UT 84043 (801) 756-3571 (801) 753-4650 Portugese Spanish, Samoan

365 Specialty Providers / Proveedores Especializados Urgent Care Clinic continued/seguido

Orem Mcmanus, Shawn DO ~* Nielsen, Curtis DO ~* Santaquin NPI: 1376707323 NPI: 1013237502 84057 Premier Family Medical - Ihc Utah Valley Sports 84655 Ihc Health Services Inc ~ Pleasant Grove Site Medicine - Provo Canyon View Medical NPI: 1275669970 830 North 2000 West 1157 North 300 West Ste Group ~* Intermountain North Pleasant Grove, UT 84062 201 NPI: 1538194477 Orem Instacare (801) 756-3511 Provo, UT 84604 Canyon View Family 1975 North State St (801) 357-1200 Medical Center - Orem, UT 84057 Ngatuvai, Tauaina MD ~* Santaquin (801) 714-5000 NPI: 1003992470 Revere Health ~* 94 West Main Premier Family Medical - NPI: 1093764805 Santaquin, UT 84655 84058 Pleasant Grove Site Revere Family Health (801) 754-3122 University Of Utah 830 North 2000 West Center Urgent Care Health Care ~* Pleasant Grove, UT 84062 1055 North 500 West Saratoga Springs NPI: 1427452135 (801) 756-3511 Building A 84045 Uuhc Parkway Health Spanish, Samoan Provo, UT 84604 Center (801) 812-5033 Ihc Health Services Inc ~ 145 West University Premier Family NPI: 1720114648 Parkway Medical ~* Riverwoods Urgent Intermountain Saratoga Orem, UT 84058 NPI: 1427492305 Care ~* Springs Instacare (801) 235-8585 Premier Family Medical - NPI: 1801894035 354 West State Rd Ste 73 Pleasant Grove Riverwoods Urgent Care Saratoga Springs, UT 830 North 2000 West 280 West River Park Dr 84045 Payson Pleasant Grove, UT 84062 Ste 120 (801) 341-5200 84651 (801) 756-3511 Provo, UT 84604 Ihc Health Services Inc ~ (801) 229-2011 Johnson, Cheryl MD ~* Provo NPI: 1417066671 NPI: 1235562505 Premier Family Medical - Intermountain Payson 84604 Robins, Marc DO ~* Instacare NPI: 1780671453 Saratoga Springs Site 854 Turf Farm Rd Ste 1 Christianson, Marlin Ihc Utah Valley Hyperbaric 76 East Commerce Dr Ste Payson, UT 84651 MD ~ And Wound Care - Provo 204 (801) 465-6250 NPI: 1023124781 1034 North 500 West Saratoga Springs, UT Merrill Gappmayer Family Provo, UT 84604 84045 Medicine Center (801) 357-8156 (801) 766-8427 Pleasant Grove 475 West 940 North German, Italian 84062 Provo, UT 84604 Macarthur, Toran MD ~* Johnson, Cheryl MD ~* (801) 357-7930 Roy NPI: 1063521177 Premier Family Medical - NPI: 1417066671 84067 Premier Family Medical - Ihc Health Services Inc ~ Saratoga Springs Site Pleasant Grove Site NPI: 1396982203 Revere Health ~* 76 East Commerce Dr Ste 830 North 2000 West Intermountain Provo NPI: 1093764805 204 Pleasant Grove, UT 84062 Instacare Revere Health Center In Saratoga Springs, UT (801) 756-3511 395 West Bulldog Blvd Roy Urgent Care 84045 Suite 204 5640 South 3500 West (801) 766-8427 Macarthur, Toran MD ~* Provo, UT 84604 Roy, UT 84067 Portugese NPI: 1063521177 (801) 357-1770 (801) 773-2838 Premier Family Medical - Pleasant Grove Site 830 North 2000 West Pleasant Grove, UT 84062 (801) 756-3511 Portugese

366 Specialty Providers / Proveedores Especializados Urgent Care Clinic continued/seguido

Mcmanus, Shawn DO * Washington Clark, Stephen DO ~* Revere Health ~* NPI: 1376707323 NPI: 1043238363 NPI: 1093764805 Premier Family Medical - Hurricane Ihc River Road Family Washington Medical Clinic Saratoga Springs Site 84737 Medicine - St George - Urgent Care 76 East Commerce Dr Ste 577 South River Rd 195 West Telegraph St 204 Ihc Health Services Inc ~* Saint George, UT 84790 Washington, UT 84780 Saratoga Springs, UT NPI: 1700921343 (435) 688-6100 (435) 215-0600 84045 Intermountain Hurricane (801) 766-8427 Valley Instacare Weber 75 North 2260 West St George Ngatuvai, Tauaina MD ~* Hurricane, UT 84737 84770 North Ogden (435) 635-6550 NPI: 1003992470 Ihc Health Services Inc ~* 84414 Premier Family Medical - NPI: 1851599336 Saratoga Springs Site Last, George MD ~* Intermountain Sunset Ihc Health Services Inc ~ 76 East Commerce Dr Ste NPI: 1235150731 Instacare NPI: 1033240460 204 Ihc Hurricane Valley Clinic 1739 West Sunset Blvd Intermountain North Saratoga Springs, UT - Hurricane St George, UT 84770 Ogden Instacare 84045 75 North 2260 West (435) 634-6050 2400 North Washington (801) 766-8427 Hurricane, UT 84737 Blvd Spanish, Samoan (435) 635-6500 North Ogden, UT 84414 84790 (801) 786-7500 Ihc Health Services Inc ~* Spanish Fork Welsh, Stephen MD ~* NPI: 1841516747 NPI: 1437289808 Ogden 84660 Intermountain River Road Ihc Hurricane Valley Clinic 84403 Barton, Karl NP ~* - Hurricane Instacare NPI: 1306889522 75 North 2260 West 577 South River Rd Ogden Clinic Pc ~* Express Med Family Care - Hurricane, UT 84737 St George, UT 84790 NPI: 1578550083 Spanish Fork (435) 635-6500 (435) 688-6300 Ogden Clinic - Professional 415 North Main St Center Spanish Fork, UT 84660 Saint George Revere Health ~* 4650 Harrison Blvd (801) 798-9715 NPI: 1093764805 Ogden, UT 84403 84790 St George Family Medicine (801) 475-3000 Springville Busk, Neal MD ~* And Urgent Care NPI: 1134212954 736 South 900 East Ste 203 84404 84663 Revere Health - Sg - St St George, UT 84790 (435) 373-6131 Ogden Clinic Pc ~* Canyon View Medical George Family Practice NPI: 1578550083 Group ~* 736 South 900 East Ste 203 Ogden Clinic - Canyon NPI: 1538194477 Saint George, UT 84790 Washington View Canyon View Family (435) 673-6131 84780 1159 East 12Th St Medical Center - Spanish Busk, Neal MD ~* Ogden, UT 84404 Springville (801) 475-3700 5 East 400 North Busk, Neal MD ~* NPI: 1134212954 Revere Health - Springville, UT 84663 NPI: 1134212954 Revere Health ~* (801) 489-8464 St George Clinic - St George Washington Family 736 South 900 East Ste 203 Medicine & Urgent Care NPI: 1093764805 195 West Telegraph Rd Ogden Now Care Family Ihc Health Services Inc ~ Saint George, UT 84790 Medicine And Urgent Care NPI: 1730215518 (435) 674-6068 Washington, UT 84780 Spanish (435) 215-0600 698 East 12Th Street Intermountain Springville Spanish Ogden, UT 84404 Instacare (801) 621-3466 762 West 400 South Springville, UT 84663 (801) 429-1200

367 Specialty Providers / Proveedores Especializados Urgent Care Clinic continued/seguido

84405 Tanner Memorial Wayment, Robert MD * Luzny, Patrik MD ~* South Ogden Center For Clinic ~* NPI: 1295957280 NPI: 1245537208 Family Medicine ~* NPI: 1447239355 Ogden Clinic Pc - Brigham Ihc Budge Clinic Surgical NPI: 1851320907 Tanner Memorial Clinic - 950 Medical Dr South Ste Specialists - Logan South Ogden Center For Roy 103 1350 North 500 East Family Medicine 3443 West 5600 South Ste Brigham City, UT 84302 Logan, UT 84341 5740 Crestwood Dr 110 (801) 475-3160 (435) 752-1693 Ogden, UT 84405 Roy, UT 84067 Czech, Russian (801) 479-7771 (801) 773-4840 Tremonton Davis South Ogden 84337 84414 Bountiful 84403 Luzny, Patrik MD ~* Ogden Clinic Pc ~* NPI: 1245537208 84010 NPI: 1578550083 Ihc Health Services Inc ~ Ihc Bear River Specialists - Ogden Clinic - Mountain NPI: 1053456673 Tremonton Henderson, David MD ~* View Intermountain South 935 North 1000 West NPI: 1417933284 1100 West 2700 North Ogden Instacare Tremonton, UT 84337 Lakeview Urology & Ogden, UT 84414 975 East Chambers St (435) 207-4800 General Surgery Llc - (801) 475-3600 South Ogden, UT 84403 Czech, Russian Bountiful (801) 387-6200 620 East Medical Dr Ste Roy Cache 150B 84405 Bountiful, UT 84010 84067 Logan (801) 298-3247 Ogden Clinic Pc ~* Ihc Health Services Inc ~ 84341 NPI: 1265562326 NPI: 1578550083 Parkinson, Justin MD ~* Intermountain Ogden Clinic - Skyline Callister, Michael MD ~* NPI: 1851314066 Herefordshire Instacare 6112 South 1550 East NPI: 1811038060 Granger Medical - Summit 1915 West 5950 South South Ogden, UT 84405 Ihc Budge Clinic Surgical Urology - Bountiful Roy, UT 84067 (801) 475-3800 Specialists - Logan 1551 South Renaissance (801) 387-8282 1350 North 500 East Towne Dr Ste 370 Urology Logan, UT 84341 Bountiful, UT 84010 Ogden Clinic Pc ~* (435) 752-1693 (801) 797-9033 NPI: 1578550083 Box Elder Portugese Ogden Clinic - Grand View Kaysville 3485 West 5200 South Brigham City Callister, Michael MD ~* 84037 Roy, UT 84067 84302 NPI: 1811038060 (801) 475-3900 Logan Urology - Logan Foot, Laura MD ~* Christensen, Tyler MD ~* 550 East 1400 North Ste J NPI: 1831385244 Revere Health ~* NPI: 1811097629 Logan, UT 84341 Tanner Memorial Clinic - NPI: 1093764805 Ogden Clinic Pc - Brigham (435) 753-1171 Kaysville Roy Now Care Family 950 Medical Dr South Ste Portugese 380 North 400 West Medicine And Urgent Care 103 Kaysville, UT 84037 1937 West 5700 South Brigham City, UT 84302 Larsen, Ryan MD ~* (801) 773-4840 Roy, UT 84067 (801) 475-3160 NPI: 1235224932 (801) 773-9380 Logan Urology - Logan Layton Stevenson, Bradford 550 East 1400 North Ste J 84041 Subbiah, Archana DO ~ MD * Logan, UT 84341 NPI: 1336687763 NPI: 1710298047 (435) 753-1171 Foot, Laura MD ~* Ihc Herefordshire Clinic - Ogden Clinic Pc - Brigham NPI: 1831385244 Roy 950 Medical Dr South Ste Tanner Memorial Clinic - 1915 West 5950 South 103 Layton Roy, UT 84067 Brigham City, UT 84302 2121 North 1700 West (801) 387-8100 (801) 475-3160 Layton, UT 84041 Portugese, Spanish (801) 773-4840

368 Specialty Providers / Proveedores Especializados Urology continued/seguido

Reynolds, James MD * Salt Lake Ferlic, Elizabeth MD ~ Johnson, Gary MD ~* NPI: 1568448504 NPI: 1114185634 NPI: 1144223827 Tanner Memorial Clinic - Draper Ihc Southridge Clinic Granger Medical - Summit Layton 84020 Surgical Specialties - Urology - Salt Lake 2121 North 1700 West Riverton 1060 East 100 South Ste Layton, UT 84041 Caputo, Peter MD ~* 3723 West 12600 South Ste 110 (801) 773-4840 NPI: 1992050041 270 Salt Lake City, UT 84102 Bosnian Granger Medical Clinic - Riverton, UT 84065 (801) 531-9453 Draper - 11724 (801) 285-4600 Syracuse 11724 South State St Johnson, Gary MD ~* Draper, UT 84020 Hibbert, Daniel MD ~* NPI: 1144223827 84075 (801) 576-2000 NPI: 1275647562 Granger Medical Clinic - Foot, Laura MD ~* Dan Hibbert Urology - 24 South NPI: 1831385244 Morris, Targhee MD ~* Riverton 24 South 1100 East Ste 105 Tanner Memorial Clinic - NPI: 1154648640 3723 West 12600 South Ste Salt Lake City, UT 84102 Syracuse Utah Urology Llc - Draper 470 (801) 531-9453 2038 West 1900 South 11760 South 700 East Ste Riverton, UT 84065 Syracuse, UT 84075 210 (801) 260-3010 Mangelson, Michael (801) 773-4840 Draper, UT 84020 MD ~ (801) 609-4476 Snow, Brent MD ~* NPI: 1114944790 Iron Spanish NPI: 1275544454 Ihc Salt Lake Clinic - Pediatric Urology - Pcros Urology Cedar City Magna 3773 West 12600 South Ste 389 South 900 East 84720 84044 300 Salt Lake City, UT 84102 Riverton, UT 84065 (385) 282-2500 Adams Jr, David MD ~* Parkinson, Justin MD ~* (801) 581-2121 NPI: 1669695920 NPI: 1851314066 Middleton Jr, George Ihc Southern Utah Surgical Urology Specialists Of Utah Wallis, Michael MD ~* MD ~* Associates - Cedar City - Magna NPI: 1558384388 NPI: 1376581140 166 West 1325 North Ste 3665 South 8400 West Ste Pediatric Urology - Pcros Granger Medical Clinic - 350 200 3773 West 12600 South Ste 24 South Cedar City, UT 84720 Magna, UT 84044 300 24 South 1100 East Ste 105 (435) 586-8192 (801) 955-4685 Riverton, UT 84065 Salt Lake City, UT 84102 Spanish (801) 581-2121 (801) 531-9453 Riverton Brinton, Thomas MD ~* 84065 Salt Lake City Stout, Lisa MD ~* NPI: 1558593046 NPI: 1548263213 Ihc Southern Utah Surgical Caputo, Peter MD ~* 84102 Granger Medical - Summit Associates - Cedar City NPI: 1992050041 Caputo, Peter MD ~* Urology - Salt Lake 166 West 1325 North Ste Granger Medical - Riverton NPI: 1992050041 1060 East 100 South Ste 350 12391 South 4000 West Granger Medical - Summit 110 Cedar City, UT 84720 Riverton, UT 84065 Urology - Salt Lake Salt Lake City, UT 84102 (435) 586-8192 (801) 302-1700 1060 East 100 South Ste (801) 531-9453 110 Whiting, Bryant MD ~* Cartwright, Patrick Salt Lake City, UT 84102 Stout, Lisa MD ~* NPI: 1760687388 MD ~* (801) 531-9453 NPI: 1548263213 Ihc Southern Utah Surgical NPI: 1467542050 Granger Medical Clinic - Associates - Cedar City Pediatric Urology - Pcros 24 South 166 West 1325 North Ste 3773 West 12600 South Ste 24 South 1100 East Ste 105 350 300 Salt Lake City, UT 84102 Cedar City, UT 84720 Riverton, UT 84065 (801) 531-9453 (435) 586-8192 (801) 581-2121 Spanish Spanish

369 Specialty Providers / Proveedores Especializados Urology continued/seguido

Waterman, Bradley Lynch, Steven MD ~* Stout, Lisa MD ~* Dechet, Christopher MD ~* NPI: 1578677803 NPI: 1548263213 MD ~* NPI: 1699718809 Ihc Intermountain Granger Medical Clinic - NPI: 1538271861 Granger Medical - Summit Urological Institute - Slc Ste 203 Pediatric Urology - Pch Urology - Salt Lake Murray 5323 Woodrow St Ste 203 100 North Mario Capecchi 1060 East 100 South Ste 5171 South Cottonwood St Salt Lake City, UT 84107 Dr 110 Ste 720 (801) 281-1300 Salt Lake City, UT 84113 Salt Lake City, UT 84102 Salt Lake City, UT 84107 (801) 662-5555 (801) 531-9453 (801) 507-3400 Waterman, Bradley German MD ~* Waterman, Bradley Matern, Richard MD ~ NPI: 1699718809 Hamilton, Blake MD ~* MD ~* NPI: 1851571590 Granger Medical - Summit NPI: 1912097510 NPI: 1699718809 Ihc Intermountain Urology - Murray Pediatric Urology - Pch Granger Medical Clinic - Urological Institute - 181 East 5600 South Ste 100 North Mario Capecchi 24 South Murray 130 Dr 24 South 1100 East Ste 105 5171 South Cottonwood St Salt Lake City, UT 84107 Salt Lake City, UT 84113 Salt Lake City, UT 84102 Ste 720 (801) 266-8664 (801) 662-5555 (801) 531-9453 Salt Lake City, UT 84107 (801) 507-3400 Waterman, Bradley Hannon, Ann APRN ~* 84107 Portugese MD ~* NPI: 1730279332 Bishoff, Jay MD ~ NPI: 1699718809 Pediatric Urology - Pch NPI: 1477531705 Middleton Jr, George Granger Medical Clinic - 100 North Mario Capecchi Ihc Intermountain MD ~* Slc Ste 203 Dr Urological Institute - NPI: 1376581140 5323 Woodrow St Ste 203 Salt Lake City, UT 84113 Murray Granger Medical - Summit Salt Lake City, UT 84107 (801) 662-5555 5171 South Cottonwood St Urology - Murray (801) 281-1300 Ste 720 181 East 5600 South Ste Lau, Glen MD ~* Salt Lake City, UT 84107 130 84112 NPI: 1982994042 (801) 507-3400 Salt Lake City, UT 84107 Lowrance, William Pediatric Urology French (801) 266-8664 MD ~* 100 North Mario Capecchi NPI: 1922155878 Dr Chidester, Lynn MD ~ Middleton Jr, George Pediatric Urology - Hch Salt Lake City, UT 84113 NPI: 1932156247 MD ~* 1950 Circle Of Hope Dr (801) 662-5555 Ihc Intermountain NPI: 1376581140 Salt Lake City, UT 84112 German Urological Institute - Granger Medical Clinic - (801) 585-0303 Murray Slc Ste 203 Lau, Glen MD ~* 5171 South Cottonwood St 5323 Woodrow St Ste 203 84113 NPI: 1982994042 Ste 720 Salt Lake City, UT 84107 Pediatric Urology - Pch Salt Lake City, UT 84107 (801) 281-1300 Cartwright, Patrick 100 North Mario Capecchi (801) 507-3400 MD ~* Dr Stout, Lisa MD ~* NPI: 1467542050 Salt Lake City, UT 84113 NPI: 1548263213 Pediatric Urology - Pch (801) 662-5555 Johnson, Gary MD ~* Granger Medical - Summit 100 North Mario Capecchi German NPI: 1144223827 Urology - Murray Dr Granger Medical Clinic - Salt Lake City, UT 84113 Slc Ste 203 181 East 5600 South Ste Lowrance, William 130 (801) 662-5555 MD ~* 5323 Woodrow St Ste 203 Spanish Salt Lake City, UT 84107 Salt Lake City, UT 84107 NPI: 1922155878 (801) 281-1300 (801) 266-8664 Pediatric Urology - Pch 100 North Mario Capecchi Dr Salt Lake City, UT 84113 (801) 662-5555

370 Specialty Providers / Proveedores Especializados Urology continued/seguido

Myers, Jeremy MD ~* 84121 Fisher, Peter MD ~* West Jordan NPI: 1346396959 Waterman, Bradley NPI: 1902847940 84088 Pediatric Urology - Pch MD ~* Western Urological Clinic - 100 North Mario Capecchi NPI: 1699718809 Salt Lake Hibbert, Daniel MD ~* Dr Granger Medical - Summit 4252 Highland Dr Ste 200 NPI: 1275647562 Salt Lake City, UT 84113 Urology - Foothill Salt Lake City, UT 84124 South Valley Urology - (801) 662-5555 6360 South 3000 East Ste (801) 993-1800 West Jordan 100 Japanese 3584 West 9000 South Ste Snow, Brent MD ~* Salt Lake City, UT 84121 405 NPI: 1275544454 (801) 531-9453 Gange, Steven MD ~* West Jordan, UT 84088 Pediatric Urology - Pch NPI: 1790825768 (801) 566-0204 100 North Mario Capecchi Granger Medical - Summit Dr 84124 Urology - Holladay Parkinson, Justin MD ~* Salt Lake City, UT 84113 Caputo, Peter MD ~* 4252 South Highland Dr NPI: 1851314066 (801) 662-5555 NPI: 1992050041 Ste 200 Granger Medical - West Granger Medical - Summit Salt Lake City, UT 84124 Jordan Wallis, Michael MD ~* Urology - Holladay (801) 993-1800 3181 West 9000 South NPI: 1558384388 4252 South Highland Dr West Jordan, UT 84088 Pediatric Urology - Pch Ste 200 Gange, Steven MD ~* (801) 352-5600 100 North Mario Capecchi Salt Lake City, UT 84124 NPI: 1790825768 Dr (801) 993-1800 Western Urological Clinic - Tooele Salt Lake City, UT 84113 Salt Lake (801) 662-5555 Childs, Lane MD ~* 4252 Highland Dr Ste 200 Tooele NPI: 1831239995 Salt Lake City, UT 84124 84074 84120 Granger Medical - Summit (801) 993-1800 Urology - Holladay Hibbert, Daniel MD ~* Hibbert, Daniel MD ~* 4252 South Highland Dr 84143 NPI: 1275647562 NPI: 1275647562 Ste 200 Tooele Urology Llc - Tooele Urology Specialists Of Utah Salt Lake City, UT 84124 Chidester, Lynn MD ~ 2376 North 400 East Ste - West Valley (801) 993-1800 NPI: 1932156247 104 3336 South 4155 West Ste French, Italian Lds Hospital - Service Tooele, UT 84074 202 8Th Ave C St (435) 882-0071 Salt Lake City, UT 84120 Childs, Lane MD ~* Salt Lake City, UT 84143 (801) 955-4685 NPI: 1831239995 (801) 408-1100 Utah Western Urological Clinic - American Fork Parkinson, Justin MD ~* Salt Lake Sandy NPI: 1851314066 4252 Highland Dr Ste 200 84094 84003 Granger Medical - West Salt Lake City, UT 84124 Valley Ferlic, Elizabeth MD ~ Cahoon, Daniel MD ~* (801) 993-1800 NPI: 1013985522 3725 West 4100 South French, Italian NPI: 1114185634 Salt Lake City, UT 84120 Ihc Alta View Urological Granger Medical - (801) 965-3600 Associates - Sandy American Fork Fisher, Peter MD ~* 9720 South 1300 East Ste 1159 East 200 North Ste NPI: 1902847940 300 Parkinson, Justin MD ~* Granger Medical - Summit E230 NPI: 1851314066 Sandy, UT 84094 American Fork, UT 84003 Urology - Holladay (801) 756-7609 Urology Specialists Of Utah 4252 South Highland Dr (801) 501-2950 - West Valley Ste 200 3336 South 4155 West Ste Salt Lake City, UT 84124 202 (801) 993-1800 Salt Lake City, UT 84120 Japanese (801) 955-4685

371 Specialty Providers / Proveedores Especializados Urology continued/seguido

Lehi Henderson, Sean DO ~* Spanish Fork Weber NPI: 1366753709 84043 Granger Medical - Provo 84660 Ogden Cahoon, Daniel MD ~* 1055 North 300 West Ste Morris, Targhee MD ~* 84403 NPI: 1013985522 316 NPI: 1154648640 Granger Medical - Provo, UT 84604 Utah Urology Llc - Spanish Campbell, Curtis MD ~* Mountain Point - Lehi (801) 357-7530 Fork NPI: 1023059557 3000 North Triumph Blvd Russian 415 North Main Street Curtis M Campbell Md Pc Ste 340 Spanish Fork, UT 84660 - Ogden Lehi, UT 84043 Landau, Stewart MD ~* (801) 609-4476 4403 Harrison Blvd Ste (385) 345-3000 NPI: 1174559728 Spanish 4400 Granger Medical - Provo Ogden, UT 84403 Caputo, Peter MD ~* 1055 North 300 West Ste Washington (801) 387-4550 NPI: 1992050041 316 Granger Medical - Provo, UT 84604 Saint George Christensen, Tyler MD ~* Mountain Point - Lehi (801) 357-7530 84790 NPI: 1811097629 3000 North Triumph Blvd Ogden Clinic Professional Ste 340 Platt, Mckay MD ~* Adams Jr, David MD ~* Center - South Lehi, UT 84043 NPI: 1336230085 NPI: 1669695920 4700 Harrison Blvd (385) 345-3000 Revere Health - Provo - Ihc Southwest Urology - St Ogden, UT 84403 Urology George (801) 475-3870 Egan, Brent NP ~ 1055 North 500 West Ste 1380 East Medical Center NPI: 1376634998 211 Dr Ste 2100 Christensen, Tyler MD ~* Alpine Pain Solutions Of Provo, UT 84604 Saint George, UT 84790 NPI: 1811097629 Utah - Site (801) 357-7327 (435) 251-3250 Ogden Clinic Womens 3051 West Maple Loop Dr Spanish Center Mckay Ste 125 Reynolds, Brandon 4403 Harrison Blvd Ste Lehi, UT 84043 MD ~* Cope, Robert MD ~* 4650 (801) 766-6055 NPI: 1851404016 NPI: 1891722245 Ogden, UT 84403 Granger Medical - Provo St George Urology Llc - St (801) 475-3240 Lindon 1055 North 300 West Ste George 316 1490 East Foremaster Dr Heaton, Brian MD ~ 84042 Provo, UT 84604 Ste 300 NPI: 1245248236 Morris, Targhee MD ~* (801) 357-7530 Saint George, UT 84790 Brian W Heaton Md NPI: 1154648640 Japanese (435) 688-2104 4403 Harrison Blvd Ste Utah Urology Llc - Lindon 4400 275 West 200 North Ste Sparenborg, Jeffrey MD ~ Ellsworth, John MD ~* Ogden, UT 84403 100 NPI: 1104182476 NPI: 1083619043 (801) 387-4550 Lindon, UT 84042 Ihc Utah Valley Urology Urology Associates Llc - St Spanish (801) 609-4476 Clinic - Provo George - Site Spanish 1157 North 300 West Ste 736 South 900 East Ste 108 Stevenson, Bradford 301 Saint George, UT 84790 MD * Provo Provo, UT 84604 (435) 628-3606 NPI: 1710298047 (801) 357-3242 Spanish Ogden Clinic Professional 84604 Center - North Crowley, Jim MD ~* Taylor, Gregory MD ~* 4650 Harrison Blvd NPI: 1083697957 NPI: 1932113743 Ogden, UT 84403 Revere Health - Provo - St George Urology Llc - St (801) 475-3000 Urology George Portugese, Spanish 1055 North 500 West Ste 1490 East Foremaster Dr 211 Ste 300 Provo, UT 84604 Saint George, UT 84790 (801) 357-7327 (435) 688-2104 Spanish Spanish

372 Specialty Providers / Proveedores Especializados Urology continued/seguido

Stevenson, Bradford 84107 Goodman, Greg MD ~* Griffin, Claire MD ~* MD * Adams, Brian MD ~* NPI: 1023019346 NPI: 1861650160 NPI: 1710298047 NPI: 1144492943 Mountain Medical Vein Pediatric Vascular Surgery Ogden Clinic Professional Ihc Murray Vascular And Center - Murray - Pch Center - South Vein - Murray 5323 South Woodrow St 100 North Mario Capecchi 4700 Harrison Blvd 5323 South Woodrow St Ste 101 Dr Ogden, UT 84403 Ste 101 Salt Lake City, UT 84107 Salt Lake City, UT 84113 (801) 475-3870 Salt Lake City, UT 84107 (801) 261-8346 (801) 662-2950 Portugese, Spanish (801) 261-8346 Spanish Spanish Merrell, Steven MD ~* Wayment, Robert MD * NPI: 1063452050 Kraiss, Larry MD ~* NPI: 1295957280 Cox, Jordy MD ~* Ihc Murray Vascular And NPI: 1962592576 Ogden Clinic Professional NPI: 1295833457 Vein - Murray Pediatric Surgeons - Pch Center - South The Heart & Lung Institute 5323 South Woodrow St 100 North Mario Capecchi 4700 Harrison Blvd Of Utah - Main Office Ste 101 Dr Ogden, UT 84403 5979 South Fashion Blvd Salt Lake City, UT 84107 Salt Lake City, UT 84113 (801) 475-3870 Salt Lake City, UT 84107 (801) 261-8346 (801) 662-2950 (801) 263-2370 Spanish Wayment, Robert MD * French, Spanish Kraiss, Larry MD ~* NPI: 1295957280 Whitten, Matthew MD ~* NPI: 1962592576 Ogden Clinic Womens Galt, Spencer MD ~* NPI: 1215058011 Pediatric Vascular Surgery Center Mckay NPI: 1598733586 Ihc Murray Vascular And - Pch 4403 Harrison Blvd Ste Ihc Murray Vascular And Vein - Murray 100 North Mario Capecchi 4650 Vein - Murray 5323 South Woodrow St Dr Ogden, UT 84403 5323 South Woodrow St Ste 101 Salt Lake City, UT 84113 (801) 475-3240 Ste 101 Salt Lake City, UT 84107 (801) 662-2950 Salt Lake City, UT 84107 (801) 261-8346 84405 (801) 261-8346 Sarfati, Mark MD ~* Morris, Targhee MD ~* Whitten, Matthew MD ~* NPI: 1467542084 NPI: 1154648640 Galt, Spencer MD ~* NPI: 1215058011 Pediatric Surgeons Utah Urology Llc - Ogden NPI: 1598733586 Mountain Medical Vein 100 North Mario Capecchi 1495 East Ridgline Dr Mountain Medical Vein Center - Murray Dr Ogden, UT 84405 Center - Murray 5323 South Woodrow St Salt Lake City, UT 84113 (801) 609-4476 5323 South Woodrow St Ste 101 (801) 662-2950 Spanish Ste 101 Salt Lake City, UT 84107 Salt Lake City, UT 84107 (801) 261-8346 Smith, Brigitte MD ~* (801) 261-8346 NPI: 1760612170 Vascular Surgery 84113 Pediatric Surgeons - Pch 100 North Mario Capecchi Salt Lake Goodman, Greg MD ~* Griffin, Claire MD ~* NPI: 1023019346 NPI: 1861650160 Dr Salt Lake City Ihc Murray Vascular And Pediatric Surgeons - Pch Salt Lake City, UT 84113 Vein - Murray 100 North Mario Capecchi (801) 662-2950 84101 5323 South Woodrow St Dr Cox, Jordy MD ~* Ste 101 Salt Lake City, UT 84113 Smith, Brigitte MD ~* NPI: 1295833457 Salt Lake City, UT 84107 (801) 662-2950 NPI: 1760612170 The Heart & Lung Institute (801) 261-8346 Spanish Pediatric Vascular Surgery Of Utah - Salt Lake - Pch 82 South 1100 East Ste 103 100 North Mario Capecchi Salt Lake City, UT 84101 Dr (801) 263-2370 Salt Lake City, UT 84113 French, Spanish (801) 662-2950

373 Specialty Providers / Proveedores Especializados Vascular Surgery continued/seguido

84124 Tooele Smilanich, Robert MD ~ Goodman, Greg MD ~* NPI: 1730187600 NPI: 1023019346 Galt, Spencer MD ~* Tooele NPI: 1598733586 Ihc Utah Valley Vascular Ihc Mckay Dee Vascular 84074 Surgery - Provo And Vein - South Ogden Mountain Medical 1055 North 300 West Ste 1486 East Skyline Dr Physician Specialists - 3900 Cox, Jordy MD ~* 205 Ogden, UT 84405 S NPI: 1295833457 Provo, UT 84604 (801) 476-8346 1160 East 3900 South Ste The Heart & Lung Institute G300 (801) 374-9100 Of Utah - Tooele Spanish Goodman, Greg MD ~* Salt Lake City, UT 84124 2326 North 400 East Bldg (801) 313-4101 NPI: 1023019346 C Ste 202 Weber Mountain Medical Vein Tooele, UT 84074 Center - Ogden Goodman, Greg MD ~* (801) 263-2370 Ogden 1486 Skyline Dr NPI: 1023019346 French, Spanish 84405 Ogden, UT 84405 Mountain Medical (801) 475-4552 Physician Specialists - 3900 Wilkinson, Craig MD ~* Adams, Brian MD ~* S NPI: 1467562504 NPI: 1144492943 Merrell, Steven MD ~* 1160 East 3900 South Ste The Heart & Lung Institute Ihc Mckay Dee Vascular G300 NPI: 1063452050 Of Utah - Tooele And Vein - South Ogden Ihc Mckay Dee Vascular Salt Lake City, UT 84124 2326 North 400 East Bldg 1486 East Skyline Dr (801) 313-4101 And Vein - South Ogden C Ste 202 Ogden, UT 84405 1486 East Skyline Dr Tooele, UT 84074 (801) 476-8346 Ogden, UT 84405 Merrell, Steven MD ~* (801) 263-2370 Spanish (801) 476-8346 NPI: 1063452050 Spanish Mountain Medical Utah Adams, Brian MD ~* Physician Specialists - 3900 NPI: 1144492943 S Payson Merrell, Steven MD ~* Mountain Medical Vein NPI: 1063452050 1160 East 3900 South Ste 84651 Center - Ogden G300 Mountain Medical Vein 1486 Skyline Dr Center - Ogden Salt Lake City, UT 84124 Francis, Karl MD ~* Ogden, UT 84405 (801) 313-4101 NPI: 1669521571 1486 Skyline Dr (801) 475-4552 Ogden, UT 84405 Spanish Utah Surgical Associates - Spanish Payson (801) 475-4552 Spanish West Jordan 1000 East 15 South Ste 350 Galt, Spencer MD ~* Payson, UT 84651 84084 NPI: 1598733586 Whitten, Matthew MD ~* (801) 465-5602 Ihc Mckay Dee Vascular Wilkinson, Craig MD ~* French NPI: 1215058011 And Vein - South Ogden Ihc Mckay Dee Vascular NPI: 1467562504 1486 East Skyline Dr The Heart & Lung Institute Provo And Vein - South Ogden Ogden, UT 84405 1486 East Skyline Dr Of Utah - Jordan Valley 84604 (801) 476-8346 3570 West 9000 South Ste Ogden, UT 84405 (801) 476-8346 100 Francis, Karl MD ~* Galt, Spencer MD ~* West Jordan, UT 84084 NPI: 1669521571 NPI: 1598733586 Whitten, Matthew MD ~* (801) 263-2370 Utah Surgical Associates - Mountain Medical Vein Provo NPI: 1215058011 Center - Ogden Mountain Medical Vein 3550 North University Ave 1486 Skyline Dr Ste 250 Center - Ogden Ogden, UT 84405 1486 Skyline Dr Provo, UT 84604 (801) 475-4552 (801) 374-9625 Ogden, UT 84405 French (801) 475-4552

374 Specialty Providers / Proveedores Especializados

Women's Health Summerhays, Haley NP ~ Sandy Ledingham, Debra NP ~ NPI: 1275842783 NPI: 1700288727 Nurse Practitioner Ihc Southridge Clinic 84094 Ihc Summit Ob/Gyn - Surgical Specialties - Oneal, Andrea CNM ~ Orem Cache Riverton NPI: 1639326119 505 West 400 North 3723 West 12600 South Ste Ihc Alta View Nurse Orem, UT 84057 Logan 270 Midwives - Sandy (801) 714-3422 84321 Riverton, UT 84065 9600 South 1300 East Ste (801) 285-4600 310 Washington Burke, Kathleen NP Sandy, UT 84094 NPI: 1477542363 Salt Lake City (801) 501-3300 Saint George Planned Parenthood 84770 Association - Logan 84102 Oneal, Andrea CNM ~ 550 North Main Street Ste Burke, Kathleen NP NPI: 1639326119 Burke, Kathleen NP 117 NPI: 1477542363 Ihc Sandy Ob/Gyn - Sandy NPI: 1477542363 Logan, UT 84321 Planned Parenthood 9600 South 1300 East Ste Planned Parenthood (435) 753-0724 Association - Metro Clinic 308 Association - St George 160 South 1000 East Ste Sandy, UT 84094 595 South Bluff Street Davis 120 (801) 501-2160 Saint George, UT 84770 Salt Lake City, UT 84102 (435) 674-9933 Layton (801) 257-6789 South Jordan Weber 84041 84095 Loftus, Amy NP ~ 84107 Ogden NPI: 1659563682 Burke, Kathleen NP Heairld, Melanie APRN ~ NPI: 1477542363 Ihc Layton Clinic - Layton NPI: 1912339078 84403 2075 University Park Blvd Planned Parenthood Burke, Kathleen NP Ihc Obstetrics And Association - South Jordan Layton, UT 84041 Gynecology Specialists - NPI: 1477542363 (801) 779-6200 1091 West South Jordan Planned Parenthood Murray Pkwy Ste 100 5063 South Cottonwood St Association - Ogden South Jordan, UT 84095 4387 Harrison Blvd Ste Salt Lake Ste 120 (801) 254-2052 Salt Lake City, UT 84107 D-8 Riverton (801) 507-1800 Ogden, UT 84403 84065 West Jordan (801) 479-7721 Hedin Goldsmith, 84088 Oneal, Andrea CNM ~ Kristina NP ~* Loftus, Amy NP ~ NPI: 1639326119 Lazzara, Jennifer NP ~ NPI: 1659563682 NPI: 1235279944 NPI: 1720503881 Ihc Southridge Clinic Granger Medical - Murray Ihc Wasatch Ob/Gyn - Ob/Gyn - Riverton Physicians Group Of Utah Ogden Womens Health - West Jordan Ste 210 3723 West 12600 South Ste 348 East 4500 South Ste 4403 Harrison Blvd Ste 360 3592 West 9000 South Ste 4815 200 210 Riverton, UT 84065 Salt Lake City, UT 84107 Ogden, UT 84403 (801) 285-4700 West Jordan, UT 84088 (801) 387-8350 (801) 268-8222 (801) 208-1050 Oneal, Andrea CNM ~ NPI: 1639326119 84119 Utah 84414 Ihc Southridge Clinic Burke, Kathleen NP Loftus, Amy NP ~ Surgical Specialties - NPI: 1477542363 Orem NPI: 1659563682 Riverton Planned Parenthood 84057 Ihc Wasatch Ob/Gyn - 3723 West 12600 South Ste Association - West Valley North Ogden 270 1906 West 3600 South Burke, Kathleen NP 2400 North Washington Riverton, UT 84065 Salt Lake City, UT 84119 NPI: 1477542363 Blvd (801) 285-4600 (801) 973-9675 Planned Parenthood Ogden, UT 84414 Association - Utah Valley (801) 786-7500 1086 North 1200 West Orem, UT 84057 (801) 226-5246

375 Hospitals / Hospitales Total count / Cuenta total: 27

Box Elder Layton 84107 Utah Brigham City 84041 Landmark Hospital Of American Fork Salt Lake City Llc * 84302 Davis Hospital & Medical 84003 Center * 4252 Birkhill Blvd Brigham City 1600 West Antelope Dr Ste Salt Lake City, UT 84107 American Fork Hospital Community Hospital * B (801) 268-6409 170 North 1100 East 950 South Medical Dr Layton, UT 84041 American Fork, UT 84003 Brigham City, UT 84302 (801) 352-9500 84120 (801) 855-3300 (435) 734-9471 St Marks Hospital * Iron 3715 West 4100 South Ste Lehi Tremonton 150 84043 84337 Cedar City Salt Lake City, UT 84120 (801) 924-0029 Mountain Point Medical Bear River Valley 84721 Center A Campus Of Hospital * Cedar City Hospital * Jvmc * 905 North 1000 West 1303 North Main St 84124 3000 North Triumph Blvd Tremonton, UT 84337 Cedar City, UT 84721 St Marks Hospital * Lehi, UT 84043 (435) 207-4500 (435) 868-5000 1200 East 3900 South (385) 345-3000 Salt Lake City, UT 84124 Cache Salt Lake (801) 268-7111 Orem Logan Midvale 84143 84057 84341 84047 Lds Hospital * Orem Community 8Th Ave C St Hospital * Logan Regional Highland Ridge 331 North 400 West Hospital * Hospital * Salt Lake City, UT 84143 (801) 408-1100 Orem, UT 84057 1400 North 500 East 7309 South 180 West (801) 224-4080 Logan, UT 84341 Midvale, UT 84047 (435) 716-5320 (801) 569-2153 84157 Timpanogos Regional Intermountain Medical Hospital * North Logan Murray Center 750 West 800 North 84341 84107 5121 South Cottonwood St Orem, UT 84057 Salt Lake City, UT 84157 (801) 714-6000 Cache Valley Hospital * The Orthopedic Specialty (801) 507-7000 2380 North 400 East Hospital Payson North Logan, UT 84341 5848 South 300 East West Jordan (435) 713-9700 Murray, UT 84107 84651 (801) 314-4100 84088 Mountain View Davis Jordan Valley Medical Hospital * Salt Lake City Bountiful Center * 1000 East 100 North 84102 3580 West 9000 South Payson, UT 84651 84010 West Jordan, UT 84088 (801) 465-7000 Salt Lake Regional (801) 561-8888 Lakeview Hospital * Medical Center * 630 East Medical Dr Washington 1050 East South Temple West Valley City Bountiful, UT 84010 Salt Lake City, UT 84102 Saint George (801) 292-6231 (801) 350-4111 84120 84770 Jordan Valley Medical 84106 Center West Valley Dixie Regional Medical St Marks Hospital * Campus * Center * 3738 South 900 East 3460 South Pioneer Pkwy 1380 East Medical Center Salt Lake City, UT 84106 West Valley City, UT Dr Ste 6 (801) 313-1955 84120 Saint George, UT 84770 (801) 964-3111 (435) 251-1000 * Accepts Medicaid/Acepta Medicaid ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

376 Hospitals / Hospitales Washington County continued / Condado seguido

Dixie Regional Medical Center * 544 South 400 East Saint George, UT 84770 (435) 251-1000 Weber Ogden 84405 Ogden Regional Medical Center * 5322 South 400 East Ogden, UT 84405 (801) 475-0800 Ogden Regional Medical Center * 5475 South 500 East Ogden, UT 84405 (801) 479-2111

* Accepts Medicaid/Acepta Medicaid ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

377 Skilled Nursing Facilities / Servicios de Enfermeras Capacitadas Total count / Cuenta total: 25

Box Elder South Davis Specialty 84117 Provo Care * Brigham City Willow Wood Care 84601 485 East 500 South Center Inc * 84302 Bountiful, UT 84010 Utah Valley (801) 295-2361 1205 East 4725 South Rehabilitation And Pioneer Care Center * Salt Lake City, UT 84117 (801) 262-2908 Healthcare Center Llc * 815 South 200 West Iron 1053 West 1020 South Brigham City, UT 84302 Provo, UT 84601 (435) 723-5289 Cedar City 84123 (801) 373-2630 84721 Avalon West Health And Willow Glen Health And Rehab * 84604 Rehabilitation * Kolob Regional Care & 6246 South Redwood Rd 775 North 200 East Rehabilitation Salt Lake City, UT 84123 Provo Rehabilitation And Brigham City, UT 84302 411 West 1325 North (801) 969-1420 Nursing * (435) 723-7777 Cedar City, UT 84721 1001 North 500 West Provo, UT 84604 (435) 586-6481 84124 Cache (801) 377-9661 Salt Lake Highland Care Center * Logan 4285 South Highland Dr Washington Draper Salt Lake City, UT 84124 84321 Saint George 84020 (801) 278-2839 Sunshine Terrace 84770 Foundation * Draper Rehabilitation St Marks Hospital - Snf 248 West 300 North And Care Center * 1200 East 3900 South St George Logan, UT 84321 12702 South Fort St Salt Lake City, UT 84124 Rehabilitation * (435) 752-0411 Draper, UT 84020 (801) 268-7111 1032 East 100 South (801) 571-2704 Saint George, UT 84770 84341 Utah (435) 628-0488 Salt Lake City Logan Regional Hospital Weber - Snf * 84106 American Fork 500 East 1400 North Woodland Park Care 84003 Ogden Logan, UT 84341 Center * Heritage Care Center * 84403 (435) 716-1000 3855 South 700 East 350 East 300 North Salt Lake City, UT 84106 American Fork, UT 84003 Harrison Pointe Davis (801) 756-5293 Healthcare & (801) 268-4766 Rehabilitation Center * Bountiful 3430 Harrison Blvd 84115 Orem 84010 Ogden, UT 84403 Avalon Valley 84057 (801) 399-5609 Avalon Care Center Rehabilitation Center * Cascades At Orchard Bountiful * 2472 South 300 East Mckay Dee Hospital 523 North Main St Park * Salt Lake City, UT 84115 740 North 300 East 4401 Harrison Blvd Bountiful, UT 84010 (801) 466-2211 Ogden, UT 84403 (801) 951-2273 Orem, UT 84057 (801) 224-0921 (801) 627-2800 St Joseph Villa * South Davis Community 451 East Bishop Federal Ln Roy Care Center * Salt Lake City, UT 84115 Payson 401 South 400 East (801) 487-7557 84651 84067 Bountiful, UT 84010 Heritage Park Care (801) 295-2361 Mountain View Hospital - Snf Center 1000 East 100 North 2700 West 5600 South Payson, UT 84651 Roy, UT 84067 (801) 465-9201 (801) 825-9731

378 Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Total count / Cuenta total: 486

Box Elder Logan Christensen, Tyler PHD ~ Weber, Samuel MD ~* Clinical Psychologist Psychiatry Brigham City 84321 NPI: 1598180838 NPI: 1346530524 84302 Christensen, Tyler PHD ~ Ihc Budge Clinic Ob/Gyn - Ihc Logan Psychiatry - Clinical Psychologist Logan Logan Pearce, Brett PSY ~ NPI: 1598180838 1400 North 500 East 1350 North 500 East Psychologist Ihc Logan Clinic - Logan Logan, UT 84341 Logan, UT 84341 NPI: 1255620407 412 North 200 East (435) 716-1920 (435) 716-1280 Utah Behavior Services - Logan, UT 84321 French Brigham City (435) 713-2800 Weigand, Kenneth 35 Skyline Dr Ste 103 French Christensen, Tyler PHD ~ PHD ~ Brigham City, UT 84302 Clinical Psychologist Psychologist (801) 255-5131 Costa, Graca PHD ~ NPI: 1598180838 NPI: 1417038530 Psychologist Ihc Logan Psychiatry - Ihc Budge Clinic Internal Spencer, Wesley CP ~ NPI: 1134326689 Logan Medicine - Logan Psychologist Bear River Mental Health - 1350 North 500 East 1350 North 500 East NPI: 1750486809 Logan Logan, UT 84341 Logan, UT 84341 Bear River Mental Health - 90 East 200 North (435) 716-1280 (435) 792-1980 Brigham City Logan, UT 84321 French 663 West 950 South (435) 752-0750 Weigand, Kenneth Brigham City, UT 84302 Field, Clinton PHD ~ PHD ~ (435) 734-9449 Spencer, Wesley CP ~ Psychologist Psychologist Psychologist NPI: 1467656900 NPI: 1417038530 Tremonton NPI: 1750486809 Ihc Budge Clinic Pediatrics Ihc Logan Psychiatry - 84337 Bear River Mental Health - - Logan Logan Logan 1350 North 500 East 1350 North 500 East Spencer, Wesley CP ~ 90 East 200 North Logan, UT 84341 Logan, UT 84341 Psychologist Logan, UT 84321 (435) 792-1940 (435) 716-1280 NPI: 1750486809 (435) 752-0750 Bear River Mental Health - Mccann, Jeffrey MD ~* Weigand, Kenneth Tremonton Psychiatry PHD ~ 18 North 200 East Ste 403 84341 Barker, Eric MD ~* NPI: 1528210085 Psychologist Tremonton, UT 84337 Ihc Logan Psychiatry - NPI: 1417038530 (435) 257-2168 Psychiatry NPI: 1427357870 Logan Ihc Logan Regional 1350 North 500 East Orthopedics - Logan Cache Ihc Logan Psychiatry - Logan Logan, UT 84341 1350 North 500 East Hyde Park 1350 North 500 East (435) 716-1280 Logan, UT 84341 (435) 716-2800 84318 Logan, UT 84341 (435) 716-1280 Roberge, Darrell DO ~* Weigand, Kenneth Psychiatry Providence PHD ~ Christensen, Tyler PHD ~ NPI: 1952677874 84332 Psychologist Clinical Psychologist Ihc Logan Psychiatry - NPI: 1417038530 NPI: 1598180838 Logan Christensen, Tyler PHD ~ Ihc North Cache Valley Ihc Budge Clinic Internal 1350 North 500 East Clinical Psychologist Clinic - Hyde Park Medicine - Logan Logan, UT 84341 NPI: 1598180838 4088 North Hwy 91 1350 North 500 East (435) 716-1280 Ihc South Cache Valley Hyde Park, UT 84318 Logan, UT 84341 Clinic - Providence (435) 563-4900 190 South Hwy 165 (435) 792-1980 Providence, UT 84332 French (435) 755-3300 French

379 Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos

Davis Lund, Heidee MD ~* Randall, Donald PHD ~ Clearfield Psychiatry Clinical Psychologist Bountiful NPI: 1740508340 NPI: 1053346494 84015 84010 Mountainstar Behavioral Mountainstar Behavioral Schwebach, Adam PHD ~ Health - Bountiful Health - Bountiful Psychologist Atkin, Quincy PHD ~ 630 East Medical Dr 630 East Medical Dr NPI: 1780837047 Psychologist Bountiful, UT 84010 Bountiful, UT 84010 Neuropsychology Center Of NPI: 1255445672 (801) 299-3781 (801) 299-3781 Utah - Clinton Ihc Bountiful Clinic - 1407 North 2000 West Bountiful Mcpherson, O Lamont Roundy, Michael MD ~* Clearfield, UT 84015 390 North Main St MD ~* Psychiatry (801) 614-5866 Bountiful, UT 84010 Psychiatry NPI: 1255366696 (801) 294-1000 NPI: 1053302786 Lakeview Behavioral Farmington Lakeview Behavioral Health - Bountiful Cardinal, Jennifer PHD ~ Health - Bountiful 620 Medical Dr Ste 175A 84025 Psychologist 620 Medical Dr Ste 175A Bountiful, UT 84010 Hatch, Jennifer PSY ~ NPI: 1467898197 Bountiful, UT 84010 (801) 299-3731 Psychologist Neurobehavioral Center (801) 299-3731 NPI: 1841483146 For Growth - Bountiful Italian, Spanish Roundy, Michael MD ~* Uni Farmington 415 Medical Dr Ste D101 Psychiatry Outpatient Clinic - Child Bountiful, UT 84010 Petersen, Anthony MD ~* NPI: 1255366696 291 South 200 West (801) 683-1062 Psychiatry Mountainstar Behavioral Farmington, UT 84025 NPI: 1336407790 Health - Bountiful (801) 213-3200 Cunningham, Sean PSY ~ Lakeview Behavioral 630 East Medical Dr Psychologist Health - Bountiful Bountiful, UT 84010 Mansour, Emma PHD ~ NPI: 1679996185 620 Medical Dr Ste 175A (801) 299-3781 Psychologist Department Of Pediatric Bountiful, UT 84010 NPI: 1043611486 Services - Sdch (801) 299-3731 Spiel, Craig PHD ~ Life Matters Counseling 401 South 400 East Psychologist And Psychological Srcs - Bountiful, UT 84010 Petersen, Anthony MD ~* NPI: 1669647616 Farmington (801) 295-2361 Psychiatry Ihc Bountiful Clinic - 1433 North 1075 West Ste NPI: 1336407790 Bountiful 120 Cunningham, Sean PSY ~ Mountainstar Behavioral 390 North Main St Farmington, UT 84025 Psychologist Health - Bountiful Bountiful, UT 84010 (385) 219-4980 NPI: 1679996185 630 East Medical Dr (801) 294-1000 General Pediatrics - Sdch Bountiful, UT 84010 Kaysville 401 South 400 East (801) 299-3781 Stout, Kelly PHD ~ 84037 Bountiful, UT 84010 Psychologist (801) 295-2361 Randall, Donald PHD ~ NPI: 1013395128 Lash, Denise PHD ~ Clinical Psychologist General Pediatrics - Sdch Psychologist Lund, Heidee MD ~* NPI: 1053346494 401 South 400 East NPI: 1922332113 Psychiatry Lakeview Behavioral Bountiful, UT 84010 Ihc Kaysville Creekside NPI: 1740508340 Health - Bountiful (801) 295-2361 Clinic - Kaysville Lakeview Behavioral 620 Medical Dr Ste 175A 435 North Main St Health - Bountiful Bountiful, UT 84010 Kaysville, UT 84037 620 Medical Dr Ste 175A (801) 299-3731 (801) 498-6000 Bountiful, UT 84010 (801) 299-3731

380 Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Davis County continued / Condado seguido

Soutor, Todd PHD ~ Bushman, Bryan PHD ~ Goodrich, Gary PHD ~ Mcpherson, O Lamont Psychologist Psychologist Psychologist MD ~* NPI: 1376558064 NPI: 1831346170 NPI: 1821004821 Psychiatry Todd A Soutor Phd Layton Parkway Northern Davis Behavioral Health - NPI: 1053302786 Licensed Psychologist Utah Pediatrics - Layton Layton 1700 West Ihc Mckay Dee Behavioral 415 South 1800 East 201 West Layton Parkway 2250 North 1700 West Health - Layton Kaysville, UT 84037 Ste 1C Layton, UT 84041 2075 University Park Blvd (801) 564-1903 Layton, UT 84041 (801) 773-7060 Layton, UT 84041 (801) 387-4500 Spanish (801) 387-5600 Layton Italian, Spanish Christiansen, Benjamin Holt, Ben MD ~ 84040 PSYD ~ Psychiatry Morano, Rachel MD ~* Edgington, Carl PHD ~ Psychologist, Clinical NPI: 1154512937 Psychiatry Psychologist Neuropsychologist, Clinical Ihc Layton Clinic - Layton NPI: 1346483849 NPI: 1427285444 Psychologist 2075 University Park Blvd Adult Behavioral Health Alternative Behavior NPI: 1457632820 Layton, UT 84041 Unit - Pgu - Layton Strategies - Layton Tanner Memorial Clinic - (801) 779-6200 1600 West Antelope Dr 2940 North Church St Ste Layton Layton, UT 84041 303 2121 North 1700 West Johnson, Clark MD ~* (801) 807-7924 Layton, UT 84040 Layton, UT 84041 Psychiatry (801) 935-4171 (801) 773-4840 NPI: 1487706099 Nagode, Jennifer MD ~* Spanish Spanish Adult Behavioral Health Psychiatry Unit - Pgu - Layton NPI: 1043358724 84041 Christiansen, Benjamin 1600 West Antelope Dr Adult Behavioral Health Ahern, Dennis PHD ~ PSYD ~ Layton, UT 84041 Unit - Pgu - Layton Clinical Psychologist Psychologist, Clinical (801) 807-7924 1600 West Antelope Dr NPI: 1881674661 Neuropsychologist, Clinical Layton, UT 84041 Ihc Layton Clinic - Layton Psychologist Keate, Virgil PHD ~ (801) 807-7924 2075 University Park Blvd NPI: 1457632820 Psychologist Layton, UT 84041 Utah Center For NPI: 1437167392 Philippi, Donna DO ~ (801) 779-6200 Assessment And Treatment Davis Behavioral Health - Psychiatry Portugese - Layton Layton Main St NPI: 1881670982 890 Heritage Park Blvd Ste 934 South Main St Davis Behavioral Health - Amil, Brent MD ~ 104 Layton, UT 84041 Layton 1700 West Psychiatry Layton, UT 84041 (801) 773-7060 2250 North 1700 West NPI: 1326065053 (801) 784-7605 Layton, UT 84041 Davis Behavioral Health - Spanish Lowrimore, Patricia (801) 773-7060 Layton Main St PHD ~* 934 South Main St Faizi, Sajid MD ~* Psychiatry Roberson, Gwendolyn Layton, UT 84041 Psychiatry NPI: 1831194455 MD ~* (801) 773-7060 NPI: 1659386357 Adult Behavioral Health Psychiatry Adult Behavioral Health Unit - Pgu - Layton NPI: 1558504191 Bushman, Bryan PHD ~ Unit - Pgu - Layton 1600 West Antelope Dr Adult Behavioral Health Psychologist 1600 West Antelope Dr Layton, UT 84041 Unit - Pgu - Layton NPI: 1831346170 Layton, UT 84041 (801) 807-7924 1600 West Antelope Dr Ihc Layton Clinic - Layton (801) 807-7924 Spanish Layton, UT 84041 2075 University Park Blvd Urdu (801) 807-7924 Layton, UT 84041 (801) 779-6200

381 Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Davis County continued / Condado seguido

Roundy, Michael MD ~* Valles, Rene MD ~* 84721 Midvale Psychiatry Psychiatry Pearce, Brett PSY ~ 84047 NPI: 1255366696 NPI: 1013015189 Psychologist Davis Behavioral Health - Davis Behavioral Health - NPI: 1255620407 Coudreaut, Michael Layton 1700 West Layton 1700 West Utah Behavior Services - MD ~ 2250 North 1700 West 2250 North 1700 West Cedar City Psychiatry Layton, UT 84041 Layton, UT 84041 1870 North Main St Ste NPI: 1659441780 (801) 773-7060 (801) 773-7060 102 Intermountain Psychiatry Spanish Cedar City, UT 84721 And Counseling Services - Roundy, Michael MD ~* (801) 255-5131 Midvale Psychiatry Valles, Rene MD ~* 1225 East Fort Union Blvd NPI: 1255366696 Psychiatry Ste 215 Davis Behavioral Health - NPI: 1013015189 Salt Lake Midvale, UT 84047 Layton Main St Davis Behavioral Health - Draper (801) 233-4200 934 South Main St Layton Main St Layton, UT 84041 934 South Main St 84020 Kingston, Merrill PHD ~ (801) 773-7060 Layton, UT 84041 Cloyd Jr, James PHD ~ Psychologist (801) 773-7060 Psychologist NPI: 1821019399 Schenk, Julana MD ~ Spanish NPI: 1750450953 Intermountain Psychiatry Psychiatry The Smart Clinic - Draper And Counseling Services - NPI: 1457321556 Iron 96 East Kimballs Lane Ste Midvale Davis Behavioral Health - 408 1225 East Fort Union Blvd Layton 1700 West Cedar City Draper, UT 84020 Ste 215 2250 North 1700 West 84720 (801) 676-7631 Midvale, UT 84047 Layton, UT 84041 (801) 233-4200 (801) 773-7060 Williams, Ryan MD ~* Connolly, Michael MD ~* Psychiatry Psychiatry Levy, Alyssa PHD ~ Soutor, Todd PHD ~ NPI: 1730220971 NPI: 1003014374 Psychologist Psychologist Southwest Behavioral Granger Medical Clinic - NPI: 1043296205 NPI: 1376558064 Health Center - Cedar City Draper - 11724 Vmh - Day Treatment Davis Behavioral Health - 245 East 680 South 11724 South State St Program Layton Main St Cedar City, UT 84720 Draper, UT 84020 195 West 7200 South 934 South Main St (435) 867-7654 (801) 576-2000 Midvale, UT 84047 Layton, UT 84041 (888) 949-4864 (801) 773-7060 Williams, Ryan MD ~* Devries, Melissa PHD ~ Psychiatry Psychologist Maulden, Bryan MD ~ Summerfield, Robert NPI: 1730220971 NPI: 1306136353 Psychiatry MD * Southwest Behavioral Ihc Draper Clinic - Draper NPI: 1184645624 Psychiatry Health Center - Cedar City 12473 South Minuteman Intermountain Psychiatry NPI: 1215919659 2 Dr And Counseling Services - Tanner Memorial Clinic - 54 North 200 East Draper, UT 84020 Midvale Layton Cedar City, UT 84720 (801) 495-7900 1225 East Fort Union Blvd 2121 North 1700 West (435) 586-2515 Ste 215 Layton, UT 84041 Midvale, UT 84047 (801) 773-4840 (801) 233-4200 French

382 Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Salt Lake County continued / Condado seguido

Mitchell, Joshua MD ~ Riverton Malouf, John PHD ~ Atkin, Quincy PHD ~ Psychiatry Psychologist Psychologist NPI: 1043552110 84065 NPI: 1104801620 NPI: 1255445672 Ihc Union Park Psychiatry Bennett Murphy, Laura Vmh - Riverton Ihc Salt Lake Clinic - Mhi & Counseling - Midvale PHD ~ 12427 South Pasture Rd 389 South 900 East 1225 East Fort Union Blvd Psychologist Ste 104 Salt Lake City, UT 84102 Ste 215 NPI: 1669898540 Riverton, UT 84096 (385) 282-2650 Midvale, UT 84047 Pediatric Behavioral (888) 949-4864 (801) 233-4200 Health Svcs - Pcos Bartel, Roxanne MD ~* 3773 West 12600 South Thatcher, Benjamin Psychiatry Nichols, Jay MD ~ Riverton, UT 84065 DO ~* NPI: 1104903897 Psychiatry (801) 285-1285 Psychiatry Downtown Resident NPI: 1144562588 NPI: 1841310950 Continuity Clinic Ihc Union Park Psychiatry Buckley, Celestia PSYD ~ Vmh - Riverton 525 East 100 South Ste 500 & Counseling - Midvale Clinical Psychologist 12427 South Pasture Rd Salt Lake City, UT 84102 1225 East Fort Union Blvd NPI: 1619344413 Ste 104 (801) 585-2121 Ste 215 Pediatric Behavioral Riverton, UT 84096 French Midvale, UT 84047 Health Svcs - Pcos (888) 949-4864 (801) 233-4200 3773 West 12600 South Bartel, Roxanne MD ~* Riverton, UT 84065 Salt Lake City Psychiatry Plumb, Taylor PHD ~ (801) 285-1285 NPI: 1104903897 Psychologist 84101 Uni Downtown Outpatient NPI: 1942364013 Fulton, John PHD ~ Albertsen, Elizabeth Clinic - Adult Vmh - Day Treatment Psychologist PSY ~ 525 East 100 South Ste 500 Program NPI: 1316177967 Psychologist Salt Lake City, UT 84102 195 West 7200 South Pediatric Behavioral NPI: 1871575472 (801) 585-2121 Midvale, UT 84047 Health Svcs - Pcos Vmh - Slc French (888) 949-4864 3773 West 12600 South 1020 South Main St Ste Riverton, UT 84065 300 Birch, Robert DO ~* Spendlove, David PHD ~ (801) 285-1285 Salt Lake City, UT 84101 Psychiatry Psychologist (888) 949-4864 NPI: 1245220805 NPI: 1710084736 Spiel, Craig PHD ~ Downtown Resident Intermountain Psychiatry Psychologist Thatcher, Benjamin Continuity Clinic And Counseling Services - NPI: 1669647616 DO ~* 525 East 100 South Ste 500 Midvale Ihc Southridge Clinic Psychiatry Salt Lake City, UT 84102 1225 East Fort Union Blvd Medical Specialties - NPI: 1841310950 (801) 585-2121 Ste 215 Riverton Vmh - Slc Midvale, UT 84047 3723 West 12600 South 1020 South Main St Ste Birch, Robert DO ~* (801) 233-4200 Riverton, UT 84065 300 Psychiatry (801) 285-4200 Salt Lake City, UT 84101 NPI: 1245220805 Wenner, Matthew PHD ~ (888) 949-4864 Uni Downtown Outpatient Psychologist 84096 Clinic - Adult NPI: 1760409486 Harris, Emily PHD ~ 84102 525 East 100 South Ste 500 Ihc Union Park Psychiatry Psychologist Albertsen, Elizabeth Salt Lake City, UT 84102 & Counseling - Midvale NPI: 1578892501 PSY ~ (801) 585-2121 1225 East Fort Union Blvd Vmh - Riverton Psychologist Ste 215 12427 South Pasture Rd NPI: 1871575472 Midvale, UT 84047 Ste 104 Vmh - Forensic Unit (801) 233-4200 Riverton, UT 84096 443 South 600 East (888) 949-4864 Salt Lake City, UT 84102 (888) 949-4864

383 Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Salt Lake County continued / Condado seguido

Bivens, Nancy MD ~ Dentino, Stamatios Fehlberg, Amy PHD ~ Hudak-Rosander, Psychiatry MD ~* Psychologist Cristina PHD ~ NPI: 1760503072 Psychiatry NPI: 1619108057 Clinical Psychologist Ihc Salt Lake Clinic - Mhi NPI: 1689963068 Shoreline Psychology NPI: 1255723714 389 South 900 East Uni Downtown Outpatient 1060 East 100 South Ste Uni Downtown Outpatient Salt Lake City, UT 84102 Clinic - Adult 100 Clinic - Adult (385) 282-2650 525 East 100 South Salt Lake City, UT 84102 525 East 100 South Salt Lake City, UT 84102 (801) 556-6764 Salt Lake City, UT 84102 Bone, Jonathan PSY ~ (801) 585-2121 Spanish (801) 585-2121 Clinical Psychologist NPI: 1649436916 Devries, Melissa PHD ~ Foote, Mark MD ~ Iyer, Varsha MD ~* Uni Downtown Outpatient Psychologist Psychiatry Psychiatry Clinic - Adult NPI: 1306136353 NPI: 1619047743 NPI: 1659715183 525 East 100 South Neurology Learning And Ihc Salt Lake Clinic - Mhi Uni Downtown Outpatient Salt Lake City, UT 84102 Behavioral Center 389 South 900 East Clinic - Adult Ste 5000 (801) 585-2121 230 South 500 East Ste 100 Salt Lake City, UT 84102 525 East 100 South Ste Salt Lake City, UT 84102 (385) 282-2650 5000 Bustamante, Jamie (801) 532-1484 Salt Lake City, UT 84102 PHD ~ Garrett, Kelly PHD ~ (801) 585-1212 Psychologist Docherty, Anna PHD ~ Clinical Neuropsychologist NPI: 1982097127 Clinical Psychologist NPI: 1245251776 James, Mary MD ~* Senior Behavioral Health NPI: 1760844161 Ihc Salt Lake Clinic - Psychiatry Outpatient - Salt Lake Downtown Resident Family Internal Medicine NPI: 1710927975 Regional Continuity Clinic 389 South 900 East Comprehensive Neurology 82 South 1100 East Ste 404 525 East 100 South Ste 500 Salt Lake City, UT 84102 Of Utah - Salt Lake Salt Lake City, UT 84102 Salt Lake City, UT 84102 (385) 282-2600 82 South 1100 East Ste 103 (801) 350-4777 (801) 585-2121 Salt Lake City, UT 84102 Goldstein, Samuel PHD ~ (801) 505-5370 Carl, Brian PHD ~ Docherty, Anna PHD ~ Psychologist Psychologist Clinical Psychologist NPI: 1790745248 Kemmochi, Tomohiro NPI: 1730568122 NPI: 1760844161 Neurology Learning And PHD ~ Brian C Carl Phd Pllc - Salt Uni Downtown Outpatient Behavioral Center Clinical Psychologist Lake City Clinic - Adult 230 South 500 East Ste 100 NPI: 1942533328 160 South 1000 East Ste 525 East 100 South Ste 500 Salt Lake City, UT 84102 Uni Downtown Outpatient 310 Salt Lake City, UT 84102 (801) 532-1484 Clinic - Adult Salt Lake City, UT 84102 (801) 585-2121 525 East 100 South (801) 839-5594 Holmes, Britt PHD ~ Salt Lake City, UT 84102 Edgington, Carl PHD ~ Clinical Psychologist (801) 585-2121 Clark, Claire PHD ~ Psychologist NPI: 1467612689 Japanese Psychologist NPI: 1427285444 Downtown Resident NPI: 1396850095 Alternative Behavior Continuity Clinic Konopacki, Kelly PHD ~ Claire H Clark Phd Llc - Strategies - Salt Lake 525 East 100 South Ste 500 Clinical Neuropsychologist, Salt Lake City 515 South 700 East Ste 2A Salt Lake City, UT 84102 Clinical Psychologist 150 South 600 East Ste 8B Salt Lake City, UT 84102 (801) 585-2121 NPI: 1912362591 Salt Lake City, UT 84102 (801) 935-4171 French Uni Downtown Outpatient (801) 259-8325 Spanish Clinic - Child. 525 East 100 South Ste 5000 Salt Lake City, UT 84102 (801) 585-1212

384 Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Salt Lake County continued / Condado seguido

Lewis, Gina MD ~* Powers, Christopher Smith, Allison PHD ~ Woolley, Matthew PHD ~ Psychiatry PHD ~ Clinical Psychologist Clinical Psychologist NPI: 1144266321 Clinical Psychologist NPI: 1134566904 NPI: 1871691956 Senior Behavioral Health NPI: 1801186994 Uni Downtown Outpatient Uni Downtown Outpatient Outpatient - Salt Lake Uni Downtown Outpatient Clinic - Adult Clinic - Child. Regional Clinic - Adult 525 East 100 South 525 East 100 South Ste 82 South 1100 East Ste 404 525 East 100 South Salt Lake City, UT 84102 5000 Salt Lake City, UT 84102 Salt Lake City, UT 84102 (801) 585-2121 Salt Lake City, UT 84102 (801) 350-4777 (801) 585-2121 (801) 585-1212 Spendlove, David PHD ~ Tagalog Moench, Matthew MD ~* Reilly, Deanna PHD ~ Psychologist Psychiatry Clinical Neuropsychologist, NPI: 1710084736 84103 NPI: 1376641456 Clinical Psychologist Ihc Salt Lake Clinic - Mhi Bivens, Nancy MD ~ Uni Downtown Outpatient NPI: 1649249731 389 South 900 East Psychiatry Clinic - Adult Uni Downtown Outpatient Salt Lake City, UT 84102 NPI: 1760503072 525 East 100 South Clinic - Child (385) 282-2650 Ihc Avenues Specialty Salt Lake City, UT 84102 525 East 100 South Ste 500 Clinic - Salt Lake (801) 585-2121 Salt Lake City, UT 84102 Stoeckel, Amanda PHD ~ 324 10Th Ave Ste 200 Russian (801) 585-2121 Clinical Psychologist Salt Lake City, UT 84103 NPI: 1194132423 (801) 408-7500 Neeleman, Lori PHD ~ Rindflesh, Mark MD ~* Uni Downtown Outpatient Psychologist Psychiatry Clinic - Adult Burrow, David MD ~* NPI: 1992000145 NPI: 1710944293 525 East 100 South Psychiatry Ihc Live Well Center Salt Uni Downtown Outpatient Salt Lake City, UT 84102 NPI: 1699060079 Lake City - Salt Lake Clinic - Adult (801) 585-2121 Ihc Avenues Psychiatry & 389 South 900 East 525 East 100 South Counseling - Salt Lake Salt Lake City, UT 84102 Salt Lake City, UT 84102 Voigt, Stephanie PHD ~ 324 10Th Ave Ste 178 (385) 282-2700 (801) 585-2121 Clinical Psychologist Salt Lake City, UT 84103 NPI: 1861837494 (801) 408-8500 Neeleman, Lori PHD ~ Roberson, Gwendolyn Uni Downtown Outpatient Psychologist MD ~* Clinic - Adult Crookston, Michael NPI: 1992000145 Psychiatry 525 East 100 South MD ~ Ihc Salt Lake Clinic - Mhi NPI: 1558504191 Salt Lake City, UT 84102 Psychiatry 389 South 900 East Gero Psych - Salt Lake (801) 585-2121 NPI: 1699868851 Salt Lake City, UT 84102 1050 East South Temple Spanish Ihc Avenues Psychiatry & (385) 282-2650 2Nd Floor Counseling - Salt Lake Salt Lake City, UT 84102 Weeks, Amanda PSYD ~ 324 10Th Ave Ste 178 Porritt, Marc PHD ~ (801) 964-3111 Clinical Psychologist Salt Lake City, UT 84103 Clinical Psychologist NPI: 1295791234 (801) 408-8500 NPI: 1659780369 Rogers, Jennifer PHD ~ Uni Downtown Outpatient Uni Downtown Outpatient Psychologist Clinic - Child Cunningham, Sean PSY ~ Clinic - Adult NPI: 1215241203 525 East 100 South Ste 500 Psychologist 525 East 100 South Alternative Behavior Salt Lake City, UT 84102 NPI: 1679996185 Salt Lake City, UT 84102 Strategies - Salt Lake (801) 585-2121 Udac - Child Development (801) 585-2121 515 South 700 East Ste 2A Program - Shriners Salt Lake City, UT 84102 Hospital (801) 935-4171 1275 East Fairfax Rd Salt Lake City, UT 84103 (801) 587-2255

385 Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Salt Lake County continued / Condado seguido

Dansie, Kirk PSYD ~ Delong, Sara MD ~ Lines, Robin MD ~ Stout, Kelly PHD ~ Psychologist Psychiatry Psychiatry Psychologist NPI: 1821273772 NPI: 1356540652 NPI: 1912169434 NPI: 1013395128 Ihc Avenues Specialty Ihc Avenues Psychiatry & Ihc Avenues Psychiatry & Udac - Child Development Clinic - Salt Lake Counseling - Salt Lake Counseling - Salt Lake Program - Shriners 324 10Th Ave Ste 200 324 10Th Ave Ste 178 324 10Th Ave Ste 178 Hospital Salt Lake City, UT 84103 Salt Lake City, UT 84103 Salt Lake City, UT 84103 1275 East Fairfax Rd (801) 408-7500 (801) 408-8500 (801) 408-8500 Salt Lake City, UT 84103 Spanish (801) 587-2255 Dawis, Daniel DO ~ Devries, Melissa PHD ~ Psychiatry Psychologist Miller, Patrick PHD ~ Waddell, Kathryn PHD ~ NPI: 1518305150 NPI: 1306136353 Psychologist Psychologist Ihc Avenues Psychiatry & Ihc Avenues Specialty NPI: 1780627455 NPI: 1891833257 Counseling - Salt Lake Clinic - Salt Lake Ihc Avenues Psychiatry & Ihc Avenues Psychiatry & 324 10Th Ave Ste 178 324 10Th Ave Ste 200 Counseling - Salt Lake Counseling - Salt Lake Salt Lake City, UT 84103 Salt Lake City, UT 84103 324 10Th Ave Ste 178 324 10Th Ave Ste 178 (801) 408-8500 (801) 408-7500 Salt Lake City, UT 84103 Salt Lake City, UT 84103 (801) 408-8500 (801) 408-8500 Dawis, Daniel DO ~ Foltz, Logan MD ~ Psychiatry Psychiatry Neeleman, Lori PHD ~ Wander, Theodore MD ~ NPI: 1518305150 NPI: 1730490640 Psychologist Psychiatry Ihc Avenues Specialty Ihc Avenues Psychiatry & NPI: 1992000145 NPI: 1730281478 Clinic - Salt Lake Counseling - Salt Lake Ihc Lds Campus Sleep Ihc Avenues Psychiatry & 324 10Th Ave Ste 200 324 10Th Ave Ste 178 Avenues - Salt Lake Counseling - Salt Lake Salt Lake City, UT 84103 Salt Lake City, UT 84103 440 D St Ste 200 324 10Th Ave Ste 178 (801) 408-7500 (801) 408-8500 Salt Lake City, UT 84103 Salt Lake City, UT 84103 (801) 408-3617 (801) 408-8500 Dawis, Nicole MD ~ Garrett, Kelly PHD ~ Psychiatry Clinical Neuropsychologist Rapp, Daniel MD ~ Warden, Michael DO ~ NPI: 1740627330 NPI: 1245251776 Psychiatry Psychiatry Ihc Avenues Psychiatry & Ldsh Health & Fitness NPI: 1265528723 NPI: 1851633218 Counseling - Salt Lake Institute - Salt Lake Ihc Avenues Psychiatry & Ihc Avenues Psychiatry & 324 10Th Ave Ste 178 440 D Street Ste 206 Counseling - Salt Lake Counseling - Salt Lake Salt Lake City, UT 84103 Salt Lake City, UT 84103 324 10Th Ave Ste 178 324 10Th Ave Ste 178 (801) 408-8500 (801) 408-1396 Salt Lake City, UT 84103 Salt Lake City, UT 84103 (801) 408-8500 (801) 408-8500 Debry, Spencer MD ~ Kimball, James MD ~ Psychiatry Psychiatry Spendlove, David PHD ~ Watabe, Jeffrey MD ~ NPI: 1194797738 NPI: 1538211859 Psychologist Psychiatry Ihc Avenues Psychiatry & Ihc Avenues Psychiatry & NPI: 1710084736 NPI: 1407945710 Counseling - Salt Lake Counseling - Salt Lake Ihc Avenues Psychiatry & Ihc Avenues Psychiatry & 324 10Th Ave Ste 178 324 10Th Ave Ste 178 Counseling - Salt Lake Counseling - Salt Lake Salt Lake City, UT 84103 Salt Lake City, UT 84103 324 10Th Ave Ste 178 324 10Th Ave Ste 178 (801) 408-8500 (801) 408-8500 Salt Lake City, UT 84103 Salt Lake City, UT 84103 (801) 408-8500 (801) 408-8500

386 Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Salt Lake County continued / Condado seguido

84105 84106 Rolin, Summer PHD ~ Bivens, Nancy MD ~ Beckstead, Arvel PHD ~ Bustamante, Jamie Clinical Neuropsychologist, Psychiatry Psychologist PHD ~ Psychologist NPI: 1760503072 NPI: 1952364622 Psychologist NPI: 1730534587 Ihc Cottonwood Internal Arvel Lee Beckstead Phd - NPI: 1982097127 Physical Med & Rehab Medicine - Murray Salt Lake Legacy Village Of Sugar Mental Health - Sugar 181 East Medical Tower 1433 South 1100 East House - Salt Lake House Dr Salt Lake City, UT 84105 1212 East Wilmington Ave 1138 East Wilmington Ave Salt Lake City, UT 84107 (801) 556-8110 Salt Lake City, UT 84106 Salt Lake City, UT 84106 (801) 314-4300 (801) 486-6000 (801) 581-2267 Bivens, Nancy MD ~ Caine, John PHD ~ Psychiatry Gregory, Kent PHD ~ 84107 Clinical Neuropsychologist NPI: 1760503072 Psychologist Augustyn, Brian PHD ~ NPI: 1942343389 Ihc Memorial Clinic - NPI: 1821015504 Clinical Psychologist Int Neurosciences Institute Sugarhouse Advanced Behavioral Care NPI: 1306095633 - Murray 2000 South 900 East Inc - Salt Lake City South Main Clinic - 5171 South Cottonwood St Salt Lake City, UT 84105 1545 East 3300 South Teenscope Program Ste 810 (801) 464-7500 Salt Lake City, UT 84106 51 West 3900 South Salt Lake City, UT 84107 (801) 478-2780 Salt Lake City, UT 84107 (801) 507-9800 (801) 585-1575 Gullett, Shannon MD ~ Chenoweth, Erica PHD ~ Psychiatry Kocherhans, Jeff PHD ~ Psychologist, Clinical NPI: 1669559118 Clinical Psychologist Bailey, Rebecca PHD ~ Neuropsychologist Ihc Memorial Clinic - NPI: 1700836996 Psychologist, Clinical NPI: 1679756373 Sugarhouse Jeff C Kocherhans Phd - Neuropsychologist Int Neurosciences Institute 2000 South 900 East Brickyard NPI: 1700818911 - Murray Salt Lake City, UT 84105 1208 East 3300 South Int Neurosciences Institute 5171 South Cottonwood St (801) 464-7500 Salt Lake City, UT 84106 - Murray Ste 810 (801) 483-1600 5171 South Cottonwood St Salt Lake City, UT 84107 Reimherr, Frederick Spanish Ste 810 (801) 507-9800 MD ~* Salt Lake City, UT 84107 (801) 507-9800 Psychiatry Morgan, Tiffani PHD ~ Clark, Elaine PHD ~ NPI: 1740259795 Clinical Psychologist Clinical Psychologist Psychiatric And Behavioral NPI: 1437308681 Ballou, Carol PHD ~ NPI: 1770612863 Solutions - Salt Lake Advanced Behavioral Care Clinical Psychologist South Main Clinic - 1522 South 1100 East Inc - Salt Lake City NPI: 1912967647 Teenscope Program Salt Lake City, UT 84105 1545 East 3300 South South Main Clinic - 51 West 3900 South (801) 467-1200 Salt Lake City, UT 84106 Teenscope Program Salt Lake City, UT 84107 (801) 478-2780 51 West 3900 South (801) 585-1575 Spiel, Craig PHD ~ Salt Lake City, UT 84107 Psychologist Musso, Alison PHD ~ (801) 585-1575 NPI: 1669647616 Psychologist Connelly, Julia PHD ~ Ihc Memorial Clinic - NPI: 1346230802 Banks, Duane MD ~* Clinical Psychologist Sugarhouse Advanced Behavioral Care Psychiatry NPI: 1396915609 2000 South 900 East Inc - Salt Lake City NPI: 1013092360 South Main Clinic - Salt Lake City, UT 84105 1545 East 3300 South Sundance Behavioral Teenscope Program (801) 464-7500 Salt Lake City, UT 84106 Resources - Murray 51 West 3900 South (801) 478-2780 845 East 4800 South Ste Salt Lake City, UT 84107 200 (801) 585-1575 Salt Lake City, UT 84107 German (801) 264-9522

387 Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Salt Lake County continued / Condado seguido

Dansie, Kirk PSYD ~ Hart, Darrell PHD ~ Kimball, James MD ~ Morgan, Tiffani PHD ~ Psychologist Psychologist Psychiatry Clinical Psychologist NPI: 1821273772 NPI: 1861452997 NPI: 1538211859 NPI: 1437308681 Ihc Cottonwood Family Ihc Orthopedic Specialty Ihc Intermountain South Main Clinic - Medicine - Murray Group - Tosh - Murray Psychiatry And Counseling Teenscope Program 181 East Medical Tower 5848 South Fashion Blvd - Murray 51 West 3900 South Dr Salt Lake City, UT 84107 5169 South Cottonwood St Salt Lake City, UT 84107 Salt Lake City, UT 84107 (801) 314-4900 Ste 400 (801) 585-1575 (801) 314-4266 Salt Lake City, UT 84107 Hersh, Allison PHD ~ (801) 507-3472 Musso, Alison PHD ~ Dardeen, Kelly PHD ~ Psychologist Psychologist Psychologist NPI: 1659645232 Kwan, Katrina PHD ~ NPI: 1346230802 NPI: 1235382128 South Main Clinic - Psychologist Sundance Behavioral Int Neurosciences Institute Teenscope Program NPI: 1760727580 Resources - Murray - Murray 51 West 3900 South Int Neurosciences Institute 845 East 4800 South Ste 5171 South Cottonwood St Salt Lake City, UT 84107 - Murray 200 Ste 810 (801) 585-1575 5171 South Cottonwood St Salt Lake City, UT 84107 Salt Lake City, UT 84107 Ste 810 (801) 264-9522 (801) 507-9800 Hesse, Toni MD ~* Salt Lake City, UT 84107 Psychiatry (801) 507-9800 Neeleman, Lori PHD ~ Deming, Annie PHD ~ NPI: 1265722094 Psychologist Clinical Psychologist South Main Clinic - Lundahl, Brad PHD ~ NPI: 1992000145 NPI: 1386945566 Teenscope Program Clinical Psychologist, Ihc Intermountain Sleep South Main Clinic - 51 West 3900 South Psychologist Program Tosh - Murray Teenscope Program Salt Lake City, UT 84107 NPI: 1033239827 5770 South 250 East Ste 51 West 3900 South (801) 585-1575 Compass Counseling And 340 Salt Lake City, UT 84107 Consulting - 4000 South Salt Lake City, UT 84107 (801) 585-1575 Holmes, Britt PHD ~ 4000 South 700 East Ste 9 (801) 314-2400 Clinical Psychologist Salt Lake City, UT 84107 Fischer, Aaron PHD ~ NPI: 1467612689 (801) 639-9544 Ngu, Le PSY ~ Clinical Psychologist South Main Clinic - Spanish Psychologist NPI: 1154755635 Teenscope Program NPI: 1245456797 South Main Clinic - 51 West 3900 South Lundahl, Brad PHD ~ Le Ngu Licensed Teenscope Program Salt Lake City, UT 84107 Clinical Psychologist, Psychologist 51 West 3900 South (801) 585-1575 Psychologist 5801 South Fashion Blvd Salt Lake City, UT 84107 French NPI: 1033239827 Ste 200 (801) 585-1575 Compass Counseling And Salt Lake City, UT 84107 Hudak-Rosander, Consulting - Salt Lake (801) 875-2128 Francis, Kristin MD ~* Cristina PHD ~ 3970 South 700 East Ste 17 Chinese, Cantonese Psychiatry Clinical Psychologist Salt Lake City, UT 84107 NPI: 1912157249 NPI: 1255723714 (801) 639-9544 Nikopoulos, George South Main Clinic - South Main Clinic - Spanish MD ~ Teenscope Program Teenscope Program Psychiatry 51 West 3900 South 51 West 3900 South Mcmahon, William NPI: 1942422985 Salt Lake City, UT 84107 Salt Lake City, UT 84107 MD ~* Ihc Comprehensive Care (801) 585-1575 (801) 585-1575 Psychiatry Clinic - Murray NPI: 1063553626 5171 South Cottonwood St South Main Clinic - Ste 350 Teenscope Program Salt Lake City, UT 84107 51 West 3900 South (801) 507-9390 Salt Lake City, UT 84107 (801) 585-1575 ~ Accepting new patients/Aceptando a nuevos pacientes * Accepts Medicaid/Acepta Medicaid ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

388 Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Salt Lake County continued / Condado seguido

Powers, Christopher Smith, Allison PHD ~ Tatti, Anne PHD ~ Ward, Meghan MD ~ PHD ~ Clinical Psychologist Clinical Psychologist Clinical Psychologist Clinical Psychologist NPI: 1134566904 NPI: 1164847109 NPI: 1134413412 NPI: 1801186994 South Main Clinic - South Main Clinic - Int Neurosciences Institute South Main Clinic - Teenscope Program Teenscope Program - Murray Teenscope Program 51 West 3900 South 51 West 3900 South 5171 South Cottonwood St 51 West 3900 South Salt Lake City, UT 84107 Salt Lake City, UT 84107 Ste 810 Salt Lake City, UT 84107 (801) 585-1575 (801) 585-1575 Salt Lake City, UT 84107 (801) 585-1575 (801) 507-9800 Smith, Shawn MD ~ Thornhill, Denise PHD ~ Pramann Jr, Robert Psychiatry Psychologist Weeks, Amanda PSYD ~ PHD ~ NPI: 1720126154 NPI: 1013975853 Clinical Psychologist Psychologist Int Neurosciences Institute Denise Thornhill Phd - Salt NPI: 1295791234 NPI: 1487622908 - Murray Lake South Main Clinic - Shepherds Staff Christian 5171 South Cottonwood St 715 East 3900 South Ste Teenscope Program Counseling Center Inc - Ste 810 202 51 West 3900 South 4500 South Salt Lake City, UT 84107 Salt Lake City, UT 84107 Salt Lake City, UT 84107 525 East 4500 South Ste (801) 507-9800 (801) 261-5141 (801) 585-1575 F125 Salt Lake City, UT 84107 Spiel, Craig PHD ~ Voigt, Stephanie PHD ~ Whitehouse, Sandra (801) 268-1564 Psychologist Clinical Psychologist PHD ~ NPI: 1669647616 NPI: 1861837494 Clinical Psychologist Reid, Thomas MD ~* Ihc Comprehensive Care South Main Clinic - NPI: 1821055377 Psychiatry Clinic - Murray Teenscope Program South Main Clinic - NPI: 1053381194 5171 South Cottonwood St 51 West 3900 South Teenscope Program Sundance Behavioral Ste 350 Salt Lake City, UT 84107 51 West 3900 South Resources - Murray Salt Lake City, UT 84107 (801) 585-1575 Salt Lake City, UT 84107 845 East 4800 South Ste (801) 507-9390 Spanish (801) 585-1575 200 Salt Lake City, UT 84107 Spiel, Craig PHD ~ Wander, Theodore MD ~ Wiese, Julie MD ~ (801) 264-9522 Psychologist Psychiatry Psychiatry NPI: 1669647616 NPI: 1730281478 NPI: 1417931296 Reilly, Deanna PHD ~ Ihc Intermountain Senior Ihc Intermountain Sundance Behavioral Clinical Neuropsychologist, Clinic - Murray Psychiatry And Counseling Resources - Murray Clinical Psychologist 181 East Medical Tower - Murray 845 East 4800 South Ste NPI: 1649249731 Dr 5169 South Cottonwood St 200 South Main Clinic - Salt Lake City, UT 84107 Ste 400 Salt Lake City, UT 84107 Teenscope Program (801) 314-4544 Salt Lake City, UT 84107 (801) 264-9522 51 West 3900 South (801) 507-3472 Salt Lake City, UT 84107 Stoeckel, Amanda PHD ~ Woolley, Matthew PHD ~ (801) 585-1575 Clinical Psychologist Ward, Meghan MD ~ Clinical Psychologist NPI: 1194132423 Clinical Psychologist NPI: 1871691956 Rindflesh, Mark MD ~* South Main Clinic - NPI: 1134413412 South Main Clinic - Psychiatry Teenscope Program Int Neurosciences Institute Teenscope Program NPI: 1710944293 51 West 3900 South - Murray 51 West 3900 South South Main Clinic - Salt Lake City, UT 84107 5171 South Cottonwood St Salt Lake City, UT 84107 Teenscope Program (801) 585-1575 Ste 810 (801) 585-1575 51 West 3900 South Salt Lake City, UT 84107 Tagalog Salt Lake City, UT 84107 (801) 507-9800 (801) 585-1575

389 Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Salt Lake County continued / Condado seguido

84108 Bushnell, Lowry MD ~* Cook, Paula MD ~* Dentino, Stamatios Augustyn, Brian PHD ~ Psychiatry Addiction Psychiatry MD ~* Clinical Psychologist NPI: 1285692780 NPI: 1922209386 Psychiatry NPI: 1306095633 Neurostimulation Pediatric Neurostimulation Pediatric NPI: 1689963068 Kidstar Day Treatment Services Services Neurostimulation Pediatric Program - Uni 501 South Chipeta Way 501 South Chipeta Way Services 501 South Chipeta Way Salt Lake City, UT 84108 Salt Lake City, UT 84108 501 South Chipeta Way Salt Lake City, UT 84108 (801) 587-3287 (801) 587-3287 Salt Lake City, UT 84108 (801) 585-1575 (801) 587-3287 Clark, Elaine PHD ~ Cook, Paula MD ~* Clinical Psychologist Addiction Psychiatry Docherty, Anna PHD ~ Augustyn, Brian PHD ~ NPI: 1770612863 NPI: 1922209386 Clinical Psychologist Clinical Psychologist Kidstar Day Treatment Neurostimulation Pediatric NPI: 1760844161 NPI: 1306095633 Program - Uni Services U Of U Adult Professional Teenscope Program - Uni 501 South Chipeta Way 501 South Chipeta Way Services - Uni - Salt Lake 501 South Chipeta Way Salt Lake City, UT 84108 Salt Lake City, UT 84108 501 South Chipeta Way Salt Lake City, UT 84108 (801) 585-1575 (801) 587-3287 Salt Lake City, UT 84108 (801) 585-1575 (801) 585-1575 Ballou, Carol PHD ~ Clark, Elaine PHD ~ Dattilo, Wilbur MD ~* Clinical Psychologist Clinical Psychologist Psychiatry Docherty, Anna PHD ~ NPI: 1912967647 NPI: 1770612863 NPI: 1003107483 Clinical Psychologist Kidstar Day Treatment Teenscope Program - Uni Neurostimulation Pediatric NPI: 1760844161 Program - Uni 501 South Chipeta Way Services University Of Utah 501 South Chipeta Way Salt Lake City, UT 84108 501 South Chipeta Way Medical Center Psychiatry Salt Lake City, UT 84108 (801) 585-1575 Salt Lake City, UT 84108 - Chipeta Way (801) 585-1575 (801) 587-3287 501 Chipeta Way Connelly, Julia PHD ~ Japanese Salt Lake City, UT 84108 Clinical Psychologist (801) 583-2500 Ballou, Carol PHD ~ NPI: 1396915609 Deming, Annie PHD ~ Clinical Psychologist Kidstar Day Treatment Clinical Psychologist Fischer, Aaron PHD ~ NPI: 1912967647 Program - Uni NPI: 1386945566 Clinical Psychologist Teenscope Program - Uni 501 South Chipeta Way Kidstar Day Treatment NPI: 1154755635 501 South Chipeta Way Salt Lake City, UT 84108 Program - Uni Kidstar Day Treatment Salt Lake City, UT 84108 (801) 585-1575 501 South Chipeta Way Program - Uni (801) 585-1575 German Salt Lake City, UT 84108 501 South Chipeta Way (801) 585-1575 Salt Lake City, UT 84108 Buerger, Natalie PHD ~ Connelly, Julia PHD ~ (801) 585-1575 Clinical Psychologist Clinical Psychologist Deming, Annie PHD ~ NPI: 1346637881 NPI: 1396915609 Clinical Psychologist Fischer, Aaron PHD ~ Kidstar Day Treatment Teenscope Program - Uni NPI: 1386945566 Clinical Psychologist Program - Uni 501 South Chipeta Way Teenscope Program - Uni NPI: 1154755635 501 South Chipeta Way Salt Lake City, UT 84108 501 South Chipeta Way Teenscope Program - Uni Salt Lake City, UT 84108 (801) 585-1575 Salt Lake City, UT 84108 501 South Chipeta Way (801) 585-1575 German (801) 585-1575 Salt Lake City, UT 84108 (801) 585-1575

390 Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Salt Lake County continued / Condado seguido

Francis, Kristin MD ~* Hesse, Toni MD ~* Hudak-Rosander, Konopacki, Kelly PHD ~ Psychiatry Psychiatry Cristina PHD ~ Clinical Neuropsychologist, NPI: 1912157249 NPI: 1265722094 Clinical Psychologist Clinical Psychologist Kidstar Day Treatment Teenscope Program - Uni NPI: 1255723714 NPI: 1912362591 Program - Uni 501 South Chipeta Way Teenscope Program - Uni Uni Chipeta Outpatient 501 South Chipeta Way Salt Lake City, UT 84108 501 South Chipeta Way Clinic - Child Salt Lake City, UT 84108 (801) 585-1575 Salt Lake City, UT 84108 501 South Chipeta Way (801) 585-1575 (801) 585-1575 Salt Lake City, UT 84108 Holmes, Britt PHD ~ (801) 585-1575 Francis, Kristin MD ~* Clinical Psychologist Iyer, Varsha MD ~* Psychiatry NPI: 1467612689 Psychiatry Kreitschitz, Sebastian NPI: 1912157249 Kidstar Day Treatment NPI: 1659715183 MD ~* Teenscope Program - Uni Program - Uni Neurostimulation Pediatric Psychiatry 501 South Chipeta Way 501 South Chipeta Way Services NPI: 1598891616 Salt Lake City, UT 84108 Salt Lake City, UT 84108 501 South Chipeta Way Neurostimulation Pediatric (801) 585-1575 (801) 585-1575 Salt Lake City, UT 84108 Services French (801) 587-3287 501 South Chipeta Way Hersh, Allison PHD ~ Salt Lake City, UT 84108 Psychologist Holmes, Britt PHD ~ Kemmochi, Tomohiro (801) 587-3287 NPI: 1659645232 Clinical Psychologist PHD ~ Kidstar Day Treatment NPI: 1467612689 Clinical Psychologist Mcmahon, William Program - Uni Teenscope Program - Uni NPI: 1942533328 MD ~* 501 South Chipeta Way 501 South Chipeta Way U Of U Pediatric Psychiatry Salt Lake City, UT 84108 Salt Lake City, UT 84108 Adolescent Services - Uni NPI: 1063553626 (801) 585-1575 (801) 585-1575 525 East 100 South Ste 500 Kidstar Day Treatment French Salt Lake City, UT 84108 Program - Uni Hersh, Allison PHD ~ (801) 585-1575 501 South Chipeta Way Psychologist Hood, Julia Ann PHD ~* Japanese Salt Lake City, UT 84108 NPI: 1659645232 Psychologist (801) 585-1575 Teenscope Program - Uni NPI: 1447650338 Kious, Brent MD ~* 501 South Chipeta Way Vmh - Autism Center Of Psychiatry Mcmahon, William Salt Lake City, UT 84108 Learning Guardsman Way NPI: 1952690919 MD ~* (801) 585-1575 780 South Guardsman Neurostimulation Pediatric Psychiatry Way Services NPI: 1063553626 Hesse, Toni MD ~* Salt Lake City, UT 84108 501 South Chipeta Way Teenscope Program - Uni Psychiatry (888) 949-4864 Salt Lake City, UT 84108 501 South Chipeta Way NPI: 1265722094 (801) 587-3287 Salt Lake City, UT 84108 Kidstar Day Treatment Hudak-Rosander, (801) 585-1575 Program - Uni Cristina PHD ~ Konopacki, Kelly PHD ~ 501 South Chipeta Way Clinical Psychologist Clinical Neuropsychologist, Mickey, Brian MD ~* Salt Lake City, UT 84108 NPI: 1255723714 Clinical Psychologist Psychiatry (801) 585-1575 Kidstar Day Treatment NPI: 1912362591 NPI: 1306981709 Program - Uni Neurostimulation Pediatric Neurostimulation Pediatric Hesse, Toni MD ~* 501 South Chipeta Way Services Services Psychiatry Salt Lake City, UT 84108 501 South Chipeta Way 501 South Chipeta Way NPI: 1265722094 (801) 585-1575 Salt Lake City, UT 84108 Salt Lake City, UT 84108 Neurostimulation Pediatric (801) 587-3287 (801) 587-3287 Services 501 South Chipeta Way Salt Lake City, UT 84108 (801) 587-3287

391 Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Salt Lake County continued / Condado seguido

Moench, Matthew MD ~* Powers, Christopher Rindflesh, Mark MD ~* Smith, Allison PHD ~ Psychiatry PHD ~ Psychiatry Clinical Psychologist NPI: 1376641456 Clinical Psychologist NPI: 1710944293 NPI: 1134566904 Neurostimulation Pediatric NPI: 1801186994 Kidstar Day Treatment Teenscope Program - Uni Services Kidstar Day Treatment Program - Uni 501 South Chipeta Way 501 South Chipeta Way Program - Uni 501 South Chipeta Way Salt Lake City, UT 84108 Salt Lake City, UT 84108 501 South Chipeta Way Salt Lake City, UT 84108 (801) 585-1575 (801) 587-3287 Salt Lake City, UT 84108 (801) 585-1575 Russian (801) 585-1575 Solzbacher, Daniela Rindflesh, Mark MD ~* MD ~* Morgan, Tiffani PHD ~ Powers, Christopher Psychiatry Psychiatry Clinical Psychologist PHD ~ NPI: 1710944293 NPI: 1992069504 NPI: 1437308681 Clinical Psychologist Pediatric Behavioral Neurostimulation Pediatric Kidstar Day Treatment NPI: 1801186994 Health Outpatient Svcs Services Program - Uni Teenscope Program - Uni 501 South Chipeta Way 501 South Chipeta Way 501 South Chipeta Way 501 South Chipeta Way Salt Lake City, UT 84108 Salt Lake City, UT 84108 Salt Lake City, UT 84108 Salt Lake City, UT 84108 (801) 585-1575 (801) 587-3287 (801) 585-1575 (801) 585-1575 German Rindflesh, Mark MD ~* Morgan, Tiffani PHD ~ Reilly, Deanna PHD ~ Psychiatry Stoeckel, Amanda PHD ~ Clinical Psychologist Clinical Neuropsychologist, NPI: 1710944293 Clinical Psychologist NPI: 1437308681 Clinical Psychologist Teenscope Program - Uni NPI: 1194132423 Teenscope Program - Uni NPI: 1649249731 501 South Chipeta Way Kidstar Day Treatment 501 South Chipeta Way Kidstar Day Treatment Salt Lake City, UT 84108 Program - Uni Salt Lake City, UT 84108 Program - Uni (801) 585-1575 501 South Chipeta Way (801) 585-1575 501 South Chipeta Way Salt Lake City, UT 84108 Salt Lake City, UT 84108 Shadow, L MD ~* (801) 585-1575 Pham, Duy MD ~* (801) 585-1575 Psychiatry Addiction Psychiatry NPI: 1922028497 Stoeckel, Amanda PHD ~ NPI: 1346404233 Reilly, Deanna PHD ~ Kidstar Day Treatment Clinical Psychologist Neurostimulation Pediatric Clinical Neuropsychologist, Program - Uni NPI: 1194132423 Services Clinical Psychologist 501 South Chipeta Way Teenscope Program - Uni 501 South Chipeta Way NPI: 1649249731 Salt Lake City, UT 84108 501 South Chipeta Way Salt Lake City, UT 84108 Teenscope Program - Uni (801) 585-1575 Salt Lake City, UT 84108 (801) 587-3287 501 South Chipeta Way (801) 585-1575 Vietnamese Salt Lake City, UT 84108 Shadow, L MD ~* (801) 585-1575 Psychiatry Tatti, Anne PHD ~ Porritt, Marc PHD ~ NPI: 1922028497 Clinical Psychologist Clinical Psychologist Reyes, Maria MD ~* Teenscope Program - Uni NPI: 1164847109 NPI: 1659780369 Geriatric Psychiatry 501 South Chipeta Way Kidstar Day Treatment Kidstar Day Treatment NPI: 1265728984 Salt Lake City, UT 84108 Program - Uni Program - Uni Neurostimulation Pediatric (801) 585-1575 501 South Chipeta Way 501 South Chipeta Way Services Salt Lake City, UT 84108 Salt Lake City, UT 84108 501 South Chipeta Way Smith, Allison PHD ~ (801) 585-1575 (801) 585-1575 Salt Lake City, UT 84108 Clinical Psychologist (801) 587-3287 NPI: 1134566904 Kidstar Day Treatment Program - Uni 501 South Chipeta Way Salt Lake City, UT 84108 (801) 585-1575

392 Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Salt Lake County continued / Condado seguido

Tatti, Anne PHD ~ Voss, Michael DO ~* Whitehouse, Sandra 84111 Clinical Psychologist Psychiatry PHD ~ Atkin, Quincy PHD ~ NPI: 1164847109 NPI: 1790985992 Clinical Psychologist Psychologist Teenscope Program - Uni Neurostimulation Pediatric NPI: 1821055377 NPI: 1255445672 501 South Chipeta Way Services Kidstar Day Treatment Ihc Lincoln School Clinic - Salt Lake City, UT 84108 501 South Chipeta Way Program - Uni Salt Lake (801) 585-1575 Salt Lake City, UT 84108 501 South Chipeta Way 1090 Roberta St (801) 587-3287 Salt Lake City, UT 84108 Salt Lake City, UT 84111 Thueson, Jeremy MD ~* (801) 585-1575 (801) 408-3585 Psychiatry Wallace, Robert MD ~* NPI: 1902125032 Psychiatry Whitehouse, Sandra Butler, Leon PHD ~ Neurostimulation Pediatric NPI: 1134133200 PHD ~ Psychologist Services R Duncan Wallace Md Pc - Clinical Psychologist NPI: 1245549773 501 South Chipeta Way Salt Lake NPI: 1821055377 Sacred Circle Health Care - Salt Lake City, UT 84108 2972 Devonshire Cir Teenscope Program - Uni Goshute - Salt Lake (801) 587-3287 Salt Lake City, UT 84108 501 South Chipeta Way 660 South 200 East Ste 250 Spanish (801) 486-7940 Salt Lake City, UT 84108 Salt Lake City, UT 84111 (801) 585-1575 (435) 234-1194 Thueson, Jeremy MD ~* Weeks, Amanda PSYD ~ Psychiatry Clinical Psychologist Woolley, Matthew PHD ~ Decaria, Michael PHD ~ NPI: 1902125032 NPI: 1295791234 Clinical Psychologist Clinical Psychologist Pediatric Behavioral Kidstar Day Treatment NPI: 1871691956 NPI: 1689902843 Health Outpatient Svcs Program - Uni Kidstar Day Treatment Center For Human 501 South Chipeta Way 501 South Chipeta Way Program - Uni Potential - Salt Lake Salt Lake City, UT 84108 Salt Lake City, UT 84108 501 South Chipeta Way 265 East 100 South Ste 250 (801) 585-1575 (801) 585-1575 Salt Lake City, UT 84108 Salt Lake City, UT 84111 Spanish (801) 585-1575 (801) 483-2447 Weeks, Amanda PSYD ~ Tagalog Voigt, Stephanie PHD ~ Clinical Psychologist Gamboa, Maricela Clinical Psychologist NPI: 1295791234 Woolley, Matthew PHD ~ PSYD ~ NPI: 1861837494 Teenscope Program - Uni Clinical Psychologist Psychologist Kidstar Day Treatment 501 South Chipeta Way NPI: 1871691956 NPI: 1104172311 Program - Uni Salt Lake City, UT 84108 Teenscope Program - Uni Center For Human 501 South Chipeta Way (801) 585-1575 501 South Chipeta Way Potential - Salt Lake Salt Lake City, UT 84108 Salt Lake City, UT 84108 265 East 100 South Ste 250 (801) 585-1575 Weischedel, Kamile (801) 585-1575 Salt Lake City, UT 84111 Spanish MD ~* Tagalog (801) 483-2447 Psychiatry Voigt, Stephanie PHD ~ NPI: 1225327927 Zubieta, Jon Kar MD ~* Hallett, Christopher Clinical Psychologist Neurostimulation Pediatric Psychiatry PSYD ~ NPI: 1861837494 Services NPI: 1902978844 Psychologist Teenscope Program - Uni 501 South Chipeta Way Neurostimulation Pediatric NPI: 1134107881 501 South Chipeta Way Salt Lake City, UT 84108 Services Center For Human Salt Lake City, UT 84108 (801) 587-3287 501 South Chipeta Way Potential - Salt Lake (801) 585-1575 German, Turkish Salt Lake City, UT 84108 265 East 100 South Ste 250 Spanish (801) 587-3287 Salt Lake City, UT 84111 Spanish (801) 483-2447

393 Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Salt Lake County continued / Condado seguido

Hoyt, Wendy PHD ~ Voigt, Stephanie PHD ~ Caplin, Deirdre PHD ~ Fulton, John PHD ~ Psychologist Clinical Psychologist Psychologist Psychologist NPI: 1306066436 NPI: 1861837494 NPI: 1649360231 NPI: 1316177967 Wendy Hoyt Pc - Slc Center For Human General Pediatrics - Pch Pediatric Behavioral 349 East 900 South Potential - Salt Lake 100 North Mario Capecchi Health - Pcos Salt Lake City, UT 84111 265 East 100 South Ste 250 Dr 81 North Mario Capecchi (801) 532-3614 Salt Lake City, UT 84111 Salt Lake City, UT 84113 Dr (801) 483-2447 (801) 662-1000 Salt Lake City, UT 84113 Johnson Julian, Annice Spanish (801) 213-3599 PSYD ~ Caplin, Deirdre PHD ~ Psychologist 84113 Psychologist Robnett, Jessica PHD ~ NPI: 1639146764 Bennett Murphy, Laura NPI: 1649360231 Clinical Psychologist Center For Human PHD ~ Pediatric Behavioral NPI: 1306209317 Potential - Salt Lake Psychologist Health - Pcos Pediatric Behavioral 265 East 100 South Ste 250 NPI: 1669898540 81 North Mario Capecchi Health Salt Lake City, UT 84111 Pediatric Behavioral Dr 81 North Mario Capecchi (801) 483-2447 Health - Pcos Salt Lake City, UT 84113 Dr 81 North Mario Capecchi (801) 213-3599 Salt Lake City, UT 84113 Mansour, Emma PHD ~ Dr (801) 213-3599 Psychologist Salt Lake City, UT 84113 Cunningham, Sean PSY ~ NPI: 1043611486 (801) 213-3599 Psychologist Robnett, Jessica PHD ~ Center For Human NPI: 1679996185 Clinical Psychologist Potential - Salt Lake Brewer, Stanley DO ~* Department Of Pediatrics - NPI: 1306209317 265 East 100 South Ste 250 Psychiatry Pch Pediatric Behavioral Salt Lake City, UT 84111 NPI: 1346508637 100 North Mario Capecchi Health - Pch (801) 483-2447 Pediatric Behavioral Dr 100 North Mario Capecchi Health Salt Lake City, UT 84113 Dr Measom, Michael MD ~* 81 North Mario Capecchi (801) 662-1000 Salt Lake City, UT 84113 Psychiatry Dr (801) 313-7711 NPI: 1861479701 Salt Lake City, UT 84113 Cunningham, Sean PSY ~ Center For Human (801) 213-3599 Psychologist Robnett, Jessica PHD ~ Potential - Salt Lake NPI: 1679996185 Clinical Psychologist 265 East 100 South Ste 250 Brewer, Stanley DO ~* General Pediatrics - Pch NPI: 1306209317 Salt Lake City, UT 84111 Psychiatry 100 North Mario Capecchi Udac - Heart Center (801) 483-2447 NPI: 1346508637 Dr Neurodevelopmental Pediatric Behavioral Salt Lake City, UT 84113 Program 2 Ngu, Le PSY ~ Health - Pch (801) 662-1000 81 North Mario Capecchi Psychologist 100 North Mario Capecchi Dr NPI: 1245456797 Dr Cunningham, Sean PSY ~ Salt Lake City, UT 84113 Center For Human Salt Lake City, UT 84113 Psychologist (801) 587-2255 Potential - Salt Lake (801) 313-7711 NPI: 1679996185 265 East 100 South Ste 250 Udac - Child Development Stout, Kelly PHD ~ Salt Lake City, UT 84111 Buckley, Celestia PSYD ~ Program - Pch Psychologist (801) 483-2447 Clinical Psychologist 100 North Mario Capecchi NPI: 1013395128 Chinese, Cantonese NPI: 1619344413 Dr Department Of Pediatrics - Pediatric Behavioral Salt Lake City, UT 84113 Pch Health - Pcos (801) 587-2255 100 North Mario Capecchi 81 North Mario Capecchi Dr Dr Salt Lake City, UT 84113 Salt Lake City, UT 84113 (801) 662-1000 (801) 213-3599

394 Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Salt Lake County continued / Condado seguido

Stout, Kelly PHD ~ Burke, Renee PHD ~ 84123 Yau, Joseph MD ~* Psychologist Psychologist Anson, David PHD ~ Psychiatry NPI: 1013395128 NPI: 1386016061 Psychologist NPI: 1639156649 General Pediatrics - Pch Ascendant Behavioral NPI: 1992776223 Hopeful Beginnings - 100 North Mario Capecchi Health Clinic - Murray Center For Family Taylorsville Dr 5383 South 900 East Ste Evaluation And Treatment 5667 South Redwood Rd Salt Lake City, UT 84113 103 - Taylorsville Ste 6B (801) 662-1000 Salt Lake City, UT 84117 5691 South Redwood Rd Salt Lake City, UT 84123 (801) 872-5516 Ste 16 (801) 979-1351 Stout, Kelly PHD ~ Salt Lake City, UT 84123 Chinese Psychologist Ericksen, David PHD ~ (801) 265-3895 NPI: 1013395128 Psychologist 84124 Udac - Child Development NPI: 1235104225 Brewer, Stanley DO ~* Binks, Paul PHD ~ Program - Pch David G Ericksen Phd - Psychiatry Clinical Psychologist, 100 North Mario Capecchi Salt Lake City NPI: 1346508637 Psychologist Dr 1414 East 4500 South Ste 4 Pediatric Behavioral NPI: 1821037359 Salt Lake City, UT 84113 Salt Lake City, UT 84117 Health - Pch Wasatch Vmh - Highland Springs (801) 587-2255 (801) 694-0287 Canyon Campus Specialty A & D - Ste 100 5770 South 1500 West 4460 South Highland Dr Stuart, Ashley PHD ~ Yau, Joseph MD ~* Salt Lake City, UT 84123 Ste 100 Clinical Psychologist Psychiatry (801) 313-7711 Salt Lake City, UT 84124 NPI: 1366965618 NPI: 1639156649 (888) 949-4864 Udac - Heart Center Ascendant Behavioral Harris, Ted PHD ~ Spanish Neurodevelopmental Health Clinic - Murray Psychologist Program 2 5383 South 900 East Ste NPI: 1033186382 Bowen, Megan PHD ~ 81 North Mario Capecchi 103 Center For Family Psychologist Dr Salt Lake City, UT 84117 Evaluation And Treatment NPI: 1295144905 Salt Lake City, UT 84113 (801) 872-5516 - Taylorsville Vmh - Salt Lake 2 - Ste (801) 587-2255 Chinese 5691 South Redwood Rd A180 Ste 16 1141 East 3900 South Ste 84117 84119 Salt Lake City, UT 84123 A180 Binks, Paul PHD ~ Valles, Rene MD ~* (801) 265-3895 Salt Lake City, UT 84124 Clinical Psychologist, Psychiatry (888) 949-4864 Psychologist NPI: 1013015189 Malm, Karen PHD ~ NPI: 1821037359 Vbh West Valley Clinic Psychologist Harris, Emily PHD ~ Ascendant Behavioral 2948 South Redwood Rd NPI: 1235108812 Psychologist Health Clinic - Murray Ste 100 & 200 Summit Community NPI: 1578892501 5383 South 900 East Ste Salt Lake City, UT 84119 Counseling - Taylorsville Vmh - Highland Springs 103 (888) 949-4864 5689 South Redwood Rd Specialty A & D - Ste 100 Salt Lake City, UT 84117 Spanish Ste 27 4460 South Highland Dr (801) 872-5516 Salt Lake City, UT 84123 Ste 100 Spanish 84120 (801) 266-2485 Salt Lake City, UT 84124 (888) 949-4864 Robinson, Kristin PHD ~ Pearce, Brett PSY ~ Psychologist Psychologist NPI: 1104804194 NPI: 1255620407 Granger Medical - West Utah Behavior Services - Valley Salt Lake Central 3725 West 4100 South 6013 South Redwood Rd Salt Lake City, UT 84120 Salt Lake City, UT 84123 (801) 965-3600 (801) 255-5131

395 Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Salt Lake County continued / Condado seguido

Hopps, Kenneth PHD ~ Strachan, Robert PHD ~ Cunningham, Sean PSY ~ Stout, Kelly PHD ~ Psychologist Psychologist Psychologist Psychologist NPI: 1265404032 NPI: 1497725055 NPI: 1679996185 NPI: 1013395128 Vmh - Childrens Vmh - Childrens General Pediatrics - Department Of Pediatrics Outpatient - Ste A170 Outpatient - Ste A170 University Of Utah 50 North Medical Dr 1141 East 3900 South Ste 1141 East 3900 South Ste Hospital Salt Lake City, UT 84132 A170 A170 50 North Medical Dr (801) 662-1000 Salt Lake City, UT 84124 Salt Lake City, UT 84124 Salt Lake City, UT 84132 (888) 949-4864 (888) 949-4864 (801) 581-2205 Stout, Kelly PHD ~ Spanish Psychologist Jacobson, Bruce PHD ~ Cunningham, Sean PSY ~ NPI: 1013395128 Psychologist Thatcher, Benjamin Psychologist General Pediatrics - NPI: 1679743009 DO ~* NPI: 1679996185 University Of Utah Bruce K Jacobson Phd Pc - Psychiatry Udac - Child Development Hospital Holladay NPI: 1841310950 Program - Primary 50 North Medical Dr 4190 Highland Dr Ste 211 Vmh - Highland Springs 44 North Mario Capecchi Salt Lake City, UT 84132 Salt Lake City, UT 84124 Specialty A & D - Ste 100 Dr Utah Dept Of Health (801) 581-2205 (801) 272-0614 4460 South Highland Dr Salt Lake City, UT 84132 Ste 100 (801) 587-2255 Stout, Kelly PHD ~ James, Mary MD ~* Salt Lake City, UT 84124 Psychologist Psychiatry (888) 949-4864 Cunningham, Sean PSY ~ NPI: 1013395128 NPI: 1710927975 Psychologist Udac - Child Development Western Neurological 84129 NPI: 1679996185 Program - Primary Associates - 3900 South Dansie, Kirk PSYD ~ Udac - Heart Center 44 North Mario Capecchi 1151 East 3900 South Ste Psychologist Neurodevelopmental Dr Utah Dept Of Health B150 NPI: 1821273772 Program Salt Lake City, UT 84132 Salt Lake City, UT 84124 Ihc Taylorsville Clinic - 44 North Mario Capecchi (801) 587-2255 (801) 262-3441 Taylorsville Dr Utah Dept Of Health 3845 West 4700 South Salt Lake City, UT 84132 Stout, Kelly PHD ~ Malouf, John PHD ~ Salt Lake City, UT 84129 (801) 587-2255 Psychologist Psychologist (801) 840-2000 NPI: 1013395128 NPI: 1104801620 Cunningham, Sean PSY ~ Udac - Heart Center Vmh - Highland Springs Psychologist Neurodevelopmental Specialty A & D - Ste 100 84132 NPI: 1679996185 Program 4460 South Highland Dr Caplin, Deirdre PHD ~ Udac - Neonatal 44 North Mario Capecchi Ste 100 Psychologist Follow-Up Program - Salt Dr Utah Dept Of Health Salt Lake City, UT 84124 NPI: 1649360231 Lake Salt Lake City, UT 84132 (888) 949-4864 General Pediatrics - 44 North Mario Capecchi (801) 587-2255 University Of Utah Dr Utah Dept Of Health Mcgill, Lizabeth PHD ~ Hospital Salt Lake City, UT 84132 Stout, Kelly PHD ~ Psychologist 50 North Medical Dr (801) 587-2255 Psychologist NPI: 1346226420 Salt Lake City, UT 84132 NPI: 1013395128 Vmh - Salt Lake 2 - Ste (801) 581-2205 Docherty, Anna PHD ~ Udac - Neonatal A180 Clinical Psychologist Follow-Up Program - Salt 1141 East 3900 South Ste Cunningham, Sean PSY ~ NPI: 1760844161 Lake A180 Psychologist University Of Utah 44 North Mario Capecchi Salt Lake City, UT 84124 NPI: 1679996185 Medical Center Psychiatry Dr Utah Dept Of Health (888) 949-4864 Department Of Pediatrics - Medical Dr Salt Lake City, UT 84132 50 North Medical Dr 50 North Medical Dr (801) 587-2255 Salt Lake City, UT 84132 Salt Lake City, UT 84132 (801) 662-1000 (801) 581-7951

396 Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Salt Lake County continued / Condado seguido

84143 Sandy South Jordan West Jordan Garrett, Kelly PHD ~ 84094 84095 84088 Clinical Neuropsychologist Bivens, Nancy MD ~ Bivens, Nancy MD ~ Devries, Melissa PHD ~ NPI: 1245251776 Psychiatry Psychiatry Psychologist Ldsh Neuro Rehab NPI: 1760503072 NPI: 1760503072 NPI: 1306136353 Psychology - Salt Lake Ihc Internal Medicine Ihc South Jordan Clinic - Ihc West Jordan Clinic - 8Th Ave & C St Associates - Sandy South Jordan West Jordan Salt Lake City, UT 84143 9844 South 1300 East Ste 11444 South Redwood Rd 2655 West 9000 South (801) 408-8600 200 South Jordan, UT 84095 West Jordan, UT 84088 Sandy, UT 84094 (801) 253-5900 (801) 256-6343 Kimball, James MD ~ (801) 572-1472 Psychiatry Faizi, Sajid MD ~* James, Mary MD ~* NPI: 1538211859 Bivens, Nancy MD ~ Psychiatry Psychiatry Ldsh Psychiatric Dept - Salt Psychiatry NPI: 1659386357 NPI: 1710927975 Lake NPI: 1760503072 White Tree Medical Neuroscience & 8Th Ave & C St 4Th Fl Ihc Sandy Clinic - 9450 Consultants Llc - South Rehabilitation Specialists - Salt Lake City, UT 84143 South Jordan West Jordan (801) 408-1038 9450 South 1300 East 10437 South Jordan Gtwy 3590 West 9000 South Ste Sandy, UT 84094 South Jordan, UT 84095 240 Rapp, Daniel MD ~ (801) 501-2100 (801) 877-0705 West Jordan, UT 84088 Psychiatry Urdu (801) 352-8373 NPI: 1265528723 Devries, Melissa PHD ~ Ldsh Psychiatric Dept - Salt Psychologist Hanson, Joel MD ~* Ryan, Randy PHD ~ Lake NPI: 1306136353 Psychiatry Psychologist 8Th Ave & C St 4Th Fl Ihc Internal Medicine NPI: 1619076205 NPI: 1578893129 Salt Lake City, UT 84143 Associates - Sandy White Tree Medical Intermountain Psychology (801) 408-1038 9844 South 1300 East Ste Consultants Llc - South Llc - West Jordan 200 Jordan 8823 South Redwood Rd 84148 Sandy, UT 84094 10437 South Jordan Gtwy Ste B Basement Vinegra, Christopher (801) 572-1472 South Jordan, UT 84095 West Jordan, UT 84088 MD ~ (801) 877-0705 (801) 913-0098 Psychiatry Devries, Melissa PHD ~ NPI: 1134198633 Psychologist Sugerman, Lisa PHD ~ Thatcher, John MD ~* Physicians Group Of Utah NPI: 1306136353 Psychologist Psychiatry - Salt Lake City Ihc Sandy Clinic - 9450 NPI: 1619287208 NPI: 1407933708 500 Foothill Blvd South Steinmann Institute - Specialty Surgery Of Utah - Salt Lake City, UT 84148 9450 South 1300 East South Jordan West Jordan (801) 582-1565 Sandy, UT 84094 389 West 10000 South Ste 3584 West 9000 South Ste Spanish (801) 501-2100 A 304 South Jordan, UT 84095 West Jordan, UT 84088 Mcrae, David PSY ~ (801) 716-4284 (801) 601-4423 Psychologist NPI: 1205011400 Ihc Sandy Clinic - Sandy 9500 South 1300 East Sandy, UT 84094 (801) 501-2100

397 Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Salt Lake County continued / Condado seguido

West Valley City Utah Peters, Stephen PSYD ~ Pearce, Brett PSY ~ Clinical Neuropsychologist Psychologist 84120 American Fork NPI: 1093710188 NPI: 1255620407 Devries, Melissa PHD ~ 84003 Ihc Utah Valley Sports Utah Behavior Services - Psychologist Medicine North Valley - Lehi NPI: 1306136353 Burr, Robert PHD ~ American Fork 216 East Main St Ste 4 West Valley Family Clinical Neuropsychologist 98 North 1100 East Ste 103 Lehi, UT 84043 Medicine - Wvc NPI: 1306895677 American Fork, UT 84003 (801) 255-5131 5373 West Lake Park Blvd Ihc Utah Valley (801) 492-2330 West Valley City, UT Orthopaedics North Valley Yau, Joseph MD ~* 84120 - American Fork Salisbury, Tessa PHD ~ Psychiatry (801) 902-8080 98 North 1100 East Ste 103 Psychologist NPI: 1639156649 American Fork, UT 84003 NPI: 1891006383 Ascendant Behavioral Lowrimore, Patricia (801) 492-2330 Child And Adolescent Health Clinic - Lehi PHD ~* Dutch Treatment Specialist - 3051 West Maple Loop Dr Psychiatry American Fork Ste 210 NPI: 1831194455 Burr, Robert PHD ~ 795 Pacific Dr Ste A Lehi, UT 84043 Adult Behavioral Health - Clinical Neuropsychologist American Fork, UT 84003 (801) 872-5516 Wvc NPI: 1306895677 (801) 756-1626 Chinese 4052 West Pioneer Prkwy Ihc Utah Valley Sports Ste 108 Medicine North Valley - Lehi Orem West Valley City, UT American Fork 84120 98 North 1100 East Ste 103 84043 84057 (801) 964-3111 American Fork, UT 84003 Binks, Paul PHD ~ Baker, Elizabeth PHD ~ Spanish (801) 492-2330 Clinical Psychologist, Psychologist Dutch Psychologist NPI: 1831490598 Tooele NPI: 1821037359 Ihc Utah Valley Pain Cannon, Jennifer PHD ~ Ascendant Behavioral Management - Orem Tooele Psychologist Health Clinic - Lehi 412 West 800 North 84074 NPI: 1104127869 3051 West Maple Loop Dr Orem, UT 84057 Child And Adolescent Ste 210 (801) 235-7246 Mcwhorter, Patricia Treatment Specialist - Lehi, UT 84043 Italian PHD ~ American Fork (801) 872-5516 Psychologist 795 Pacific Dr Ste A Spanish Chesley, Garrett PHD ~ NPI: 1881750644 American Fork, UT 84003 Psychologist Patricia Mcwhorter Phd - (801) 756-1626 Burke, Renee PHD ~ NPI: 1699912394 Tooele Psychologist Ihc Utah Valley Pain 40 South Main St Fair, Joseph PHD ~ NPI: 1386016061 Management - Orem Tooele, UT 84074 Psychologist Ascendant Behavioral 412 West 800 North (435) 843-7060 NPI: 1376919381 Health Clinic - Lehi Orem, UT 84057 Ihc Utah Valley Sports 3051 West Maple Loop Dr (801) 235-7246 Medicine North Valley - Ste 210 American Fork Lehi, UT 84043 98 North 1100 East Ste 103 (801) 872-5516 American Fork, UT 84003 (801) 492-2330

398 Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Utah County continued / Condado seguido

84058 Peters, Stephen PSYD ~ Housekeeper, Jaime Robnett, Jessica PHD ~ Edgington, Carl PHD ~ Clinical Neuropsychologist PHD ~ Clinical Psychologist Psychologist NPI: 1093710188 Psychologist NPI: 1306209317 NPI: 1427285444 Ihc Payson Clinic - Payson NPI: 1407159007 Udac - Neonatal Alternative Behavior 854 Turf Farm Rd Ste 1 Wasatch Mental Health - Follow-Up Program - Strategies - Orem Payson, UT 84651 Provo - Westpark Family Provo 1140 West 1130 South (801) 465-6200 Clinic 151 South University Ave Bldg B 750 North 200 West Ste 1610 Orem, UT 84058 Provo Provo, UT 84601 Provo, UT 84601 (801) 935-4171 84601 (801) 373-4760 (801) 587-2255 Spanish Arnesen, Brian PHD ~ Korbanka, Juergen Spencer, Richard MD ~ Psychologist PHD ~ Psychiatry Malm, Karen PHD ~ NPI: 1851403067 Psychologist NPI: 1912943671 Psychologist Wasatch Mental Health - NPI: 1386600450 Wasatch Mental Health - NPI: 1235108812 Provo - Westpark Family Wasatch Mental Health - Provo - Westpark Family Summit Community Clinic Provo - Westpark Family Clinic Counseling - Orem 750 North 200 West Clinic 750 North 200 West 359 East 1200 South Provo, UT 84601 750 North 200 West Provo, UT 84601 Orem, UT 84058 (801) 373-4760 Provo, UT 84601 (801) 373-4760 (801) 266-2485 (801) 373-4760 Cunningham, Sean PSY ~ Stout, Kelly PHD ~ 84097 Psychologist Mcgaughy, Tim MD ~ Psychologist Roby, Carlos PHD ~ NPI: 1679996185 Psychiatry NPI: 1013395128 Psychologist Udac - Neonatal NPI: 1588757389 Udac - Neonatal NPI: 1699864090 Follow-Up Program - Wasatch Mental Health - Follow-Up Program - C Y Roby Phd And Provo Provo - Westpark Family Provo Associates - Orem 151 South University Ave Clinic 151 South University Ave 768 South 400 East Ste 1610 750 North 200 West Ste 1610 Orem, UT 84097 Provo, UT 84601 Provo, UT 84601 Provo, UT 84601 (801) 225-5451 (801) 587-2255 (801) 373-4760 (801) 587-2255 Payson Dunning, Lawrence Pennington, Randal Stuart, Ashley PHD ~ PHD ~ PSYD ~ Clinical Psychologist 84651 Psychologist Psychologist NPI: 1366965618 Andersen, Jason DO ~ NPI: 1154432060 NPI: 1801903786 Udac - Neonatal Psychiatry Wasatch Mental Health - Wasatch Mental Health - Follow-Up Program - NPI: 1932293727 Provo - Westpark Family Provo - Westpark Family Provo Revere Health - Payson Clinic Clinic 151 South University Ave Family Medicine 750 North 200 West 750 North 200 West Ste 1610 97 South Professional Way Provo, UT 84601 Provo, UT 84601 Provo, UT 84601 Ste 2 (801) 373-4760 (801) 373-4760 (801) 587-2255 Payson, UT 84651 (801) 465-4898 Wilkins, Michael PHD ~ Psychologist Hall, William PHD ~ NPI: 1386959583 Psychologist Wasatch Mental Health - NPI: 1760486211 Provo - Westpark Family Ihc Payson Clinic - Payson Clinic 854 Turf Farm Rd Ste 1 750 North 200 West Payson, UT 84651 Provo, UT 84601 (801) 465-6200 (801) 373-4760 ~ Accepting new patients/Aceptando a nuevos pacientes ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

399 Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Utah County continued / Condado seguido

84604 Griffin, Brent MD ~ Orgill, Stephen DO ~ Snyder, James PHD ~ Beld, John MD ~ Psychiatry Psychiatry Clinical Neuropsychologist Psychiatry NPI: 1023038114 NPI: 1841636826 NPI: 1669493185 NPI: 1144397845 Uvrmc Behavioral Health - Ihc Utah Valley Psychiatry Ihc Utah Valley Sports Ihc Utah Valley Psychiatry Provo & Counseling - Provo Medicine - Provo & Counseling - Provo 1034 North 500 West 1157 North 300 West 1157 North 300 West Ste 1157 North 300 West Provo, UT 84604 Provo, UT 84604 201 Provo, UT 84604 (801) 357-7380 (801) 357-7525 Provo, UT 84604 (801) 357-7525 (801) 357-1200 Hall, William PHD ~ Peters, Stephen PSYD ~ Bunn, William DO ~ Psychologist Clinical Neuropsychologist Springville Psychiatry NPI: 1760486211 NPI: 1093710188 84663 NPI: 1578662508 Utah Valley Senior Clinic - Ihc Utah Valley Sports Uvrmc Psychiatry Dept - Provo Medicine - Provo Biesinger, Rick PSYD ~ Provo 395 West Bulldog Blvd Ste 1157 North 300 West Ste Psychologist 1034 North 500 West 2Nd 602 201 NPI: 1659554566 Floor Provo, UT 84604 Provo, UT 84604 Rick Biesinger Llc - Provo, UT 84604 (801) 373-3300 (801) 357-1200 Springville (801) 357-8723 1220 North Main St Ste 4 Maeser, Nathan MD ~ Potts, Richard PHD ~ Springville, UT 84663 (801) 804-1028 Cloyd Jr, James PHD ~ Psychiatry Psychologist Psychologist NPI: 1659626430 NPI: 1689695116 NPI: 1750450953 Ihc Utah Valley Psychiatry Uvrmc Outpatient Hall, William PHD ~ Nexus Physical Therapy - & Counseling - Provo Psychology - Provo Psychologist Provo 1157 North 300 West 1034 North 500 West 2Nd NPI: 1760486211 3585 North University Ave Provo, UT 84604 Floor Ihc Springville Clinic - Ste 150 (801) 357-7525 Provo, UT 84604 Springville Provo, UT 84604 Spanish (801) 357-7191 762 West 400 South (801) 356-6100 Springville, UT 84663 Mcgee, Bruce MD ~ Potts, Richard PHD ~ (801) 429-1200 Croft, Michael MD ~ Psychiatry Psychologist Psychiatry NPI: 1538364195 NPI: 1689695116 Peters, Stephen PSYD ~ NPI: 1639469398 Ihc Utah Valley Psychiatry Uvrmc Physicians Billing - Clinical Neuropsychologist Ihc Utah Valley Psychiatry & Counseling - Provo Provo NPI: 1093710188 & Counseling - Provo 1157 North 300 West 1034 North 500 West Ihc Springville Clinic - 1157 North 300 West Provo, UT 84604 Provo, UT 84604 Springville Provo, UT 84604 (801) 357-7525 (801) 357-7525 762 West 400 South (801) 357-7525 Springville, UT 84663 Mendenhall, Robert Robison, Reid MD ~ (801) 429-1200 Fair, Joseph PHD ~ DO ~ Psychiatry Psychologist Psychiatry NPI: 1760539415 NPI: 1376919381 NPI: 1487996955 Ihc Utah Valley Psychiatry Ihc Utah Valley Sports Ihc Utah Valley Psychiatry & Counseling - Provo Medicine - Provo & Counseling - Provo 1157 North 300 West 1157 North 300 West Ste 1157 North 300 West Provo, UT 84604 201 Provo, UT 84604 (801) 357-7525 Provo, UT 84604 (801) 357-7525 French (801) 357-1200

400 Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos

Washington Chamberlain, Ronald Everett, Ethan PSYD ~ Nielsen, Cantril MD ~* PHD ~ Psychologist Psychiatry Hurricane Psychologist NPI: 1235123134 NPI: 1942364435 84737 NPI: 1790181576 Ihc Int Psychiatry & Ihc Behavioral Health Ihc Southwest Ortho & Counseling - St George Access Center Drmc - St Chamberlain, Ronald Sports Med - St George Dsc 320 East 600 South George PHD ~ 225 South 700 East Saint George, UT 84770 544 South 400 East Psychologist Saint George, UT 84770 (435) 688-4850 Saint George, UT 84770 NPI: 1790181576 (435) 251-3600 (435) 688-4290 Ihc Hurricane Valley Clinic Firth, Elizabeth PHD ~ - Hurricane Cobb, Lynne PHD ~ Clinical Psychologist Pearce, Brett PSY ~ 75 North 2260 West Psychologist NPI: 1699954230 Psychologist Hurricane, UT 84737 NPI: 1952443236 Ihc Int Psychiatry & NPI: 1255620407 (435) 635-6500 Southwest Behavioral Counseling - St George Utah Behavior Services - St Health Center - St George 320 East 600 South George Mackay, Matthew PHD ~ 474 West 200 North Saint George, UT 84770 1067 East Tabernacle St Clinical Psychologist Saint George, UT 84770 (435) 688-4850 Ste 7 NPI: 1619160645 (435) 634-5600 Saint George, UT 84770 Ihc Hurricane Valley Clinic Mackay, Matthew PHD ~ (801) 255-5131 - Hurricane Draper, Randall MD ~ Clinical Psychologist 75 North 2260 West Psychiatry NPI: 1619160645 Rasmusen, Carl MD ~* Hurricane, UT 84737 NPI: 1235175415 Ihc Int Psychiatry & Psychiatry (435) 635-6500 Drmc Psychiatric Dept - St Counseling - St George NPI: 1619048964 George 320 East 600 South Ihc Behavioral Health Saint George 544 South 400 East Saint George, UT 84770 Access Center Drmc - St 84770 Saint George, UT 84770 (435) 688-4850 George (435) 688-4343 544 South 400 East Belnap, Grant MD ~* German Moss, Wayne MD ~* Saint George, UT 84770 Addiction Psychiatry, Psychiatry (435) 688-4290 Psychiatry Duke, Cindy PHD ~ NPI: 1841501681 NPI: 1356481790 Psychologist Ihc Behavioral Health Schaefer, David MD ~ Ihc Behavioral Health NPI: 1518151331 Access Center Drmc - St Psychiatry Access Center Drmc - St Ihc Int Psychiatry & George NPI: 1881891224 George Counseling - St George 544 South 400 East Southwest Behavioral 544 South 400 East 320 East 600 South Saint George, UT 84770 Health Center - St George Saint George, UT 84770 Saint George, UT 84770 (435) 688-4290 474 West 200 North (435) 688-4290 (435) 688-4850 Saint George, UT 84770 Moss, Wayne MD ~* (435) 634-5600 Chamberlain, Ronald Dye, Joseph MD ~* Psychiatry PHD ~ Psychiatry NPI: 1841501681 Staheli, Paul PHD ~ Psychologist NPI: 1568483030 Ihc Int Psychiatry & Psychologist NPI: 1790181576 Ihc Int Psychiatry & Counseling - St George NPI: 1215065958 Ihc Int Psychiatry & Counseling - St George 320 East 600 South Southwest Behavioral Counseling - St George 320 East 600 South Saint George, UT 84770 Health Center - St George 320 East 600 South Saint George, UT 84770 (435) 688-4850 474 West 200 North Saint George, UT 84770 (435) 688-4850 Saint George, UT 84770 (435) 688-4850 (435) 634-5600

401 Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Washington County continued / Condado seguido

Tate, David PHD ~ Everett, Ethan PSYD ~ Weber Stout, Kelly PHD ~ Psychologist Psychologist Psychologist NPI: 1093992711 NPI: 1235123134 Ogden NPI: 1013395128 David B Tate - St George Ihc River Road Family 84401 Udac - Child Development 437 South Bluff St Ste 202 Medicine - St George Program - Ogden Saint George, UT 84770 577 South River Rd Cunningham, Sean PSY ~ 2540 Washington Blvd (435) 656-0506 Saint George, UT 84790 Psychologist Ogden, UT 84401 (435) 688-6100 NPI: 1679996185 (801) 587-2255 Williams, Ryan MD ~* Udac - Child Development Psychiatry Firth, Elizabeth PHD ~ Program - Ogden Stout, Kelly PHD ~ NPI: 1730220971 Clinical Psychologist 2540 Washington Blvd Psychologist Southwest Behavioral NPI: 1699954230 Ogden, UT 84401 NPI: 1013395128 Health Center - St George Ihc River Road Internal (801) 587-2255 Udac - Neonatal 474 West 200 North Medicine - St George Follow-Up Program - Saint George, UT 84770 577 South River Rd Cunningham, Sean PSY ~ Ogden (435) 634-5600 Saint George, UT 84790 Psychologist 2540 Washington Blvd (435) 688-6200 NPI: 1679996185 Ogden Regional Center 84790 Udac - Neonatal Ogden, UT 84401 Mackay, Matthew PHD ~ Follow-Up Program - (801) 587-2255 Chamberlain, Ronald Clinical Psychologist Ogden PHD ~ NPI: 1619160645 2540 Washington Blvd Psychologist Ogden Regional Center 84403 Ihc River Road Internal Ahern, Jonathan PHD ~ NPI: 1790181576 Medicine - St George Ogden, UT 84401 Ihc River Road Family (801) 587-2255 Clinical Psychologist Medicine - St George 577 South River Rd NPI: 1437400447 Saint George, UT 84790 Mckay Dee Behavioral 577 South River Rd (435) 688-6200 Pramann Jr, Robert Saint George, UT 84790 PHD ~ Health Institute - Ogden (435) 688-6100 Psychologist 5030 Harrison Blvd Moody, Richard PHD ~ Ogden, UT 84403 Psychologist NPI: 1487622908 Chamberlain, Ronald Shepherds Staff Christian (801) 387-5620 NPI: 1609821693 Swedish PHD ~ Turningleaf Wellness Counseling Center Inc - Psychologist Center - St George Ogden NPI: 1790181576 575 23Rd St Banks, Duane MD ~* 1240 East 100 South Bldg Psychiatry Ihc Southwest Ortho & 22 Ste 121 Ogden, UT 84401 Sports Med - St George (801) 268-1564 NPI: 1013092360 Saint George, UT 84790 Ihc Mckay Dee Behavioral 652 South Medical Center (435) 652-1202 Dr Ste 120 Ryan, Randy PHD ~ Health - Ogden Saint George, UT 84790 Psychologist 3903 Harrison Blvd Ste (435) 628-4460 Stout, Kelly PHD ~ 300 Psychologist NPI: 1578893129 Intermountain Psychology Ogden, UT 84403 NPI: 1013395128 (801) 387-5600 Cunningham, Sean PSY ~ Udac - Child Development Llc - Ogden Psychologist 3544 Lincoln Ave Ste G Program - Washington Bentley, Valerie PHD ~ NPI: 1679996185 County Ogden, UT 84401 Udac - Child Development (801) 913-0098 Psychologist Program - Washington 1380 East Medical Center NPI: 1912928730 County Dr Ste 4500 Mckay Dee Behavioral 1380 East Medical Center Saint George, UT 84790 Health Institute - Ogden Dr Ste 4500 (801) 587-2255 5030 Harrison Blvd Saint George, UT 84790 Ogden, UT 84403 (801) 587-2255 (801) 387-5620

402 Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Weber County continued / Condado seguido

Bird, James PHD ~ Goudie-Nice, Julie PHD ~ Morano, Rachel MD ~* Singleton, Jessica PHD ~ Psychologist Psychologist Psychiatry Psychologist NPI: 1629401690 NPI: 1346568318 NPI: 1346483849 NPI: 1093831372 Weber Human Services - Mckay Dee Behavioral Ihc Mckay Dee Behavioral Weber Human Services - Ogden Health Institute - Ogden Health - Ogden Ogden 237 26Th St 5030 Harrison Blvd 3903 Harrison Blvd Ste 237 26Th St Ogden, UT 84403 Ogden, UT 84403 300 Ogden, UT 84403 (801) 625-3700 (801) 387-5620 Ogden, UT 84403 (801) 625-3700 (801) 387-5600 Bushman, Bryan PHD ~ Holt, Ben MD ~ Smith, Dennis MD ~ Psychologist Psychiatry Nabers, Kent PHD ~ Psychiatry NPI: 1831346170 NPI: 1154512937 Psychologist NPI: 1922029495 Mckay Dee Behavioral Mckay Dee Behavioral NPI: 1649248683 Mckay Dee Behavioral Health Institute - Ogden Health Institute - Ogden Mountain West Psychology Health Institute - Ogden 5030 Harrison Blvd 5030 Harrison Blvd Services - Ogden 5030 Harrison Blvd Ogden, UT 84403 Ogden, UT 84403 972 Chambers St Ste 5 Ogden, UT 84403 (801) 387-5620 (801) 387-5620 Ogden, UT 84403 (801) 387-5620 (801) 476-6916 Christensen, Karen MD ~ Lash, Denise PHD ~ Staker, Dennis PHD ~ Psychiatry Psychologist Randall, Donald PHD ~ Clinical Neuropsychologist NPI: 1790861029 NPI: 1922332113 Clinical Psychologist NPI: 1255352878 Weber Human Services - Mckay Dee Behavioral NPI: 1053346494 Mckay Dee Behavioral Ogden Health Institute - Ogden Weber Human Services - Health Institute - Ogden 237 26Th St 5030 Harrison Blvd Ogden 5030 Harrison Blvd Ogden, UT 84403 Ogden, UT 84403 237 26Th St Ogden, UT 84403 (801) 625-3700 (801) 387-5620 Ogden, UT 84403 (801) 387-5620 (801) 625-3700 Davidson, Richard MD ~ Mcpherson, O Lamont Stauffer, Robert MD ~* Psychiatry MD ~* Roundy, Michael MD ~* Psychiatry NPI: 1801820774 Psychiatry Psychiatry NPI: 1427109685 Weber Human Services - NPI: 1053302786 NPI: 1255366696 Robert Stauffer Md Ogden Ihc Mckay Dee Behavioral Mckay Dee Behavioral 1496 East 5600 South Ste 4 237 26Th St Health - Ogden Health Institute - Ogden Ogden, UT 84403 Ogden, UT 84403 3903 Harrison Blvd Ste 5030 Harrison Blvd (801) 475-0712 (801) 625-3700 300 Ogden, UT 84403 Ogden, UT 84403 (801) 387-5620 Von Bose, Charles DO ~ Goudie-Nice, Julie PHD ~ (801) 387-5600 Psychiatry Psychologist Italian, Spanish Seely, Kenneth PHD ~ NPI: 1770712283 NPI: 1346568318 Psychologist Mckay Dee Behavioral Ihc South Ogden Clinic - Mcpherson, O Lamont NPI: 1083730725 Health Institute - Ogden South Ogden MD ~* Mckay Dee Behavioral 5030 Harrison Blvd 975 Chambers St Psychiatry Health Institute - Ogden Ogden, UT 84403 Ogden, UT 84403 NPI: 1053302786 5030 Harrison Blvd (801) 387-5620 (801) 387-6200 Mckay Dee Behavioral Ogden, UT 84403 German Health Institute - Ogden (801) 387-5620 5030 Harrison Blvd Ogden, UT 84403 (801) 387-5620 Italian, Spanish

403 Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Weber County continued / Condado seguido

84405 Seely, Kenneth PHD ~ Pearce, Brett PSY ~ Psychologist Psychologist NPI: 1083730725 NPI: 1255620407 Ihc Herefordshire Clinic - Utah Behavior Services - Roy Riverdale 1915 West 5950 South 5202 South Freeway Park Roy, UT 84067 Dr (801) 387-8100 Ogden, UT 84405 (801) 255-5131 84414 Roundy, Michael MD ~* Psychiatry NPI: 1255366696 Ihc Mckay Dee Behavioral Health - North Ogden Psychiatry 2400 North 400 East Ogden, UT 84414 (801) 387-5600 Roundy, Michael MD ~* Psychiatry NPI: 1255366696 Ihc North Ogden Clinic - Ogden 2400 North Washington Blvd Ogden, UT 84414 (801) 786-7500 Roy 84067 Ahern, Jonathan PHD ~ Clinical Psychologist NPI: 1437400447 Ihc Herefordshire Clinic - Roy 1915 West 5950 South Roy, UT 84067 (801) 387-8100 Swedish

404 Utah Supplemental Vendor Contact Information

Dental Contact Information Benefit Questions: (855) 214-6779, TTY: 711 List of Providers: (888) 665-1328, TTY/TDD: 711 Hours of Operation: Monday - Friday, 7 a.m. to 8 p.m., EST

Vision Contact Information Benefit Questions: (844) 986-2724, TTY: (877) 627-2456 List of Providers: (888) 665-1328, TTY/TDD: 711 Hours of Operation: Monday - Friday, 8 a.m. to 5 p.m., local time

Transportation Contact Information Benefit Questions: (844) 368-1501, TTY: (844) 292-2690 List of Providers: (888) 665-1328, TTY/TDD: 711 Hours of Operation: Routine Reservations: Monday - Friday, 8 a.m. to 8 p.m., local time Urgent/Same Day Appts, Facility discharges, and Ride Assist: 24 hours a day, 7 days a week

Fitness Contact Information Benefit Questions: (888) 369-2746, TTY/TDD: 711 List of Providers: (888) 665-1328, TTY/TDD: 711 Hours of Operation: Monday - Friday (Excluding Federal Holdiays) 5 a.m. to 6 p.m. PST

Over-The-Counter (OTC) Contact Information Benefit Questions: (866) 420-4010, TTY: 711 List of Providers: (888) 665-1328, TTY/TDD: 711 Hours of Operation: Monday - Friday, 8 a.m. to 8 p.m. EST

Updated: 01052018

Molina Medicare Options Plus HMO SNP 2018 Pharmacy Directory

This pharmacy directory was updated on 09/2018. For more recent information or other questions, please contact us, Molina Medicare Options Plus Member Services, at (888) 665-1328 or, for TTY users, 711, 7 days a week, 8 a.m. to 8 p.m., local time, or visit www.MolinaHealthcare.com/Medicare. Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at www.MolinaHealthcare.com/Medicare. You may also call Member Services for updated provider.

xii Introduction This booklet provides a list of Molina Medicare Options Plus' network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and Molina Medicare Options Plus' formulary. When this pharmacy directory refers to “we,” “us”, or “our,” it means Molina Healthcare. When it refers to “plan” or “our plan,” it means Molina Medicare Options Plus. We call the pharmacies on this list our “network pharmacies” because we have made arrangements with them to provide prescription drugs to Plan members. In most cases, your prescriptions are covered under Molina Medicare Options Plus only if they are filled at a network pharmacy or through our mail order pharmacy service. Once you go to one pharmacy, you are not required to continue going to the same pharmacy to fill your prescription but can switch to any other of our network pharmacies. We will fill prescriptions at non-network pharmacies under certain circumstances as described in your Evidence of Coverage. All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. This means the pharmacies listed here may no longer be in our network, or there may be newer pharmacies in our network that are not listed. This list is current as of 09/2018. For the most current list, please contact us. Our contact information appears on the front and back cover pages.

You can get prescription drugs shipped to your home through our network mail order delivery program which is called “CVS Caremark Mail Service Pharmacy Program.” For more information, please contact us or see the mail order section of this pharmacy directory.

If you have questions about any of the above, please see the first and last cover pages of this directory for information on how to contact us.

All pharmacies listed in this directory are available in our Network. To locate a type of pharmacy within our network, please follow this organizational format:

• Retail Pharmacies, including Chain Pharmacies • Mail Order Pharmacies • Home Infusion Pharmacies • Long-Term Care Pharmacies

The pharmacies listed in this directory are in alphabetical order by: county, city, zip code and name. The pharmacy network may change at any time. You will receive notice when necessary.

xiii Molina Medicare Options Plus HMO SNP Directorio de farmacias 2018

Este directorio de farmacias se actualizó en 09/2018. Para obtener información más reciente o si tiene otras preguntas, comuníquese con nosotros al Departamento de Servicios para Miembros de Molina Medicare Options Plus al (888) 665-1328 o, para los usuarios del servicio TTY al 711, los 7 días de la semana de 8:00 a. m. a 8:00 p. m., hora local, o visite www.MolinaHealthcare.com/Medicare. Los cambios en nuestra red de farmacias pueden ocurrir durante el año de beneficios. Puede obtener un Directorio de farmacias actualizado en nuestra página web en www.MolinaHealthcare.com/Medicare. También puede llamar al Departamento de Servicios para Miembros para saber cuáles son los proveedores actuales.

xiv Introducción Este cuadernillo proporciona una lista de las farmacias dentro de la red de Molina Medicare Options Plus. Para obtener una descripción completa de su cobertura de medicamentos recetados, incluso cómo surtir sus recetas médicas, por favor consulte la "Evidencia de cobertura" y el Formulario de Molina Medicare Options Plus. Cuando este directorio de farmacias se refiere a "nosotros" o "nuestro", significa Molina Healthcare. Cuando se refiere al “plan” o “nuestro plan,” esto significa Molina Medicare Options Plus. Llamamos a las farmacias en esta lista "farmacias de la red" porque hemos establecido acuerdos con ellos para proporcionar medicamentos recetados a los miembros de nuestro plan de salud. En la mayoría de los casos, sus medicamentos recetados están cubiertos bajo Molina Medicare Options Plus solamente si se surten en una farmacia de la red o por medio de nuestro servicio de farmacia por correo. Después de ir a una farmacia, no se requiere que continúe usando la misma farmacia para surtir sus medicamentos recetados. Puede cambiarse a cualquier otra farmacia dentro de nuestra red. Surtiremos recetas médicas en farmacias fuera de la red bajo ciertas circunstancias conforme se describen en la Evidencia de cobertura. Es posible que no todas las farmacias de la red estén incluidas en este directorio. Es posible que se hayan añadido o eliminado algunas farmacias de la lista después de la impresión de este directorio. Esto significa que las farmacias enumeradas aquí podrían ya no estar participando en nuestra red o que podrían existir nuevas farmacias en nuestra red que no están enumeradas. Esta lista está actualizada a partir de 09/2018. Para obtener una lista más actualizada, por favor comuníquese con nosotros. Nuestra información de contacto aparece en la portada y contraportada.

Usted puede recibir medicamentos recetados directamente en su casa por medio de nuestro programa de entrega por correo de la red, llamado “Programa de Servicio de Farmacia por Correo de CVS Caremark.” Para obtener más información, llámenos o consulte la sección de servicio de farmacia por correo de este directorio de farmacias.

Si tiene preguntas acerca de lo antedicho, por favor vea la portada y la contraportada de este directorio donde encontrará información sobre cómo comunicarse con nosotros.

Todas las farmacias enumeradas en este directorio están disponibles en nuestra red. Para localizar un tipo de farmacia en particular dentro de nuestra red, por favor siga el siguiente formato de organización:

• Farmacias de venta al público, incluyendo las farmacias de cadena comercial • Farmacias de servicio por correo • Farmacias de infusión en el hogar • Farmacias de atención médica a largo plazo

Las farmacias enumeradas en este directorio están en orden alfabético por: condado, ciudad, código postal y nombre. La red de farmacias puede cambiar en cualquier momento. Recibirá un aviso cuando sea necesario.

xv Retail Pharmacies, including Chain Pharmacies / Farmacias al por menor, incluyendo las cadenas de farmacias

Box Elder Logan Providence MOUNTAIN VIEW 84321 84332 PHARMACY Brigham City 425 S MEDICAL DR 84302 MACEYS PHARMACY MACEY'S PHARMACY Bountiful, UT 84010 BRIGHAM 49 E 400 N 50 N HIGHWAY 165 (801) 295-3439 Logan, UT 84321 Providence, UT 84332 TTY 711 COMMUNITY (435) 752-6850 (435) 752-1111 PHARMACY TTY 711 TTY 711 MOUNTAINWEST 1017 S MEDICAL DR APOTHECARY Brigham City, UT 84302 WALGREENS of (435) 723-5211 Smithfield 1551 S RENAISSANCE TTY 711 WALGREENS 84335 TWN DR #104 (877) 250-5823 Bountiful, UT 84010 TRS Relay 711 LARRY'S SMITHFIELD (801) 295-6979 KENT'S PHARMACY PHARMACY TTY 711 260 NO MAIN ST 84341 502 S MAIN ST STE B Brigham City, UT 84302 Smithfield, UT 84335 WALGREENS of (435) 723-8841 LEE'S MARKETPLACE (435) 563-6262 WALGREENS TTY 711 PHARMACY TTY 711 555 E 1400 N (877) 250-5823 TRS Relay 711 Tremonton Logan, UT 84341 LEE'S MARKET PLACE (435) 750-0258 84337 PHARMACY Centerville TTY 711 850 S MAIN ST KENT'S THRIFTWAY Smithfield, UT 84335 84014 300 E MAIN ST SPENCES NORTH (435) 563-6201 CVS PHARMACY of Tremonton, UT 84337 PHARMACY TTY 711 (435) 257-0445 CVS 550 E 1400 N (800) 746-7287 TTY 711 Logan, UT 84341 Davis (435) 753-8500 TRS Relay 711 TREMONTON TTY 711 Bountiful DICKS PHARMACY COMMUNITY PHCY 84010 44 E MAIN ST North Logan 350 E PAGES LN Tremonton, UT 84337 BOUNTIFUL DRUG Centerville, UT 84014 (435) 257-5249 84341 47 E 500 S (801) 677-0171 TTY 711 CACHE VALLEY COMM Bountiful, UT 84010 TTY 711 HEALTH CTR PHCY (801) 295-3463 Cache 1515 N 400 E STE 104 TTY 711 84104 North Logan, UT 84341 UNIVERSITY OF UTAH Hyrum (435) 755-8424 DICKS FAMILY CENTERVILLE PHCY 84319 TTY 711 PHARMACY 26 SOUTH MAIN ST 2280 SO ORCHARD DR Centerville, UT 84104 REEDS PHARMACY CACHE VALLEY Bountiful, UT 84010 (801) 693-7950 790 E MAIN ST PHARMACY (801) 296-2222 TTY 711 Hyrum, UT 84319 2380 N 400 E STE E TTY 711 (435) 245-6422 North Logan, UT 84341 TTY 711 (435) 787-1212 TTY 711

405 Retail Pharmacies, including Chain Pharmacies / Farmacias al por menor, incluyendo las cadenas de farmacias

Clearfield Kaysville NORTH VIEW North Salt Lake 84015 84037 PHARMACY THE 84054 2121 N ROBINS DR KENT'S PHARMACY BOWMAN'S Layton, UT 84041 LEES MARKETPLACE - CLEARFIELD PHARMACY (801) 773-5666 FOXBORO PHCY 580 S STATE ST 326 N MAIN ST TTY 711 725 N REDWOOD RD Clearfield, UT 84015 Kaysville, UT 84037 North Salt Lake, UT 84054 (801) 773-8700 (801) 544-1462 OAKSTEAD INFUSION (385) 322-7900 TTY 711 TTY 711 VITAL CARE TTY 711 1492 W ANTELOPE DR WALGREENS of WALGREENS of SUITE 208 Syracuse WALGREENS WALGREENS Layton, UT 84041 84075 (877) 250-5823 (877) 250-5823 (801) 825-3879 TRS Relay 711 TRS Relay 711 TTY 711 CVS PHARMACY of CVS WINEGARS Layton PROFESSIONAL PLAZA (800) 746-7287 TRS Relay 711 PHARMACY 84040 PHCY, INC. 1080 W 300 N 2065 N 1700 W Clearfield, UT 84015 SKY VIEW PHARMACY Layton, UT 84041 ISLAND VIEW (801) 773-7330 1750 E 3100 N (801) 773-3863 PHARMACY TTY 711 Layton, UT 84040 TTY 711 2038 W 1900 S (385) 405-2252 Syracuse, UT 84075 Clinton TTY 711 RITE AID of (801) 773-7899 TTY 711 84015 WALGREENS TIBBITTS FAMILY (877) 250-5823 WESTSIDE HEALTH HEALTH MART PH TRS Relay 711 WALGREENS of MART 2940 N CHURCH ST STE WALGREENS 1407 N 2000 W STE E 201 WALGREENS of (877) 250-5823 Clinton, UT 84015 Layton, UT 84040 WALGREENS TRS Relay 711 (801) 784-5495 (801) 771-0363 (877) 250-5823 TTY 711 TTY 711 TRS Relay 711 Woods Cross 84010 Farmington 84041 WEST GORDON WALGREENS of CVS PHARMACY of PHARMACY 84025 WALGREENS U OF U FARMINGTON CVS 3225 W GORDON AVE (800) 746-7287 STE 2 (877) 250-5823 PHARMACY TRS Relay 711 Layton, UT 84041 TRS Relay 711 165 N UNIVERSITY AVE (801) 544-7979 RM 102 TTY 711 Iron Farmington, UT 84025 DAVIS DRUG (801) 213-6310 1580 W ANTELOPE DR Cedar City TTY 711 STE 130A Layton, UT 84041 84720 (801) 525-5277 BULLOCH UNITED TTY 711 DRUGS 91 N MAIN ST Cedar City, UT 84720 (435) 586-9651 TTY 711

406 Retail Pharmacies, including Chain Pharmacies / Farmacias al por menor, incluyendo las cadenas de farmacias

CEDAR DRUG AND Salt Lake WALGREENS of Midvale GIFT, INC WALGREENS 84047 755 S MAIN ST STE 7 Draper (877) 250-5823 Cedar City, UT 84720 84020 TRS Relay 711 HILLCREST (435) 586-7578 CONTINUED CARE PHARMACY TTY 711 Holladay 781 E FORT UNION PHARMACY BLVD LIN'S SUPERMARKETS 11585 S STATE ST STE 84117 Midvale, UT 84047 102 INC RITE AID of (385) 900-1400 Draper, UT 84020 TTY 711 150 N MAIN ST (888) 557-4318 WALGREENS Cedar City, UT 84720 TTY 711 (877) 250-5823 (435) 865-6665 TRS Relay 711 SELECT PHARMACY TTY 711 628 W 7250 S INNOVATIVE RX LLC 84124 Midvale, UT 84047 WALGREENS of 12176 S 1000 E STE 2 (801) 849-1595 Draper, UT 84020 HRX PHARMACY TTY 711 WALGREENS (801) 355-5189 4227 S HIGHLAND (877) 250-5823 TTY 711 DRIVE STE 6 UNIVERSITY OF UTAH TRS Relay 711 Holladay, UT 84124 MT. OLYMPUS (801) 553-3426 GREENWOOD PHCY 84721 7495 S STATE ST COMPOUNDING TTY 711 Midvale, UT 84047 TOWNSHIP 392 E 12300 S STE A (801) 213-9540 PROFESSIONAL Draper, UT 84020 Kearns TTY 711 PHARMACY (801) 278-9008 84118 108 W 1325 N TTY 711 WALGREENS of APOTHECARY WEST Cedar City, UT 84721 WALGREENS (435) 867-0800 PIONEER PHARMACY 4188 W 5415 S Kearns, UT 84118 (877) 250-5823 TTY 711 SERVICES TRS Relay 711 11585 S STATE ST STE (801) 969-1986 Parowan 103 TTY 711 Draper, UT 84020 Murray 84761 (801) 890-0346 WALGREENS of 84107 PAROWAN DRUG AND TTY 711 WALGREENS GIBSON'S PHARMACY GIFT (877) 250-5823 240 E WINCHESTER ST 20 N MAIN ST WALGREENS of TRS Relay 711 Murray, UT 84107 Parowan, UT 84761 WALGREENS (801) 262-5526 (435) 477-3000 (877) 250-5823 Magna TTY 711 TTY 711 TRS Relay 711 84044 OQUIRRH MOUNTAIN MIDVALLEY Herriman SPECIALTY PHARMACY 84096 3665 S 8400 W PHARMACY Magna, UT 84044 6056 FASHION SQUARE CVS PHARMACY of DR #1000 CVS (801) 252-1000 TTY 711 Murray, UT 84107 (800) 746-7287 (801) 213-8650 TRS Relay 711 TTY 711

407 Retail Pharmacies, including Chain Pharmacies / Farmacias al por menor, incluyendo las cadenas de farmacias

84123 RITE AID of 84104 HYLAND PHARMACY SHARED PHARMACY WALGREENS COMMUNITY, A 1295 E MILLER AVE SERVICES (877) 250-5823 WALGREENS PHCY of Salt Lake City, UT 84106 4843 MURRAY BLVD TRS Relay 711 WALGREENS (801) 485-9281 Murray, UT 84123 (877) 250-5823 TTY 711 (801) 262-6980 84102 TRS Relay 711 TTY 711 MEDICAL CENTER MEDS IN MOTION PHARMACY GLOBAL MEDICAL 3798 S 700 E STE 7 Riverton Salt Lake City, UT 84106 1050 E SOUTH TEMPLE THERAPEUTICS, IN (801) 506-6999 84065 Salt Lake City, UT 84102 1890 S 3850 W STE 121-A (801) 350-8140 Salt Lake City, UT 84104 TTY 711 PETERSON'S FRESH TTY 711 (801) 935-4305 MARKET TTY 711 RITE AID of 1784 W 12600 S MEDICAL PLAZA WALGREENS Riverton, UT 84065 PHARMACY 84105 (877) 250-5823 (801) 254-0809 TRS Relay 711 1060 E. 100 S. SUITE L-2 JOLLEY'S TTY 711 Salt Lake City, UT 84102 COMPOUNDING UTAH CANCER (801) 539-0231 PHARMACY SOUTH VALLEY TTY 711 SPECIALISTS 1702 S 1100 E 3838 S 700 E STE 100 COMPOUNDING PHCY Salt Lake City, UT 84105 3796 W 12600 S RED ROCK Salt Lake City, UT 84106 (801) 484-4393 (801) 270-2253 Riverton, UT 84065 PHARMACY TTY 711 (801) 676-7880 450 S 900 E STE 150 TTY 711 TTY 711 Salt Lake City, UT 84102 JOLLEYS CORNER WALGREENS of (801) 433-9500 PHARMACY WALGREENS of TTY 711 WALGREENS WALGREENS 1676 E 1300 S (877) 250-5823 Salt Lake City, UT 84105 TRS Relay 711 (877) 250-5823 THE APOTHECARY (801) 582-1999 TRS Relay 711 SHOPPE TTY 711 82 S 1100 E 104 84107 84096 Salt Lake City, UT 84102 84106 HEALTHCARE (801) 521-6353 PHARMACEUTICALS ECO PHARMACY OF AMPHEX PHARMACY SALT LAKE CITY TTY 711 INC 12523 S CREEK LLC 3950 S 700 E STE 205 MEADOW RD #109 UNIVERSITY 898 EAST 3300 SOUTH Salt Lake City, UT 84107 Riverton, UT 84096 PHARMACY Salt Lake City, UT 84106 (801) 270-5656 (801) 254-6111 1320 E 200 S (801) 341-1300 TTY 711 TTY 711 Salt Lake City, UT 84102 TTY 711 (801) 582-7624 UNIVERSITY OF UTAH Salt Lake City TTY 711 CVS PHARMACY of HOSPITAL INFUSIO CVS 6056 FASHION SQUARE 84101 WALGREENS of (800) 746-7287 DR CVS PHARMACY of WALGREENS TRS Relay 711 Salt Lake City, UT 84107 CVS (877) 250-5823 (801) 587-8600 (800) 746-7287 TRS Relay 711 TTY 711 TRS Relay 711

408 Retail Pharmacies, including Chain Pharmacies / Farmacias al por menor, incluyendo las cadenas de farmacias

84108 84112 RITE AID of DAN'S DRUGS DAN'S DRUGS UNIVERSITY OF UTAH WALGREENS 2029 FORT UNION 1360 S FOOTHILL BLVD HUNTSMAN CANCER (877) 250-5823 BLVD Salt Lake City, UT 84108 1950 CIRCLE OF HOPE TRS Relay 711 Salt Lake City, UT 84121 (801) 581-1700 DR # 2110 (801) 943-0951 TTY 711 Salt Lake City, UT 84112 WALGREENS of TTY 711 (801) 585-0172 WALGREENS UNIV OF UTAH TTY 711 (877) 250-5823 MEDICINE MARKET NEUROPSYCH INST TRS Relay 711 6225 S HIGHLAND DR 501 CHIPETA WAY UNIVERSITY OF UTAH Salt Lake City, UT 84121 84119 (801) 559-7719 Salt Lake City, UT 84108 MADSEN PHCY TTY 711 (801) 587-3202 555 FOOTHILL DR STE CVS PHARMACY of TTY 711 396 CVS THE MEDICINE Salt Lake City, UT 84112 (800) 746-7287 UNIVERSITY OF UTAH (801) 581-7652 TRS Relay 711 CENTER TTY 711 2036 E 6200 S ORTHOPEDIC PHCY Salt Lake City, UT 84121 590 WAKARA WAY STE INFUSION 84115 (801) 278-2101 2146 INNOVATIONS of TTY 711 Salt Lake City, UT 84108 BYRAM HEALTHCARE AMERITA INC (801) 587-7199 CENTERS INC (800) 360-4755 TTY 711 WALGREENS of 3793 S STATE ST TRS Relay 711 WALGREENS Salt Lake City, UT 84115 84109 (877) 250-5823 (800) 775-4372 OMNICARE OF SALT TRS Relay 711 RITE AID of TTY 711 LAKE CITY of WALGREENS OMNICARE 84123 (877) 250-5823 84116 (888) 872-3030 TRS Relay 711 TRS Relay 711 ACUPHARM LLC RITE AID of 990 W ATHERTON DR WALGREENS UNIVERSITY OF UTAH STE 200 SOUTHEAST (877) 250-5823 PHARMACY REDWOOD PHCY Salt Lake City, UT 84123 TRS Relay 711 1525 W 2100 S (801) 456-4505 2670 S 2000 E TTY 711 Salt Lake City, UT 84109 84117 Salt Lake City, UT 84119 (801) 466-2181 (801) 213-9950 TTY 711 MEDS IN MOTION TTY 711 PHARMERICA of 4624 S HOLLADAY PHARMERICA 84111 BLVD STE 101 84120 (866) 209-2178 TRS Relay 711 Salt Lake City, UT 84117 OPTION CARE of VRX PHARMACY @ (801) 316-0790 CITY CREEK TTY 711 OPTION CARE 84124 50 E SOUTH TEMPLE (866) 827-8203 TRS Relay 711 DAN'S DRUGS STE 145 MEIER'S PHARMACY Salt Lake City, UT 84111 3981 WASATCH BLVD 4698 HOLLADAY BLVD 84121 Salt Lake City, UT 84124 (801) 236-8879 Salt Lake City, UT 84117 TTY 711 (801) 272-9494 (801) 679-3278 CVS PHARMACY of TTY 711 TTY 711 CVS (800) 746-7287 TRS Relay 711

409 Retail Pharmacies, including Chain Pharmacies / Farmacias al por menor, incluyendo las cadenas de farmacias

MEDS IN MOTION 84094 Taylorsville JOLLEYS PHARMACY 1220 E 3900 S STE 1H JOLLEY'S SANDY 84118 REDWOOD Salt Lake City, UT 84124 8806 REDWOOD RD STE PHARMACY WALGREENS of (801) 270-0600 9829 S 1300 E STE 100 102 TTY 711 Sandy, UT 84094 WALGREENS West Jordan, UT 84088 (801) 571-0201 (877) 250-5823 (801) 747-7500 84132 TTY 711 TRS Relay 711 TTY 711 UNIVERSITY OF UTAH 84123 MORAN PHCY MACEY'S PHARMACY MACEY'S PHARMACY 65 MARIO CAPECCHI 7850 S 1300 E WALGREENS of 7859 S 3200 W DR STE N2430 Sandy, UT 84094 WALGREENS West Jordan, UT 84088 Salt Lake City, UT 84132 (801) 567-1423 (877) 250-5823 (801) 255-7557 (801) 585-6522 TTY 711 TRS Relay 711 TTY 711 TTY 711 South Jordan West Jordan WALGREENS of WALGREENS UNIVERSITY OF UTAH 84009 84084 OUTPATIENT PHCY (877) 250-5823 50 N MEDICAL DR UNIVERSITY OF UTAH CVS PHARMACY of TRS Relay 711 Salt Lake City, UT 84132 S JORDAN PHCY CVS (801) 581-2276 5126 W DAYBREAK (800) 746-7287 West Valley TTY 711 PKWY RM 101 TRS Relay 711 84128 South Jordan, UT 84009 WALGREENS of Sandy (801) 213-9850 LIFECARE SPECIALTY TTY 711 1646 SUNRISE PLACE WALGREENS 84070 STE B (877) 250-5823 BRIGHTON 84095 West Jordan, UT 84084 TRS Relay 711 PHARMACY (801) 676-0078 CVS PHARMACY of West Valley City 223 W SEGO LILY DR CVS TTY 711 Sandy, UT 84070 84119 (801) 662-0265 (800) 746-7287 TRS Relay 711 WALGREENS of ALLEGIANT TTY 711 WALGREENS (877) 250-5823 PHARMACY CVS PHARMACY of WALGREENS of 2948 S REDWOOD RD WALGREENS TRS Relay 711 STE 101 CVS (877) 250-5823 West Valley City, UT (800) 746-7287 TRS Relay 711 84088 84119 TRS Relay 711 FAMILY PLAZA (801) 906-0813 TTY 711 WALGREENS of South Salt Lake PHARMACY INC 84115 3570 W 9000 S STE 150 WALGREENS West Jordan, UT 84088 CNS PHARMACY (877) 250-5823 ECO APOTHECARY (801) 569-0175 2820 S REDWOOD RD TRS Relay 711 3702 S STATE ST SUITE TTY 711 West Valley City, UT 117 84119 84093 South Salt Lake, UT 84115 (801) 233-6120 WALGREENS of (801) 281-6102 TTY 711 WALGREENS TTY 711 (877) 250-5823 TRS Relay 711

410 Retail Pharmacies, including Chain Pharmacies / Farmacias al por menor, incluyendo las cadenas de farmacias

DAVIS JUBILEE 84123 BIRCH FAMILY Eagle Mountain 3765 SOUTH 2700 WEST CVS PHARMACY of PHARMACY 84005 West Valley City, UT 6727 N HWY 36 84119 CVS Tooele, UT 84074 RIDLEY'S PHARMACY (801) 969-1493 (800) 746-7287 (435) 882-8880 4045 E PONY EXPRESS TTY 711 TRS Relay 711 TTY 711 PKWY Eagle Mountain, UT 84005 84128 OLIVE PHARMACY HOLT'S PHARMACY (801) 789-4997 2290 S REDWOOD RD CVS PHARMACY of 134 W 1180 N STE 12 TTY 711 West Valley City, UT CVS Tooele, UT 84074 84119 (800) 746-7287 (435) 249-0767 Highland (801) 972-5155 TRS Relay 711 TTY 711 84003 TTY 711 84129 MACEY'S PHARMACY CVS PHARMACY of CVS VALLEY PHARMACY UNIVERSITY OF UTAH 972 N MAIN ST INC Tooele, UT 84074 (800) 746-7287 WESTRIDGE PHCY TRS Relay 711 1819 W 3500 S STE 1G 3730 WEST 4700 SOUTH (435) 843-8821 West Valley City, UT TTY 711 West Valley City, UT RIDLEY'S PHARMACY 84119 84129 (801) 978-9655 UNIVERSITY OF UTAH #1167 (801) 213-9250 5353 W 11000 NORTH TTY 711 TTY 711 STANSBURY PHCY 220 MILLPOND STE 100 Highland, UT 84003 84120 Tooele, UT 84074 (801) 756-8353 Tooele TTY 711 CVS PHARMACY of (435) 843-3050 Grantsville TTY 711 CVS Lehi (800) 746-7287 84029 TRS Relay 711 WALGREENS of 84043 BIRCH FAMILY WALGREENS CECILS PHARMACY GRANGER PHARMACY PHARMACY (877) 250-5823 213 E MAIN ST TRS Relay 711 300 E MAIN ST LLC Grantsville, UT 84029 Lehi, UT 84043 3725 W 4100 S (435) 884-9990 Utah (801) 768-4244 West Valley City, UT TTY 711 TTY 711 84120 American Fork (801) 965-3639 Tooele DRY CREEK TTY 711 84003 PHARMACY LLC 84074 CVS PHARMACY of 3300 N RUNNING PIONEER VALLEY BIRCH FAMILY CVS CREEK WAY PHARMACY PHARMACY (800) 746-7287 Lehi, UT 84043 4052 PIONEER PKWY 493 N MAIN ST TRS Relay 711 (801) 331-6630 #111 Tooele, UT 84074 TTY 711 West Valley City, UT (435) 882-7775 TAYLOR DRUG 84120 TTY 711 76 N 1100 E MACEYS PHARMACY (801) 964-3935 American Fork, UT 84003 760 E MAIN ST TTY 711 (801) 756-4021 Lehi, UT 84043 TTY 711 (801) 766-0355 TTY 711

411 Retail Pharmacies, including Chain Pharmacies / Farmacias al por menor, incluyendo las cadenas de farmacias

MERIDIAN MEDS, LLC RIDLEY'S PHARMACY 84097 Pleasant Grove 220 NORTH 1200 EAST # 25 W CENTER ST PRECISION MEDICAL 84062 104 Orem, UT 84057 PHARMACY Lehi, UT 84043 (801) 224-3684 726 S 400 E MACEYS PHARMACY (801) 331-8291 TTY 711 Orem, UT 84097 931 W STATE RD TTY 711 (801) 221-9355 Pleasant Grove, UT 84062 RITE AID of TTY 711 (801) 796-6580 WALGREENS of WALGREENS TTY 711 WALGREENS (877) 250-5823 WALGREENS of (877) 250-5823 TRS Relay 711 WALGREENS SMITH REXALL DRUG TRS Relay 711 (877) 250-5823 10 S MAIN ST SALMONS PHARMACY TRS Relay 711 Pleasant Grove, UT 84062 Mapleton 450 W 800 N (801) 785-3221 TTY 711 84664 Orem, UT 84057 Payson (801) 225-2150 MAPLE MOUNTAIN TTY 711 84651 WALGREENS of PHARMACY MTN VIEW FAMILY WALGREENS 724 S 1600 W WALGREENS of PHARMACY (877) 250-5823 Mapleton, UT 84664 WALGREENS 1172 E 100 N STE 1 TRS Relay 711 (801) 515-6048 (877) 250-5823 Payson, UT 84651 TTY 711 TRS Relay 711 (801) 465-4322 Provo TTY 711 84601 Orem 84058 PAYSON MARKET B & H PHARMACY 84057 OREM FAMILY 286 W CENTER ST CVS PHARMACY of PHARMACY PHARMACY Provo, UT 84601 CVS 406 N STATE ST 586 N MAIN ST (801) 373-7288 (800) 746-7287 Orem, UT 84058 Payson, UT 84651 TTY 711 TRS Relay 711 (801) 434-7670 (801) 465-2347 TTY 711 TTY 711 MOUNTAINLANDS MACEY'S PHARMACY FAM PHCY WASATCH 880 N STATE ST UNIVERSITY OF UTAH PAYSON RX EXPRESS 750 N 200 W Orem, UT 84057 PARKWAY PHCY 869 TURF FARM RD Provo, UT 84601 (801) 225-4621 145 W 1300 S Payson, UT 84651 (801) 429-2035 TTY 711 Orem, UT 84058 (801) 609-2300 TTY 711 (801) 234-8510 TTY 711 TTY 711 PREMIER CARE WALGREENS of 84602 PHARMACY OAK HILLS 452 WEST 800 NORTH UTAH VALLEY WALGREENS Orem, UT 84057 PHARMACY (877) 250-5823 PHARMACY (801) 607-2138 214 E UNIVERSITY TRS Relay 711 1750 N WYMOUNT TTY 711 PKWY TERRACE DR Orem, UT 84058 Provo, UT 84602 (801) 224-3932 (801) 422-5171 RIDLEY'S PHARMACY TTY 711 1585 N STATE ST TTY 711 Orem, UT 84057 (208) 324-4633 TTY 711

412 Retail Pharmacies, including Chain Pharmacies / Farmacias al por menor, incluyendo las cadenas de farmacias

84604 UTAH STATE Spanish Fork RED ROCK CENTRAL UTAH HOSPITAL PHARMACY 84660 PHARMACY PHARMACY 1300 E CENTER ST 863 W. 450 S SUITE 101 1055 N 500 W Provo, UT 84606 MACEYS PHARMACY Springville, UT 84663 Provo, UT 84604 (801) 344-4601 187 E 1000 N (801) 477-9444 (801) 418-0800 TTY 711 Spanish Fork, UT 84660 TTY 711 TTY 711 (801) 798-8832 Salem TTY 711 SOS DRUG COMPANY CVS PHARMACY of 84653 214 S MAIN ST SPANISH FORK Springville, UT 84663 CVS MEDS IN MOTION COMMUNITY (801) 489-6041 (800) 746-7287 555 W STATE ROAD 164 PHARMACY TTY 711 TRS Relay 711 SUITE 110 375 W CENTER ST Salem, UT 84653 Spanish Fork, UT 84660 WALGREENS of EDGEMONT (801) 335-9180 (801) 960-6688 HEALTHMART WALGREENS TTY 711 TTY 711 (877) 250-5823 PHARMACY TRS Relay 711 3661 N CANYON RD SALEM HILLS STONE DRUG Provo, UT 84604 PHARMACY COMPANY Washington (801) 226-7994 118 N MAIN ST 159 N MAIN ST TTY 711 Salem, UT 84653 Spanish Fork, UT 84660 Enterprise (801) 723-0570 (801) 798-8611 84725 MACEY'S PHARMACY TTY 711 TTY 711 1400 N STATE ST STAPLEY PHARMACY Provo, UT 84604 Santaquin Springville ENTERPRISE (801) 377-0307 167 E. MAIN STREET TTY 711 84655 84663 Enterprise, UT 84725 SANTAQUIN PHCY & ART CITY PHARMACY (435) 878-2300 ROCK CANYON DIABETES CENT 405 S MAIN STREET TTY 711 PHARMACY 390 EAST MAIN STREET Springville, UT 84663 3179 N CANYON RD Santaquin, UT 84655 (801) 489-5618 Hurricane Provo, UT 84604 (801) 754-1141 TTY 711 84737 (801) 377-2002 TTY 711 TTY 711 REAMS SPRINGVILLE HURRICANE FAMILY Saratoga Springs PHARMACY PHARMACY WALGREENS of 25 N 2000 W 84045 759 E 400 S WALGREENS Springville, UT 84663 Hurricane, UT 84737 (877) 250-5823 WALGREENS of (801) 489-3784 (435) 635-8200 TRS Relay 711 WALGREENS TTY 711 TTY 711 (877) 250-5823 84606 TRS Relay 711 RED ROCK LIN'S SUPERMARKETS MOUNTAINLANDS PHARMACY INC 863 W 450 S, STE 201 1120 W STATE ST FAMILY PHARMACY Hurricane, UT 84737 589 S STATE ST Springville, UT 84663 (801) 477-9441 (435) 635-3840 Provo, UT 84606 TTY 711 (801) 429-2020 TTY 711 TTY 711

413 Retail Pharmacies, including Chain Pharmacies / Farmacias al por menor, incluyendo las cadenas de farmacias

WALGREENS of STAPLEY PHARMACY Santa Clara Weber WALGREENS 102 E CITY CENTER ST 84765 (877) 250-5823 Saint George, UT 84770 Eden TRS Relay 711 (435) 673-3575 FUSION SPECIALTY 84310 TTY 711 PHARMACY La Verkin 1100 CANYON VIEW DR VALLEY PHARMACY WALGREENS of STE C 2555 N WOLF CREEK DR 84745 Eden, UT 84310 WALGREENS Santa Clara, UT 84765 DAVIS FOOD AND (435) 703-9680 (801) 745-1800 (877) 250-5823 TTY 711 DRUG TRS Relay 711 TTY 711 495 NORTH STATE ST La Verkin, UT 84745 84790 St George North Ogden (435) 635-6944 84770 84414 TTY 711 BRENT'S PHARMACY 2376 E RED CLIFFS DR RITE AID of LEE'S MARKETPLACE Saint George STE 377 WALGREENS PHARMACY Saint George, UT 84790 (877) 250-5823 2645 N 400 E ST 84770 (435) 255-7160 TRS Relay 711 North Ogden, UT 84414 BRENT'S PHCY & TTY 711 (801) 782-6116 TTY 711 DIABETES CARE 84790 1091 N BLUFF ST STE CRIMSON VALLEY PHARMACY LLC RED ROCK Ogden 1005 PHARMACY (Ө) Saint George, UT 84770 2351 S RIVER RD STE 3 84401 Saint George, UT 84790 1240 E 100 S SUITE 220 (435) 674-5667 St George, UT 84790 MIDTOWN COMM TTY 711 (435) 218-7744 TTY 711 (435) 703-2900 HEALTH CNTR PHCY TTY 711 LIN'S SUPERMARKETS 2240 ADAMS AVE Ogden, UT 84401 INC CVS PHARMACY of CVS St. George (801) 395-8200 1930 W SUNSET BLVD TTY 711 Saint George, UT 84770 (800) 746-7287 84770 TRS Relay 711 (435) 673-9781 C3 PHARMACY THE MEDICINE TTY 711 PROFESSIONAL PARK 291 EAST 1400 SOUTH SHOPPE St. George, UT 84770 OMNICARE OF ST. PHARMACY 2562 MONROE BLVD (435) 703-2273 Ogden, UT 84401 GEORGE of OMNICARE 736 900 E 102 TTY 711 Saint George, UT 84790 (801) 399-1151 (888) 872-3030 TTY 711 TRS Relay 711 (435) 652-1548 TTY 711 Washington WEBER HUMAN SIENAS PHARMACY 84780 SERVICES PHARMACY LLC STAPLEY PHCY AT STUCKI FAMILY DINO CROSSING 237 26TH ST 1664 S DIXIE DR. STE PHARMACY Ogden, UT 84401 L-106 446 S MALL DR STE B8 568 W TELEGRAPH ST Saint George, UT 84790 (801) 625-3662 Saint George, UT 84770 #3 TTY 711 (435) 673-6777 (435) 627-2910 Washington, UT 84780 TTY 711 TTY 711 (435) 627-8848 TTY 711

414 Retail Pharmacies, including Chain Pharmacies / Farmacias al por menor, incluyendo las cadenas de farmacias

84403 84405 KENT'S MARKET CVS PHARMACY of CVS PHARMACY of PHARMACY 3536 W 5600 S CVS CVS Roy, UT 84067 (800) 746-7287 (800) 746-7287 (801) 985-3942 TRS Relay 711 TRS Relay 711 TTY 711 OGDEN CLINIC WALGREENS of RIDGE VIEW HEALTH MART WALGREENS PHARMACY 4650 S HARRISON BLVD (877) 250-5823 3443 W 5600 S Ogden, UT 84403 TRS Relay 711 Roy, UT 84067 (801) 479-4030 (801) 825-6400 TTY 711 84414 TTY 711 WASATCH PHARMACY WALGREENS of CARE WALGREENS ROY PHARMACY 4387 HARRISON BLVD (877) 250-5823 3460 W 4800 S STE D7 TRS Relay 711 Roy, UT 84067 Ogden, UT 84403 (801) 732-0202 (801) 479-0331 Plain City TTY 711 TTY 711 84404 WALGREENS of 84404 KENTS PHARMACY WALGREENS 3673 W 2600 N (877) 250-5823 12TH STREET Plain City, UT 84404 TRS Relay 711 PHARMACY (801) 827-0688 698 12TH ST TTY 711 South Ogden Ogden, UT 84404 (801) 621-2154 Pleasant View 84405 TTY 711 84414 WALGREENS of WALGREENS CANYON VIEW MOUNTAIN VIEW (877) 250-5823 HEALTH MART HEALTH MART TRS Relay 711 1159 E 12TH ST 1100 W 2700 N Ogden, UT 84404 Pleasant View, UT 84414 Washington Terrace (801) 475-3795 (801) 475-3695 TTY 711 TTY 711 84405 ROE FAMILY HEALTH RIDLEY'S PHARMACY Roy MART WEST #1134 84067 5257 S ADAMS AVE 145 N HARRISVILLE RD PKWY Ogden, UT 84404 CVS PHARMACY of Washington Terrace, UT (801) 621-2532 CVS 84405 TTY 711 (800) 746-7287 (801) 689-3420 TRS Relay 711 TTY 711 WALGREENS of WALGREENS (877) 250-5823 TRS Relay 711

415 Mail Order Pharmacy / Farmacia con servicia por correo You can get prescription drugs shipped to your home through our network mail order delivery program which is called “CVS Caremark Mail Service Pharmacy Program”. For refills of your mail order prescriptions, you have the option to sign up for an automatic refill program “ReadyFill at Mail Program (RFM)”. Under this program, we will start to process your next refill automatically when our records show that you should be close to running out of your drug. We will contact you prior to shipping each refill to make sure you are in need of more medication. You can cancel scheduled refills if you have enough of your medication or if your medication has changed. If you choose not to use the auto refill program, please contact us “10 days” before you think the drugs you have on hand will run out to make sure your next order is shipped to you in time. To opt out of the automatic refill program, please contact us by calling (888) 665-1328; TTY users should call 711. We are available 7 days a week, 8 a.m. to 8 p.m., local time. Typically, you should expect to receive your prescription within 10 days from the time that the mail order pharmacy receives the order. If you do not receive your prescription drug(s) within this time, please contact us at (888) 665 -1328; TTY users should call 711. We are available 7 days a week, 8 a.m. to 8 p.m., local time. Usted puede obtener medicamentos recetados enviados directamente a su casa a través de nuestro programa de entrega por correo de la red, llamado “CVS Caremark Mail Service Pharmacy Program”. Para obtener renovaciones por correo de sus medicamentos recetados, usted tiene la opción de inscribirse al programa de renovaciones automáticas, “ReadyFill at Mail Program (RFM)”. Bajo este programa, empezaremos el proceso para su siguiente surtido automático cuando nuestros registros muestren que su medicamento está a punto de agotarse. Nos comunicaremos con usted antes de enviar cada surtido para asegurar que usted necesita más medicamento. Usted puede cancelar las renovaciones programadas si usted tienen suficiente medicamento o si su medicamento ha cambiado. Si usted decide no usar el programa de surtido automático, por favor llámenos “10 días” antes de que crea que se le terminará su medicamento, para confirmar que su próxima orden se le envíe a tiempo. Para excluirse del programa de renovación automática, por favor llámenos al (888) 665-1328; los usuarios de TTY deben llamar al 711. Estamos disponibles los 7 días de la semana, de 8:00 a. m. a 8:00 p. m., hora local. Normalmente, usted puede anticipar recibir sus medicamentos recetados dentro de 10 días a partir de la fecha en que la farmacia de servicio por correo reciba la orden. Si usted no recibe sus medicamentos recetados dentro de este plazo, llámenos al (888) 665 -1328; los usuarios de TTY deben llamar al 711. Estamos disponibles los 7 días de la semana, de 8:00 a. m. a 8:00 p. m., hora local. Caremark Mail Order Service 1-800-378-5697 TTY: 1-866-236-1069

All pharmacies offer extended day supply unless otherwise noted/Todas las farmacias ofrecen un suministro diurno extendido, a menos que se indique lo contrario.

416 Home Infusion Pharmacies / Servicios de Farmacias de Infusión en Casa

Please refer to the list of Molina Medicare Options Plus Network pharmacies below to find a home infusion pharmacy provider in your area. For more information, contact Member Services, as listed above. / Por favor vea la lista de las Farmacias dentro de la Red de Trabajo de Molina Medicare Options Plus para encontrar un proveedor en su área de farmacias de infusión en casa. Para más información, comuníquese con el departamento de Servicios para Miembros al número que arriba aparece.

Salt Lake Salt Lake City 84107 UNIVERSITY OF UTAH HOSPITAL INFUSIO (L) 6056 FASHION SQUARE DR Salt Lake City, UT 84107 (801) 587-8600 84119 INFUSION INNOVATIONS (L) 2446 PROGRESS DR Salt Lake City, UT 84119 (801) 908-6100 84120 OPTION CARE (L) 2233 S PRESIDENTS DR STE B Salt Lake City, UT 84120 (801) 978-9600 West Valley City 84119 CNS PHARMACY (L) 2820 S REDWOOD RD West Valley City, UT 84119 (801) 233-6120

All pharmacies offer extended day supply unless otherwise noted/Todas las farmacias ofrecen un suministro diurno extendido, a menos que se indique lo contrario. Ө - Do not offer Extended Day Supply of Medication / No se ofrece un suministro diurno extendido del medicamento L - Limited Access: Pharmacies may not be available to all members / Acceso limitado: es posible que las farmacias no estén disponibles para todos los miembros

417 Long-Term Care Pharmacies / Farmacias para Cuidados a Largo Plazo Residents of a long-term care facility may access their prescription drugs covered under Molina Medicare Options Plus through the facility’s long-term care pharmacy or another network long-term care pharmacy. For more information, contact Member Services, as listed above. / Los residentes de una institución de cuidados a largo plazo, pueden tener acceso a sus medicamentos prescritos cubiertos bajo Molina Medicare Options Plus a través de las farmacias de cuidados a largo plazo o de otras redes de farmacias de de cuidados a largo plazo. Para más información, comuníquese con el departamento de Servicios para Miembros al número que arriba aparece.

Cache SPECIALIZED 84123 CNS PHARMACY (L) North Logan PHARMACY SERVICES ACUPHARM LLC (L) 2820 S REDWOOD RD (L) 990 W ATHERTON DR West Valley City, UT 84341 7351 UNION PARK AVE STE 200 84119 CACHE VALLEY Midvale, UT 84047 Salt Lake City, UT 84123 (801) 233-6120 (801) 316-1146 (801) 456-4505 PHARMACY (L) Utah 2380 N 400 E STE E Murray North Logan, UT 84341 PHARMERICA (L) Lehi (435) 787-1212 84123 960 LEVOY DR STE 170 84043 SHARED PHARMACY Salt Lake City, UT 84123 Davis SERVICES (L) (866) 355-7666 MERIDIAN MEDS, LLC Layton 4843 MURRAY BLVD (L) Murray, UT 84123 South Salt Lake 220 NORTH 1200 EAST # 84041 (801) 262-6980 84115 104 OAKSTEAD INFUSION Lehi, UT 84043 Salt Lake City ECO APOTHECARY (L) (801) 331-8291 VITAL CARE (L) 3702 S STATE ST SUITE 1492 W ANTELOPE DR 84102 117 SUITE 208 Orem RED ROCK South Salt Lake, UT 84115 Layton, UT 84041 (801) 281-6102 84057 (801) 825-3879 PHARMACY (L) 450 S 900 E STE 150 PREMIER CARE PHARMACY (L) Salt Lake Salt Lake City, UT 84102 West Jordan (801) 433-9500 84084 452 WEST 800 NORTH Draper Orem, UT 84057 84107 LIFECARE SPECIALTY (801) 607-2138 84020 (L) PIONEER PHARMACY HEALTHCARE 1646 SUNRISE PLACE Springville PHARMACEUTICALS SERVICES (L) STE B 84663 11585 S STATE ST STE INC (L) West Jordan, UT 84084 103 3950 S 700 E STE 205 (801) 676-0078 RED ROCK Draper, UT 84020 Salt Lake City, UT 84107 PHARMACY (L) (801) 890-0346 (801) 270-5656 West Valley City 863 W 450 S, STE 201 Springville, UT 84663 84119 84119 (801) 477-9441 Midvale ALLEGIANT OMNICARE OF SALT 84047 PHARMACY (L) LAKE CITY (L) SELECT PHARMACY 2948 S REDWOOD RD 2280 W ALEXANDER ST STE 101 (L) Salt Lake City, UT 84119 West Valley City, UT 628 W 7250 S (801) 266-3999 Midvale, UT 84047 84119 (801) 849-1595 (801) 906-0813

418 Long-Term Care Pharmacies / Farmacias para Cuidados a Largo Plazo

Washington Saint George 84770 OMNICARE OF ST. GEORGE (L) 595 S BLUFF ST STE 3 Saint George, UT 84770 (435) 652-3999 St George 84790 RED ROCK PHARMACY (L)(Ө) 1240 E 100 S SUITE 220 St George, UT 84790 (435) 703-2900 St. George 84770 C3 PHARMACY (L) 291 EAST 1400 SOUTH St. George, UT 84770 (435) 703-2273

419 Index of Providers / Índice de Proveedores

5 Star Home Health & Hospice Ahern, Jonathan PHD Allen, Lex MD 261 Amundsen, Spencer MD Llc 195 402, 404 Allen, Lindee NP 1 262, 266, 267 5 Star Home Health Utah Ahlstrom, Jon MD 6 Allen, Marvin MD 130, 131 Amundson, Deborah SLP 342 195, 197 Ahmad, Shahzad MD Allen, Melissa PT 302 Anand, Sanjiv MD Aagard, Robert MD 58, 65, 89 164, 165 Allen, Richard MD 41, 43 211, 212, 213, 214 Aardema, Critt MD 13, 108 Ahn, Ye Jin Allred, Breeann PT 293 Anden, Corey MD 293 Abarca, Sergio MD 57 141, 145, 148, 149 Allred, Camille NP 84 Anders, Suphithaya MD 26 Abbott, Jaron MD 120 Aijaz, Bilal MD 123, 131, 132 Allred, Darin DO 272 Andersen, Blaine MD 320 Abegglen, Joanne NP Al Sadat, Ahmad MD Allred, Donald DO 26, 66, 90 Andersen, Dana MD 52 19, 173, 277, 284 218, 219, 221 Allred, Matthew NP 52 Andersen, Jason DO 399 Abel, Linda OT 238 Al Shuqairat, Talaat MD Allred, Michael MD 14 Andersen, Nisha NP 96 Abraham, Josephine MD 337, 340, 341 Allred, Zachary DO 291 Anderson, Allan MD 348 200, 212 Al-Khudairi, Amanda NP 28 Almeida, Nestor MD 215 Anderson, Angela CNM Abrams, Svetlana DO Al-Rayess, Khaldoun MD Almony, Gregory MD 112, 113, 114 288, 290, 347 13, 14, 164, 198 123, 133 Anderson, Bradley MD Albano, Joseph MD 28, 38, 48 Abueg, Florentino MD Alonso, Diane MD 359 243, 246 Albertsen, Elizabeth PSY 383 43, 197, 202 Alpine Home Medical Anderson, Bryant MD 107 Albrecht, Tyler 142 Access Home Care Llc Equipment 161 Anderson, Cameron MD 79 Albrechtsen, Jon 153 193, 195, 196 Alpine Home Medical Anderson, Christopher MD Alcorn, James 144 Access Home Care Of Slc Llc Equipment 162 338 Alden, Heather MD 50 193 Alpine Home Medical Anderson, Daniel PT 304 Aldous, Edwin MD 279 Acevedo, Charles PT 293 Equipment 162 Anderson, Douglas MD 282 Aldridge, Rebekah PA 56 Acord, Alan PT 304 Alpine Home Medical Anderson, Eric MD 351 Alexander, Gary MD 199, 334 Adams Jr, David MD 369, 372 Equipment 161 Anderson, Esme NP Alexander, Marissa PT Adams, Benjamin DO 156 Alpine Home Medical 58, 66, 73, 81, 90 296, 318 Anderson, Jacob NP 5, 6 Adams, Brian MD 373, 374 Equipment 162 Aljammal, Jules MD 165 Anderson, James PT 313 Adams, Bryan NP 65 Alpine Management And Allak, Amir MD 283 Anderson, James 154 Adams, Carly PT 296, 318 Consulting 161 Allan, Jololene NP Anderson, Jay DC 135 Adams, Michael MD Alsolaiman, Mohammad MD 47, 48, 51, 52 Anderson, John 148 1, 3, 4, 5, 6 185, 186 Alldredge Jr, Oren MD Anderson, Kyle PT 313 Adelman, Scott MD 288 Alston, Dylan MD 157 245, 248 Anderson, Laura CNM Adler, Zoe MD Alsup Jr, Daniel MD 107 Alldredge, Brett DO 224 112, 113, 114 287, 288, 289, 290, 291 Alvord, David 146 Adomako, Petronella MD 198 Alldredge, Claron MD Anderson, Marc MD 14 Amann, Kelly DO 105, 108 Advantage Medical Supply Inc 243, 246, 255 Anderson, Mark PT 302, 305 Amber, Ina MD 198 161, 162 Allen, Brandon MD 52 Anderson, Martin PT 293 American Fork Dialysis Affleck, David MD 357, 358 Allen, Carl MD 107 Anderson, Michael MD Center 163 Agarwal, Cori MD 321 Allen, David MD 160 272, 273 American Fork Hospital 376 Agarwal, Jayant MD 321 Allen, Douglas DO 63, 81, 84 Anderson, Mikol DPM 327 Amil, Brent MD 381 Aggarwala, Gaurav MD 124 Allen, Eric DO 26 Anderson, Nathan DO 84 Amitai, Ari MD 272 Agres, Susan DPM 331 Allen, Franklin 141 Anderson, Perrine NP 28, 188 Ammar, Tarek MD 186 Ahern, Dennis PHD 381 Allen, Juanita NP 24, 39 Anderson, Peter MD 279

420 Index of Providers / Índice de Proveedores continued

Anderson, Richard MD 246 Arrington, Sara NP 11 Baer, Lorna NP Barker, Brady MD 269, 270 Anderson, Robert NP 14 Asch, Julie MD 192 173, 174, 176, 179 Barker, Bryce MD 246 Anderson, Russell DO 14 Aseltine, Phyllis NP Bagley, Douglas PT 313 Barker, Eric MD 379 Anderson, Ryan DPM 226, 227, 228 Bagley, Sandra NP 28 Barker, Lance MD 1 323, 325, 327 Ashdown, Susan PT 295, 296 Bahr, Brooks MD 156 Barker, Layne MD 14, 18 Anderson, Sarah OT 239 Ashton, Douglas PT 312 Baiden, Erica MD 39 Barklow, Jeff MD Anderton, Eric 155 Aslami, Stephen MD 43 Bailey, Chase NP 108 211, 212, 213, 214 Anderton, Jared 155 Astle, Craig MD 96 Bailey, Rebecca PHD 387 Barlow, Stewart MD 282 Anding, Eric MD 124 Astle, Nelson MD 11 Bailey, Stanton MD 1 Barman, Thomas MD 43 Andres, Robert MD 209 At Home Personal Care Llc Baird, Daniel 138, 148 Barnard, Peter CNM Andrews, Sarah MD 83 194 Baird, Robert 149 111, 113, 116 Andrus, Jill SLP 342 Atherton, Justin DO Baires, Enrique MD Barnett, Randall MD 356 Andruss, Robert MD 272 350, 352, 353 102, 106, 108 Barnett, Robert MD 185 Ansari, Julia MD 124, 133 Atkin, Quincy PHD Baker, Elizabeth PHD 398 Barney, Douglas MD 14 Ansari, Sikandar MD 336 380, 383, 393 Baker, Garry 151 Barney, Spencer MD 34 Anson, David PHD 395 Atkins, Braden 287 Baker, Greg PT 307 Barney, William MD 98 Aoki, Jon MD 279 Atwood, Lynne NP 39 Baker, Shannon MD 52 Barrick, Robert 142 Aoki, Stephen MD 264 Au, Liana MD 84 Bakewell, Catherine MD 339 Barrios, Kristine OT 239 Applegate Homecare And Aubuchon, Adam MD 219 Balch, Heather MD 202 Barrus, James DC 134 Hospice Llc 194, 195, 196 Augustyn, Brian PHD Baldwin Iii, Ernest MD 164 Bartel, Roxanne MD 383 Apria Healthcare Inc - Lindon 387, 390 Baldwin, Travis 138 Bartholomew, Jed PT 296 162 Austad, Gregory MD 339 Ball, Carla NP 188 Bartlett, Steven PT 309 Apria Healthcare Inc - Logan Austin, Blaine DDS 256 Ball, Douglas 149 Barton, Christopher MD 161 Austin, Todd PT 314 Ball, Robert MD 209 24, 28, 38 Apria Healthcare Inc - Ogden Avalon Care Center Bountiful Ballard, Douglas PT 302 Barton, Deborah NP 98 162 378 Ballif, Mark MD 242, 246, 255 Barton, Karl NP 93, 179, 367 Apria Healthcare Inc - St Avalon Valley Rehabilitation Ballingham, David PA Barton, Scott MD 98, 101 George 162 Center 378 1, 3, 5, 6 Bate, Berkeley MD 216, 218 Apria Healthcare Llc - Midvale Avalon West Health And Ballingham, Suzanne NP 102 Bateman, Joshua 146 161 Rehab 378 Ballou, Carol PHD 387, 390 Bateman, Ryan 138, 153 Arbogast, Jessica NP 37 Avery, D MD 3, 8, 166, 360 Bane, Jesse MD 39 Batista, Oscar MD 183 Arbogast, Richard MD Ayala, Lauren PT Bank, Stacey MD 38, 43 Batson, Margaret CNM 112 37, 101, 102 303, 306, 313, 315, 316 Banks, Duane MD 387, 402 Bauman, Cynthia NP 176, 180 Arbon, Brett NP 102, 105, 108 Ayers, Jeffrey DO 47 Banks, Justin DPM 325 Bauman, Lindsey PT 296 Archer, Frank MD Aytenfisu, Ermias MD 223 Banks, Wyatt PT 315 Baxter, Mark MD 14 79, 89, 93, 94 Azarcon Jr, Jose DO 21 Barager, William DO 80, 84 Bay, Brian PT 303 Archer, Sandra MD 50, 57, 84 Babcock, David 142 Baranko, Brent MD 274 Bean, Gregory MD 58, 66, 90 Armstrong, John MD Babitz, Marc MD 38, 88, 101 Barclay, Andrew DO 89, 93 Bear River Valley Hospital 246, 255 Bachison, Casey MD 274 Barclay, James 153, 154 376 Arnesen, Brian PHD 399 Bacon, Carl MD 269, 270 Barkdull, Lisa NP 175 Beard, Lynn MD 1 Arogyasami, Susan MD 14 Baer, Lawrence PT Barkdull, Thad MD Beazel, Caryn PT 299, 301 Arrington, Brandon PT 295 301, 302, 309 58, 64, 66, 73, 81, 90 Beazer, Blake MD 57, 88

421 Index of Providers / Índice de Proveedores continued

Bechek, Frances MD 234 Bentley, Valerie PHD 402 Bird, James PHD 403 Bockoven, Kurt NP 46, 52 Beck Jr, Charles MD 262, 267 Berg, Loandra APRN 176, 177 Bishoff, Jay MD 370 Boden, Erinlee PT 308 Beck, Catherine MD 353 Berg, Wayne NP 226, 227, 228 Bishop, Bruce MD 156, 160 Bodily, Kurt MD 186 Beckstead, Arvel PHD 387 Bergeson Barkdull, Jill MD Bishop, Clark MD 337 Boehme, Gregary 148 Beckstead, David MD 89, 93 58, 59, 66, 73, 81, 90 Bishop, Jon MD 322 Boheen, Karen DO 14 Beckstead, Scott DO 9 Bergeson, Adam MD 268, 270 Bishop, Scott MD 14 Bojanower, Deanna NP Beckstrand, Devin MD 360 Bergeson, Lars MD 8 Biswas, Santanu MD 110, 211 Bedell, Leanne CNM Berneike, John MD 43 125, 126, 128, 129 Boll, Melissa CNM 115, 116, 117 Bernstein, Paul MD 248 Bitner, Alan MD 118, 119 112, 113, 114, 231, 232, 234 Beesley, Katie NP 178 Berry, Judith NP 89 Bitner, John MD 276, 277 Bollo, Robert MD 220 Behunin, Andrew DO 128 Berry, Steven MD 77 Bitner, Mark MD 14 Bolton Orr, Brandi NP 33 Bekwelem, Wobo MD Berryhill, John PT 293 Bitner, Matthew MD 258, 275 Bond-Bero, Stacey NP 125, 126, 129, 130, 206, 207 Bertoldo, Nathan MD 230 Bivens, Nancy MD 227, 228 Beld, John MD 400 Beson, James DO 245 384, 385, 387, 397 Bone, Jonathan PSY 384 Belfry, Carolyn MD Beus, Kirt MD 281 Bjork, Andrew 154 Bonkowsky, Joshua MD 224 102, 108, 109 Beus, Michael MD 14 Black, Chelise NP 177 Bonneville Dialysis Center Bell, Christopher MD Beverly, Steven MD Black, Evan MD 221 164 347, 348 102, 108, 190, 237 Black, Jan PT 306 Bonny, James 151 Bell, Damon NP 228 Bhatt, Margi MD 43 Black, Kristen DO 231 Book, Linda MD 238 Belliston, Scott DO 222 Bickel, Tyler MD 9 Black, Robert PT Boorman, David MD 131 Belnap, Grant MD 401 Biddulph, Glen MD 14 296, 318, 319 Booth, Chad 149 Bench, Pahl MD 88 Biddulph, Gregory 145 Blackburn, Celia MD 9 Booth, Jeffrey MD 339 Bender, Matthew 149 Bierer, David MD 106 Blackham, Jason MD 348 Booth, Jennifer NP 77, 83 Benedict, Amy NP 173, 179 Biesinger, Rick PSYD 400 Blackham, Richard MD 289 Booth, Travis PT 307, 308 Benedict, Susan MD 224, 225 Bigelow, Jeffrey MD 219 Blackhurst, David Borawski, Ashley OT 240 Benham, Brady MD 96 Biggs, Sean MD 108 141, 147, 149, 151 Borchardt, Roger MD Blackhurst, Richard 148 Beninati, William MD 200 Bigham, Thomas DO 95 130, 207 Blackhurst, Robert 150 Bennett Murphy, Laura PHD Bikhazi, Nadim MD 282 Boric, Lamia MD 191 Blagev, Denitza MD 336 383, 394 Bilanzich, Travis MD 231 Borunda, Lisa NP 96 Blair, Veronica CNM 111, 116 Bennett, David 150 Bills, Bradley 139 Boschert, Mark MD 183 Blais, Adam 142 Bennett, Donna MD Bingham, Annalee NP Boss, Kiley 155 Blake, Bevan PT 302 76, 80, 83 64, 66, 81, 90 Bossart, Peter MD 137 Blake, Heath 150 Bennett, John MD 277, 278 Bingham, Chad SLP 342 Bostwick, Meg NP 188 Blanchard, Kevin PT 317 Bennett, Richard MD 21 Bingham, Jared MD 76, 89 Bott, Wesley DO 76, 89, 93 Blanthorn, Steven PT 313 Bennett, Samuel OT 240 Bingham, Matthew MD 102 Botto, Lorenzo MD 136, 137 Blaser, Brett DO 11 Bennett, Steven PT 315 Bingham, Scott MD 131 Boucher, Kurtt SLP 344 Blatter, Grant PT 315 Bennion, Aaron NP 177, 178 Bingham, Sheryl NP 14, 102 Boud, Thomas MD 53 Bledsoe, James DO 14, 106 Bennion, David MD 80 Bingham, Tab 143 Boudreaux Nippert, Denise Bliss, Brandon PT 311, 313 Bennion, Jeffrey MD 275 Binks, Paul PHD 395, 398 MD 26, 53 Bloink, Steven MD 85 Benson, Brady 138 Birch, Robert DO 383 Boulton, Cynthia NP Blotter, James MD 275 Benson, Jordan OTR 238 Bird, Garrett MD 26, 174, 340 Boam, William MD 26 Bentley, Melissa MD 37, 106 334, 335, 336, 337 Bowden, Corey DC 134

422 Index of Providers / Índice de Proveedores continued

Bowden, Joseph DC 133 Bringhurst, Chelsa NP 28 Brown, Matthew MD 77, 85 Burke, Kathleen NP 28, 375 Bowden, Morgan NP 179 Brinkerhoff, Gail PT 297 Brown, Melissa MD 232 Burke, Renee PHD 395, 398 Bowen, Kyle 149 Brinkerhoff, Jace PT 313 Brown, Ronald MD Burkett, Rox MD 98 Bowen, Megan PHD 395 Brinkerhoff, Travis NP 124, 127, 128, 199, 201, 202 Burkinshaw, Sandra NP 59, 90 Bowers, Marc DC 135 179, 180 Brown, Samuel MD Burleigh, William DPM 327 Bowles, Brent MD 358 Brinton, David MD 167, 347 34, 197, 200, 335 Burningham, Jana NP 93 Brown, Todd MD 9 Bowles, Tawnya MD 356 Brinton, Eric MD 247 Burningham, Ted MD 14 Brown, Todd PT 301, 304, 307 Bowman, Adam MD 249 Brinton, Gregory MD Burr, Justin PT 296 Brown, Toni NP 229 Bowman, David DO 56 244, 252 Burr, Robert PHD 398 Brown, Wesley MD 238 Bowman, Jane MD 231 Brinton, Thomas MD 369 Burrow, David MD 385 Browning, Victoria SLP 342 Bown, James MD Broadbent, Daniel MD Burrows, James MD 355 Bruce, Stephen MD 103, 106 183, 186, 201, 204 12, 14, 103 Burtenshaw, Brett MD 18 Brunetti, Ross MD 42 Bowser, Rick PT 296 Broadbent, David MD 85 Burtenshaw, Bruce MD 14 Bruse, Jason DPM 324, 331 Bowthorpe, Allyx NP 172, 181 Broadbent, Jan MD 119 Burton, Brigham 153 Brush, Sally NP 48 Boyer, Ben NP 1, 4, 5, 6 Broadbent, Michael DMD Burton, David MD 28 Bryan, Nathaniel MD 267 Boyer, Michael MD 191 256, 257 Burton, Stephen DPM 330 Buchanan, Stephen PT 311 Boyer, Ronald DC 135 Broadhurst, Jeremy DO Bushman, Bryan PHD Buchanan, Thomas MD Boyle, Bret DO 359 8, 166, 360 381, 403 219, 221 Braden, Geoffrey MD 181 Broberg, Jeffrey MD 77, 83 Bushnell, Lowry MD 390 Buchi, Kenneth MD 182, 185 Bradley, Joshua MD 275, 278 Brockbank, Aaron MD 350 Bushnell, Matthew PT Buck, Ryan NP 172 Bradley, Michael MD 245, 248 Brockbank, David NP 24 312, 313 Buckley, Celestia PSYD Bradshaw, Brian MD 159 Brockbank, Roger MD Bushnell, Ned PT 312, 313 383, 394 Brady, Bruce MD 59, 64, 66, 73, 81, 90 Busk, Neal MD 164, 165, 200, 204 Brockbank, Wells 151 Budge, Edward PT 298, 314 98, 101, 171, 172, 197, 367 Brady, John MD 347 Brockmeyer, Douglas MD 216 Buerger, Natalie PHD 390 Bustamante, Jamie PHD Brady, Margo PT Brodke, Darrel MD 264 Bulaj, Zaneta MD 39, 43 384, 387 294, 298, 300, 303 Brodstein, David MD 255 Bullard, Michael MD Butaud, Wade MD 89, 93 Brady, Matthew PT 302 Brooke, Benjamin MD 351 243, 244, 246, 255 Butcher, Jennifer NP 77, 85 Braithwaite, Steven 148 Bullen, Russell 153, 154 Brooks, Aubrie NP 80 Butler, Bonnie PT 300, 306 Brandley, Carra NP 102 Bulloch, Michael DO 19 Brooks, Brandy CNM Butler, Brent PT 313 Brann, William MD Bullock, Jeri 144 113, 114 Butler, Brent 138 125, 126, 130, 200, 203 Bullock, Stephen NP 28 Brooksby, Heather PA 20, 96 Butler, John MD 277 Brannon, Dawn NP 96 Bunch, Thomas MD 126 Brown, Ashley 149 Butler, Leon PHD 393 Breen, Annamarie NP 11, 12 Bunker, Adam 145 Brown, Bryant MD 34 Butler, Todd 139 Brennan, Shannon NP 106 Bunker, Clint DO 19, 20 Brown, Coby MD 96 Butler, Warren MD 15 Brewer, Stanley DO 394, 395 Bunn, William DO 400 Brown, Devron DC 134 Butrum, Matthew MD Bridge Jr, Robert MD Burg, Jeffrey 142 Brown, H Ronald DPM 327 219, 222 182, 183, 184 Burgess, James DC 133 Brown, Kelleen NP 110 Butterfield, Russell MD Brierley, Aimee OT 240 Burgett, Alton MD 26, 53 Brown, Kimberli PT 299, 310 219, 220, 221, 222, 223, 224 Brigham City Community Burgon, Andrew DPM 323 Brown, Kristi PT 299, 301 Butterfield, Warren MD 272 Hospital 376 Burke, James MD Brown, Lindsey NP 34 Butters, David DO 15 Brimhall, Eric MD 291 125, 126, 128, 129 Brown, Lynette MD 200, 202 Byars, Kellie CSW 138

423 Index of Providers / Índice de Proveedores continued

Byno, Ashley MD 231 Campbell, Jason 143, 149 Carpenter, Jeanette MD Chamberlain, Angela NP Byram Healthcare Centers Inc Campbell, Jonathan 143 209, 210, 233, 237 66, 85 - Ut 161 Campbell, Zachary MD 109 Carpenter, Whitney NP Chamberlain, Bruce MD 34 Byrd, Amanda NP 12, 18 Campsen, Paul MD 351 174, 177, 178 Chamberlain, Howard MD Byrd, David MD 284 Canale, Christopher MD Carr, Gregory 141 99, 101 Byrge, Nickolas MD 351 181, 183 Carr, Joshua DC 135 Chamberlain, James MD 43 Byrne, Ashleigh MD 284 Canales, Tyler 140 Carr, Ryan PA 1, 4, 5, 6 Chamberlain, Laura NP 33 Bywater, Kelsey NP 2 Canfield, Charles MD 59 Carrier, Justin PT 303 Chamberlain, Ronald PHD Cacciamani, Mark MD 28 Canga Siao, Cynthia MD 29 Carroll, Kristen MD 264 401, 402 Cache Valley Hospital 376 Cannon, Cynthia MD Carroll, Tyler MD 59, 85 Chambers, Bradley DO 6 Cahoon, Daniel MD 371, 372 230, 232 Carter, Benjamin MD 160 Chambers, May MD 40 Cain Jr, James MD 261, 272 Cannon, Hyrum 139 Carter, Catherine NP 228 Chan, Christy MD 47 Cain, Albert MD 358 Cannon, Jennifer PHD 398 Carter, Curtis MD 99, 101 Chandler, Carrie NP Cain, Lawrence MD 98 Cannon, Richard MD 165 Carter, Gayle MD 99 21, 26, 50 Caine, John PHD 387 Cannon, Richard MD 283 Carter, Kristine NP 97 Chandler, Jason DMD Caine, William MD 357 Canyon Home Care Carter, Matthew PT 306 256, 257 Calame, Thomas MD 126 193, 194, 195, 196 Carter, Melvin MD Chandler, Justin MD 223 Caldwell, Katharine MD 40 Canyon View Medical Group 19, 95, 101 Chandler, Scott 150 Call Jr, Donald DPM 328 366, 367 Carter, Melvin MD 130, 131 Chandramouli, Nitin MD Call, Conley MD 253 Capener, John DO 182, 183 Carter, Reed PT 311, 312, 313 191, 192 Call, Jeffrey MD 103 Caplin, Deirdre PHD 394, 396 Carter, Stacie CNM 110, 111 Chaney, Chelsea CNM Call, Justin MD 191, 192 Capobianchi, Michael PT 299 Carter, Tyson DPM 324, 331 111, 112 Call, Kevin MD 222 Caputo, Peter MD Cartwright, Patrick MD Chang, Beverly MD 33 Call, Nathan MD 6 369, 371, 372 369, 370 Chapman, Diane NP 43 Callahan, Douglas DO 98 Carabine, Steven MD 354 Carver, John MD Chappell, Craig DO 346 Callahan, Thomas MD 98 Cardinal, Jennifer PHD 380 245, 247, 252 Chappell, Daniel DO 12, 103 Callister, Matthew 150 Cardon, Andrew NP 173 Cascades At Orchard Park Chardack, Michael MD 264 Callister, Michael MD 368 Cardon, Louis MD 378 Charlton, Kevin MD 247 Callister, Neil MD 274 15, 166, 361 Cascio, Michael MD 359, 360 Chase, Steven MD 282 Callister, Sara NP 227 Carey, Sean PT 315 Cashmore, Blaine MD 353 Chasson, Susan NP 85 Calton, Thomas MD 274 Carl, Brian PHD 384 Casull, Kathryn MD 29, 34, 40 Chavez, Ernest PT Cameron, Dustin 154 Carlson, Brian MD 5 Cate Jr, Thomas MD 43 294, 296, 318, 319 Cameron, Landon DPM 332 Carlson, Michael MD Cavin, Ian DO 349, 351, 352 Chavez, Javier MD 40, 53, 231 Campbell, Amy NP 21 270, 271 Cedar City Hospital 376 Chavez, Juan 148 Campbell, Bryan MD 103 Carlson, Monte 139 Celani, Kindra NP 229 Chaya, Craig MD 248 Campbell, Craig DPM 327 Carlson, Vera MD 8 Cerny, William 148 Chebeleu, Lia Ana MD 221 Campbell, Curtis MD 372 Carmichael, Marie NP 24 Cerrati, Eric MD 283 Checketts, Darin DO 15 Campbell, Darren MD 344 Carn, Thomas MD 79 Cervantes, Carrie PT 317 Checketts, Scott MD 156 Campbell, Heather MD Carols Mastectomy Shoppe Llc Chabot, Elizabeth MD 350 Cheney, Matthew 138 208, 209, 230, 237 161 Chachas, Angelo MD Cheng, Christine MD 320 Campbell, Jason DPM Carols Post Mastectomy 349, 350, 351, 352 Chenoweth, Erica PHD 387 323, 324, 325, 331 Specialists 162 Chalmers Iv, Robert MD 236

424 Index of Providers / Índice de Proveedores continued

Chenworth, Eric DO Christensen, Kristie NP Clark, Claire PHD 384 Cobabe, Maurine MD 53 119, 199, 200 177, 178 Clark, Elaine PHD 387, 390 Cobb, Lynne PHD 401 Cherrington, Steven DO Christensen, Kurt 147 Clark, Erin MD Codiga, Michael MD 97 59, 64, 66, 73, 81, 90 Christensen, Lane NP 103 208, 209, 232, 237 Coe, Tyler NP 37 Cheshier, Samuel MD 216 Christensen, Louis 153 Clark, Gary DPM 325 Colbert, Rand MD 156 Chesley, Garrett PHD 398 Christensen, Paige NP Clark, Holly MD 183, 184 Colby, Spencer MD 26, 53 Chidester, Lynn MD 370, 371 200, 226 Clark, Kevin MD 349 Cole, Chad MD 218 Chidester, Robert 141, 146 Christensen, Peter MD 53 Clark, Matthew MD 64, 82, 85 Cole, John PT 293 Child, Bryan PT 296, 305, 318 Christensen, Robert MD 66 Clark, Randy MD Coleby, Craig MD 26 Child, Curtis NP 5 Christensen, Shane MD 42 261, 272, 273, 274 Coleman, Stephen MD 21 Clark, Randy PT 305 Child, Dustin MD 12 Christensen, Tanya MD 156 Coles, Andrew MD 15 Clark, Robert MD 80, 94 Child, Gary DO 66, 169, 187 Christensen, Tyler MD Coles, Catherine MD 15 Clark, Scott DPM Child, Todd MD 278 368, 372 Collado, Sergio MD 123, 132 324, 326, 328 Childs, Lane MD 371 Christensen, Tyler PHD 379 Colledge, Alan MD 291, 292 Clark, Spencer PT 306 Chilton, Michael 140 Christensen, William NP Collett, Camille MD 43, 44 Clark, Stephen DO Chipian, E 146, 154 95, 97, 99 Collett, Joan NP 226, 228, 229 99, 171, 367 Chipman, Gregory MD Christian, Grant MD 9 Collins, Dan MD 182, 183 Clark, Thomas MD 192, 210 Christian, Mark MD 9 Collins, Michael MD 357 Chipman, Sarah AUD 122 5, 163, 166, 360 Christiansen, Benjamin Clayson, Fred MD 255 Colton, Brigham 148 Chipman, Stephen MD 80 PSYD 381 Clayson, Stephen MD 357 Colton, Chaz NP 229 Chisholm, Jon 151 Christiansen, Gregory MD Clayton, Paul DPM 332 Colvin, Roger PT 293 Chittoria, Namita MD 211 250 Clegg, Jared DPM 329 Colyar, Casey PT 310 Cho, Denny 144 Christiansen, Jason PT Clegg, Michael MD 287 Condie, Gregory DO 286 Chou, Stella MD 250 198, 293 Clemens, Peter DO 106 Condie, Jared 150 Chowdhary, Rasheel MD Christiansen, Robert MD 248 Connelly, Julia PHD 387, 390 200, 203, 335, 336 Clerico, Gina CCC-SLP 342 Christiansen, Van MD Cleveland, Amanda MD Conner Jr, Thomas 42 Chowdhary, Sandeep MD 103, 105, 106, 108, 109 231, 234 Connolly, Michael MD 382 53, 188, 203, 336, 340 Christianson, Marlin MD Christensen, Amanda CNM Clifford, Rebekah MD Connors, Rafe MD 358 85, 171, 366 115, 116, 117 157, 158 Constantino, Tawnya MD 219 Chu Tandar, Wendy 154 Christensen, Benjamin MD 21 Cline, Alan 141 Cook, Benjamin PT 305 Chun-Moon, Deborah MD Christensen, Benjamin Cline, Richard MD 212 Cook, Craig MD 353 236 145, 146 Cloward, Tennille MD Cook, David MD 260 Chung, Alice MD 350 Christensen, Brent MD 350 59, 66, 90 Cook, Emily DO 103 Church, Robert DPM Christensen, Brock OTR 238 Cloward, Tom MD Cook, Gregory DPM 323, 331 331, 332 Christensen, Bryt MD 292 334, 335, 336, 340 Cook, Jennifer CNM Church, Ryan NP 21, 43 Christensen, Danica NP 180 Cloyd Jr, James PHD 382, 400 115, 116, 117 Cicmanec, Sara MD 29 Christensen, Don NP 15, 103 Cluny, Joylyn NP 23 Cook, Johnnie MD 15, 103 Cionni, Robert MD 247 Christensen, Karen MD 403 Clyde, Willis PT 303 Cook, Kerin PT 296 Civish Iii, Frederic MD 46, 53 Christensen, Kevin MD Cns Home Health Services Cook, Loran MD 252 Clapham, Patricia PT 296 269, 271, 272 193, 194, 195, 196 Cook, Paula MD 390 Clark, Alexander DO 36 Cns Pharmacy 196 Cook, Tina PT 317 Clark, Ann MD 29 Coates, Catherine NP 23 Cooney, Nathan 154

425 Index of Providers / Índice de Proveedores continued

Cooper, Andrew MD 262, 267 Crandall, Alan MD 245 Dahl, Matthew MD 277, 278 Davenport, Thomas 148 Cooper, Garet NP 189 Crandall, Brian MD 126 Dahle, Kevin MD 157 Davidson, Richard MD 403 Cooper, Susan NP 12 Crandall, Steven PT 298, 303 Dahle, Michelle NP 53 Davis County Health Cope, David MD 9 Craner, Adam NP 106 Dailey, Andrew MD 217 Department 333 Cope, Robert MD 372 Craven, Scott 154 Daines, Howard 138 Davis Hospital & Medical Corbett, Krista NP 34 Crawford, Gary DDS 257 Daines, William MD 33 Center 376 Cordingley, Sarah AUD 123 Crawford, Ira DC 133 Dal Canto, Albert MD Davis, Andrew MD 249, 251 Corey, Richard MD Crawford, Michael MD 246, 250 Davis, Brian MD 251 245, 247, 252 124, 132, 133 Dal Canto, Richard MD Davis, Charles MD 349, 352 Corn, Heather MD 165 Croft, Michael MD 400 263, 264 Davis, Christopher DO Corniea, Robert MD 85 Crombie, Courtney MD 321 Dalton, Marlee NP 57 15, 103 Corry Jr, Elwood MD Cronin, Jill NP 85 Dalton, Tara PA Davis, Craig MD 284 59, 64, 66, 73, 82, 90 Crookston, Michael MD 385 1, 2, 4, 5, 7, 165, 319 Davis, Dirk MD 181 Corry, Jacob DO 20 Crop, Justin DO Daly, Sarah DO 85 Davis, Kimberly DO 33 Corry, Mark MD 20, 167, 361 59, 64, 67, 73, 82, 90 Dame, Erin PA 27 Davis, Nathan DPM 326 Cosgrave Ii, Michael DO Crosbie, Rynthia NP 57 Dame, John MD 37, 44 Davis, R Kim MD 39, 49, 53, 168, 345 Crossno, Peter MD 335 Dameron, Layne DPM 332 277, 278, 279 Costa, Graca PHD 379 Crouch, Benjamin DO Damery, Teresa CNM Davis, Russell NP 56 Costa, Timothy MD 6 291, 292 110, 111, 112, 113 Davis, Thomas DO 181 Cottle, Kevin NP 51 Dames, Shelby MD 339 Crouch, James MD 215 Davis, Wesley MD 106 Coudreaut, Michael MD 382 Dan, Dan MD 135, 136 Crouch, Max MD 80, 94 Dawis, Daniel DO 386 Couldwell, Marie MD 164 Dana Jr, John MD 291 Crowley, Jim MD 372 Dawis, Nicole MD 386 Couraud, Justin 145 Dane, James MD 358 Crozier, Jason 141 Dawson, Brad 151 Couriel, Daniel MD 191 Daniel, Lauren PT 301 Crum, Alison MD 248 Day, Stefani MD 25 Covington Atwood, Melony Daniels, Jonathan MD 29, 40 Crum, Ashley MD 344 Day, Trevor DO 349, 354 MD 124 Daniels, Paul DPM 326 Crume, Abby DO 138 Daynes, David 150 Cowley, David NP Daniels, Ronald PT 315 Crump, Kenneth MD 77, 90 Daynes, Gregory MD 23 20, 96, 173, 179, 284, 285 Dansie, Joseph CCC-A Cunningham, Sean PSY Daynes, Jacob DO 268, 347 Cox, Gina MD 42 122, 123 380, 385, 394, 396, 399, 402 Daynes, Todd MD Cox, Jamie NP 174 Curran, Marilyn MD 32 Dansie, Kirk PSYD 243, 247, 250 Cox, Jamison 153 Curtis, Cabot 150 386, 388, 396 Dayton, Elizabeth MD 80, 94 Cox, Jordy MD Curtis, Carl 142 Dantis-Tan, Minerva NP De Jesus, Diana MD 34 356, 359, 373, 374 Curtis, Michael MD 9, 26, 40, 53, 57, 67, 173, 174, De Saibro, Luciana MD 223 Cox, Sheldon PT 296 59, 67, 73, 82, 90 176, 177, 211, 212, 213, 214 Coy, James DO 67 Curzon, Sean DO 77 Dardeen, Kelly PHD 388 Deagostine, Keith PT 294 Coy, Jenny NP 229, 281 Cutler, Christopher MD 185 Darley, David MD 280, 281 Dearden, Vivian CNM 111 Coyle, Lauren MD 234 Cutler, Michael DO 200 Darley, Michael MD 339 Debenham, David MD 285 Coynor, Seth DO 89 Cutlip, Cheryle MD Dascomb, Kristin MD 34 Debra Lynns Llc 162 Cragun, David Turley MD 40, 168, 363 Dastrup, Benjamin MD 255 Debry, Spencer MD 386 131 Dabling, Heather MD Dattilo Iii, Philip MD 207, 208 Decaria, Michael PHD 393 Cragun, Robert PT 304, 309 77, 83, 85 Dattilo, Wilbur MD 390 Dechet, Christopher MD 370 Craig, Kristin MD 230 Dahl, Charles MD 130, 131 Davenport, Brian NP 99 Dechet, Pilar MD 263 Dedecker, Troy 139

426 Index of Providers / Índice de Proveedores continued

Dee, Michael MD 260, 275 Dickson, Scott DO 118 Draper Rehabilitation And Edgington, Carl PHD Dees, Anneliese SLP 343 Dienhart, David MD 335, 337 Care Center 378 381, 384, 399 Degrauw, Jeffrey MD 15 Dietlein, John MD 42 Draper, Bradley MD 160 Edmunds, Sean MD 44, 67 Delap, Amy PT 305 Digney, Bradley MD 199, 203 Draper, Mary 155 Edwards Ii, Thomas MD Delcore, Randy MD 261 Dignity Home Health Of Utah Draper, Michael MD 199, 206 Delgadillo, Jorge NP 189 Llc 193, 194 42, 53, 208, 209, 232 Edwards, Annemarie DPM Delong, Samuel OT 238, 241 Dildy Iii, Gary MD Draper, Randall MD 401 326 Delong, Sara MD 386 208, 209, 210 Drew, Lynsey DO 85 Edwards, David DPM 323 Demille, Elizabeth PA 97 Dimond, Kyle 144 Drewes, Peter MD 77, 83 Edwards, Jayson MD 254 Deming, Annie PHD 388, 390 Dinh, An Tuong MD 44, 57 Dries, David MD 244, 248 Edwards, John MD 217 Demordaunt, Dallin MD 288 Dixie Dialysis Center 164 Drollinger, Brooke MD 103 Edwards, Matthew MD 241 Denhalter, Thomas NP 19 Dixie Regional Medical Center Drubin, Brittany NP 175, 176 Edwards, Susan MD 36 Dennison, Gretchen NP 49 376, 377 Duckett, Brittany NP 97 Egan, Brent NP Denny Ii, Gerald MD 200 Dixon, Tyler DO 11 Dudley, Kurt PT 302 34, 47, 177, 372 Dentino, Stamatios MD Doane, John MD 39 Duke, Cindy PHD 401 Egan, Kelly 146 384, 390 Docherty, Anna PHD Duke, Cynthia NP 172 Egan, Stacie NP 230 Denys, Douglas MD 280 384, 390, 396 Duke, Kevin DO 8 Egbert, Cameron DDS 257 Dependable Oxygen Company Dodds, David MD Dumas, Kimberly NP 228 Egbert, Jonathon 333 Inc 162 246, 247, 250 Dumitru, Samantha PT 315 Egbert, Patrick DC 134 Depew, Bruce MD 21, 26, 40 Dodds, Thomas MD 289 Duncan, Nicholas MD 34 Eggert, Mark 140 Depola, Michael PT 307 Donaldson, Mark MD 159 Dunn, Emily NP 94 Eggett, Michael 147 Deremer, Kathleen MD Donaldson, Richard DO Dunn, Jared MD 264 Eggleston, Darek DO 108 13, 106 89, 93 Dunning, Kyle MD 354 Eifling, Michael MD 136, 205 Derr, Michael DO 288 Donaldson, Stephen MD 252 Dunning, Lawrence PHD 399 Elhaddi, Adam MD 206, 207 Desano, Alison MD 232 Donigan, Jonathan MD 260 Dupont, Gregory MD Eliason, Eric DO 187 Desautels, Steven MD 185 Donohue, Megan MD 219 334, 335, 336, 337, 340 Eliason, Kyle MD 187 Duros, Peter MD 77 Deseret Medical 161 Dorius, Heather NP 177, 178 Elkington, Charles 152 Durrans, Robert MD 79 Desmond, Bryce DO 158 Doty, John MD 357 Eller, Alexandra MD 209, 210 Durtschi, Ronald MD 11 Devenport, Stephen MD 26 Doucette, Susan PT 293 Ellingson, Daniel 143 Dustin, Curtis NP 56, 57 Devries, Bradley 147, 148 Dougher, Robert PT 299, 300 Elliott, Richard MD 253 Duvernay, Patrice MD 219 Devries, Melissa PHD Douglas, John DO 268, 269 Elliott, Stevie CNM Dye, Joseph MD 401 382, 384, 386, 397, 398 Doxey, Adam DC 135 115, 116, 117 Eakin, Jeffrey MD 352 Dewey, Steven MD 80, 84 Doxey, Amy DC 135 Ellis, Diane MD 236 Earl, Darren 152 Dhar, Ritesh MD Doxey, Brett MD Ellis, Kaylyn MD 238 125, 126, 128, 129 181, 182, 183, 198, 199, 201 Earnshaw, Dallas NP 228 Ellis, Kurtis MD 109 Diaz, Jason MD 277, 278 Doxey, George MD 282 Eborn, Shana MD 36 Ellis, Tyler PT 306 Dickerson, Darin Doxey, Greg DC 135 Eckert, Jeffrey PT Ellsworth, John MD 372 140, 145, 148 Doxey, Thomas DC 135 298, 300, 306, 307, 308 Ellsworth, Patricia NP 173 Eddy, Janet MD 234 Dickerson, Jason DPM 327 Doyle, Sean DO Ellsworth, Ryan DPM 332 Eddy, Thomas DPM 326 Dickinson, Thomas MD 186 59, 67, 74, 82, 90 Empey, Joseph MD 285 Eden, Lacey NP 67, 177 Dickson, Landon MD Doyle-Delgado, Kacie NP 228 Ence, Bradford MD 281 211, 212, 213, 214 Ence, James 152

427 Index of Providers / Índice de Proveedores continued

Encompass Home Health Of Evans, Mary NP 2, 172 Fedor, Laurel MD 33 Fisher, Peter MD 371 Southern Utah 195 Evans, Matthew MD 346 Fedorchak, Diane CNM Fisher, William 145 Encompass Home Health Of Evans, William MD 101 112, 114 Flansburg, Deborah CNM 110 Utah Everett, Ethan PSYD 401, 402 Fehlberg, Amy PHD 384 Fleenor, Karen MD 236 193, 194, 195, 196 Evers, Reed MD 287 Felix, Brent MD 258, 259 Flinders, David MD 169 Engar, Kimberly 143 Exodus Healthcare Network Felix, Mitchell PT Flinders, Kurt MD 15, 108 Engelen, Megan DO 29, 36 Pllc 362 301, 304, 305, 308 Flinders, Mark PT 294, 295 Engelen, Robert DO Eyre, Michael MD 159 Feller, Ross MD 258, 264, 265 Flint, Ivan MD 158 288, 289, 290, 291, 292 Faber, David MD Fenton, Peter MD 182, 183 Flitton, Todd DPM 324 Engen, Todd MD 354 244, 247, 253 Ferguson, Bryce MD 338 Flores-Daboub, Josue MD 137 England, Edwin DO 26 Faerber, David 146, 150 Ferguson, Cory MD 103 Flynn, Robert 141 Englestead, Brady PT 297 Fair, Joseph PHD 398, 400 Ferguson, Scott 286, 287 Foisy, David APRN 180 English, Christopher MD Fairbanks, Grant MD 321 Ferlic, Elizabeth MD 369, 371 Foley, Craig MD 138 259, 260 Fairbanks, Jon 143 Fernandez, Oscar PT 302 Foltz, Logan MD 386 Entezari-Taher, Mohammad Faircloth, Erica MD 34, 53 Fernandez, Salvador MD 80 Fonnesbeck, Brant DO MD 222 Faizi, Sajid MD 381, 397 Ferney, Brandon MD 264 1, 4, 5, 7 Enz, Tatha NP 12 Falahati-Nini, Alireza MD Ferrell, Donna APRN Fonseca, Walstir MD 77 Epperson, Sally ARNP 24 34, 204, 205 174, 175, 176 Fonua, Siosi NP 33, 46 Epstein, Scott DO 26, 53 Fallentine, Julianne NP Ferrell, Robert 287 Foot, Laura MD 368, 369 Erekson, David 148, 150 32, 34, 85 Ferrin, Tricia DO 12, 101 Foote, Mark MD 384 Ericksen, Corey DO 11 Fang, John MD 184 Ferrone, Joyce NP 42 Foote, Stephen DO 15 Ericksen, David PHD 395 Fantle, David MD 219 Feurer, Matthew MD 183, 185 Forbes, Carolyn MD 57 Ericksen, Taylor 154 Farley, Chad MD 217 Field, Clinton PHD 379 Ford, Jonathan 155 Erickson, Kerri NP Farley, Duane MD 15 Fieldsted, Tyler DO 67 Forsey, Steven AUD 123 32, 37, 38, 83 Farley, Matthew MD 33 Fife, Jason DO 12 Forsha, Douglass MD 158 Erickson, Lea 145 Farmington Bay Dialysis Fillerup, Sharon MD 15 Forstall, Peter MD 124, 133 Erickson, Louis 145 Center 163 Fillmore, Randall MD 53 Forsyth, Marlin PT 294 Erickson, Randall PT 319 Farney, Robert MD Filloux, Francis MD 224, 225 Forsyth, Randy PT 297 Erickson, Scott MD 9 334, 335, 336 Findley, Gary 143 Forsyth, Tori PT 297 Erickson, Ty MD 29 Farnsworth, Cheryl PT 305 Finlayson, Terry MD 274 Foss, Cassandra MD 231, 237 Erkelens, Nicole NP 227, 230 Farnsworth, David MD 13, 18 First Med 360 Foster, Carla MD 9, 166, 360 Eror, Alec MD 358 Farrer, Rhett PT 315 First Med 362, 363 Foster, Gary 138 Esparza, Jose NP 56 Farrukh, Imad MD 336 First Med 362 Fowles, Robert MD 126 Esplin, Brandt MD First Med 363 191, 192, 199, 204 Fassio, John MD 249 Fox, Benjamin MD 216, 218 Firszt, Rafael MD 119 Esplin, Dave PT 315 Fast, Andrew PT 305 Frame, Joshua DO 99 Firth, Elizabeth PHD 401, 402 Esplin, Douglas MD Faucett, Clyde MD 103 Frame, Richard MD 210 Fischer, Aaron PHD 388, 390 23, 167, 362 Faucett, Gretchen CNM Francis Jr, Joseph MD 15 Fischer, Roxina NP 103 Esplin, Michael MD 110, 112 Francis Jr, William DO Fischer, Virginia NP 99 232, 234, 236 Faux, David MD 7 59, 64, 67, 74, 82 Fisher, Jennifer CNP 172, 229 Francis, Karl MD 374 Esplin, William DO 99 Faux, Jonathan MD Fisher, Kerry MD 349, 350 Francis, Kristin MD 388, 391 Evans, Mary NP 85 269, 270, 271 Fawcett, Tina NP 227 Fisher, Mahana MD 95, 97, 99 Francis, Kurt MD 334, 335

428 Index of Providers / Índice de Proveedores continued

Francis, Michael DO 7 Gaertner-Crison, Gretel Gawlick, Ute MD 137 Godderidge, Jeremy 141 Francis, Paul 287 DPM 324 Gay, Nathaniel NP 53 Goebel, Christiaan DPM Francis, Ryan NP 85 Gainer, Julie DO 209 Gee, Christopher MD 326, 327 Francom, Austin NP 44 Galbraith, Brianne NP 26, 29 249, 251 Goff, David MD 358 Francom, Mark NP 44 Gale, Michael MD 94 Gelb, Richard MD 207 Goff, Megan PT 296 Frandsen, Brian 147 Galli, Vanessa MD 56 Geller, Amalia MD 223 Goff, Mitchell MD Frandsen, Tracy MD 76, 93 Galt, Spencer MD 373, 374 George, Dallas DC 133 245, 247, 253 Frank, Matthew SLP 342, 343 Gamble, Christopher MD 24 George, Dan DC 133 Goff, Nathan PT 317, 318, 319 Frantz, David MD 185, 186 Gamble, David NP Gerard, Claudia CNM Goff, Paul NP 15, 53 Frazier, M Shane DO 271 175, 177, 180 113, 114 Gohari, Mina MD 25, 44 Frech, Edward MD 183 Gamboa, Maricela PSYD 393 German, Lindsey CNM 113 Gold, Nephi OT 241 Freedman, Roger MD 127 Gandolfi, Roy MD 40 Gesteland, Katherine MD 209 Golding, Brady NP 99 Freeman, Eric MD 284, 285 Gange, Steven MD 371 Geurts, Gerald PT Goldstein, Samuel PHD 384 Freeman, Rachel NP 229 Gangwer, Nickolas DO 103 301, 304, 305, 308, 309 Gontrum, David MD 47 Freestone, Allen MD 9 Gantz, Kathryn SLP 342 Gibb, Randal MD 281 Gonzales, Cathy NP Freestone, Zachary DO Garcia, Brittany AUD 123 Gibbins, Karen MD 232, 234 226, 227, 228 214, 215 Gardiner, James MD 263, 268 Gibbons, Jeremy DC 133 Gonzales, Chad MD 187 Frei, Rhett DO 99 Gardiner, Jeffrey DO 252 Gibson Morales, Christina Gonzales, Gloria MD 40 Frenette, Julie CNM 112, 113 Gardner, Blake MD 131 NP 1 Gooch, Judith MD 290 Frieden, Derek MD 284, 285 Gardner, Ellen MD 20 Gibson, Brandt DPM 328 Goodger, William MD 97 Frischknecht, Julie NP 226 Gardner, Jonathan MD 2 Gibson, Jonathan MD 189 Goodman, Gordon MD Fritzler, Camille PT 317 Gardner, Kent MD 282, 323 Gibson, Natalie NP 1, 4, 5, 7 164, 201 Frost, Colby DPM Gardner, Kevin MD 15 Gibson, Sean PT 308 Goodman, Greg MD 373, 374 323, 324, 325, 331 Gardner, Paul MD 217 Gilbert, Kevin MD 277 Goodman, Kenneth DC 135 Frost, Garrett 154 Gardner, Ricky MD 1, 3 Gilbert, Michelle MD 190, 192 Goodrich, Gary PHD 381 Frost, Rachelle NP 85 Garg, Vikram MD 181 Gilbert, Ryan MD 279 Goodwin, Isak MD 321 Fuentes Valdes, Johanna MD Garner, Gary MD 196 Gill, Brian MD 354 Gordon, Anthony MD 267 67 Garr, Robert DO 124 Gillespie, Daniel PT 315 Gordon, Christopher MD Fuhriman, Joshua PT 298 Garrard, Steve NP 77, 85 Gillette, Blake MD 272 345, 346 Fuhriman, Ryan PT 298, 303 Garrett, Kelly PHD Giovanniello, Michael MD Gordon, Dennis MD 268 Fulghum, Kelley MD 34 384, 386, 397 288 Gorman, Darcie MD 33, 200 Fuller, Dianne NP 37, 48 Garrett, Todd MD 19, 20 Givogue, Elizabeth OT 238 Gorman, Troy MD Fuller, Gene MD 39 Garrison, Andrew MD 32, 37 Gleed, Kent MD 136, 204 262, 263, 264 Fullmer, Che'lyn CNM Garry, David MD 354 Glenn, Clair MD 85 Gottfredson, Bryan 143 113, 114 Garvey, Sheila MD 355 Glotzbach, Jason MD 357 Gottfredson, Gary OT 241 Fullmer, Larry PT Garza, Reed MD 159 Glover, David DPM 331 Goucher, Nicholas MD 274 298, 300, 306, 307, 308 Garzon, William NP 38 Goates, Brad MD 5, 166, 360 Goudie-Nice, Julie PHD 403 Fullmer, Mark 152 Gasser, Brian NP 80, 93 Goble, Deserae MD Gould, Betty NP 19, 95, 97, 99 Fulton, John PHD 383, 394 Gatenby, Russell PT 310 4, 7, 8, 166, 360 Goupios, Peter 140 Fults Iii, Daniel MD 217 Gochnour, Gregory MD 103 Gates, Jared NP 227 Goupios, Robert 140 Furness, Todd DO 21 Gociman, Barbu MD 321 Gatherum, Daren DO 231 Gourde, Theresa MD Fyans, Joseph MD 290 Godderidge, Bruce 139 Gaufin, Lynn MD 217 26, 49, 53

429 Index of Providers / Índice de Proveedores continued

Gourley, David MD 119 Gregory, Kent PHD 387 Gunnerson, Allen DO Hammer, Amy PT Gourley, George DO 86 Grieve, Brandon 142 181, 186 300, 301, 306 Gouttsoul, Alexander PA Griffeth, Michael MD 251 Gunther, Jonathan MD Hammer, Jarrett DO 80 168, 319 Griffin, Brent MD 400 251, 252, 255 Hammon, Daniel MD 355 Gouw, Launce MD 242 Griffin, Claire MD 373 Gurgel, Richard MD 283 Hammond, Gregory MD Graff, Carol NP Griffin, David MD 357 Gurrister, Maria SLP 343 198, 200, 201, 203, 334, 335, 59, 67, 74, 82, 90, 178, 179 Griffiths, Benjamin 149 Gurrister, Thomas SLP 343 336, 337 Graham, Stanley MD 101 Grimmer, Johannes MD Gutierrez, Blake 153 Hammond, Richard DO Graham, Wayne DO 86 278, 279, 280 Haberle, Tyler MD 99 224, 341 Grames, Chase DO 171, 172 Griner, Devan MD 321, 322 Hacking, Scott MD 127, 128 Hammond, Terry MD Grams, Raymond DO 223 Griswold, Jennifer NP 34 Hadley, Jason MD 156, 160 214, 215 Grange, Timothy MD Grogan, Margaret NP 44 Hadley, Michael MD 155, 156 Hamp, Dennis DO 53 288, 290 Gronseth, Margrit NP 228 Hafen, David MD Hampton, Emily SLP 342 Grant, Lance 151 Grose, Kendall MD 290, 291 60, 67, 68, 74, 82, 91 Hamula, Jason MD 29 Grant, Todd DC 133 Grover, Bruce MD 84, 89 Hafen, Mark DO Hancey, Brian MD Grantz, Matthew MD 221 Grover, Julie MD 86 60, 68, 74, 82, 91 54, 169, 363 Hagemeyer, Matthew MD Grasu, Beatrice MD Grover, Steven MD Hancey, Matthew MD 321 258, 264, 265 235, 236, 341, 342 103, 105 Handley, Amy NP 60, 86 Graul, Elizabeth MD 190 Groves, Jeffrey MD 218, 223 Haider, Zehra MD 103 Hanger Clinic 162 Gravelle, Lisa MD 233 Grua, James MD 164, 165 Hale, Benjamin 153 Hanger Clinic 161 Gray, Carl MD 190, 193 Grubb, Michelle CNM Hales, Daryl DC 133 Hanger Clinic 161 Gray, Krista NP 111, 115, 116, 117 Hales, Reid MD 29 Hanger Clinic 162 60, 64, 67, 74, 82, 91 Grunander, Megan MD 355 Hall, Aaron PT 301, 302, 309 Hanks, Mercedes 155 Grazulis, Diana MD 42 Grunander, Todd MD 274 Hall, Jason PT 310 Hanna, Allison DO 9 Greaves, Kimberly NP 12 Gubler, David MD 44 Hall, Joshua PT 300, 301, 306 Hanni, Kevin PT 317 Green, Brandon MD 286 Gubler, Katrina CNM 118 Hall, Michael MD 68 Hannon, Ann APRN 227, 370 Green, John Gubler, Matthew PT 303 Hall, Michael MD 274 Hanseen, Ross MD 263 142, 144, 146, 148, 151 Gubler, Troy PT 315 Hall, Richard MD 103, 172 Hansen, Brooke MD 230, 232 Green, Matthew MD 355, 356 Guenter, Robert 151 Hall, William PHD 399, 400 Hansen, Colby MD 289 Green, Michael DO 288, 289 Guerra, Carlos MD 34 Halladay, Kim DPM 328 Hansen, Daniel DO 156, 160 Green, Michael MD 273 Guerra, Paula MD 39 Hallenborg, Carl MD 338 Hansen, Douglas 143 Green, Patrick MD 57 Guitarrari, Carolina NP 38 Haller, Justin MD 265 Hansen, Heather 154 Greenhalgh, Jonathan Gulbrandsen, Erik DO 86 Hallett, Christopher PSYD Hansen, Jason MD 157 154, 155 Gull, Justin MD 278 393 Hansen, Jason MD 99 Greenhalgh, Susan APRN 175 Gullett, Shannon MD 387 Hamblin, Kelly DPM Hansen, Kellen DO 346 Greenlee, Carol CNM 116 Gulso, Gregory DPM 332 326, 327, 328 Hansen, Mark MD 348 Greenwood, Brandon PT 293 Gummersall, Dawn SLP 343 Hamblin, Todd NP 60, 86 Hansen, Matthew MD 24, 44 Greenwood, Lyle DO 25 Gundersen, Shaun NP 57 Hamilton, Blake MD 370 Hansen, Matthew PT 306 Greenwood, Mark MD 50 Gunn, Harold DC 134 Hamilton, Carlie NP 21 Hansen, Orrin NP 68, 178 Gregg, Xylina MD 191 Gunn, Ryan 142 Hamilton, Sanford MD Hansen, Randall DO 95 Gregoire, Richard MD Gunnell, Clayton 139 280, 281 Hansen, Scott MD 234 11, 37, 101 Hansen, Vincent MD 210

430 Index of Providers / Índice de Proveedores continued

Hanson, Eric 152 Harris, Ted PHD 395 Hearts For Home Health - Heritage Care Center 378 Hanson, Hugh SLP 344 Harrison Pointe Healthcare & American Fork 194 Heritage Park Care Center Hanson, Joel MD 397 Rehabilitation Center 378 Hearts For Home Health - 378 Hanson, Nathan MD 155, 160 Harrison, Heather DO 86 Murray 194 Herold, Richard MD Hanson, Nicholas 29 Harrison, James PT 299, 306 Hearts For Home Health - 13, 44, 106 Hanson, Tyler PT 302 Harrison, Jeffrey MD 274 Ogden 196 Hersh, Allison PHD 388, 391 Hanyak, Eric PT 293 Harrison, Reid MD 26 Heartwood Home Health Hess, Camber NP Harb, Tareq MD 208 Harrison, Tye DO 344 194 60, 64, 68, 74, 82, 91 Harbrecht, Chris DC 134 Hart, Darrell PHD 388 Heaston, Sondra NP Hess, Christian MD 244 Hardenbrook, Spencer MD 21 Hartle, Aaron NP 94 60, 64, 68, 74, 91 Hess, Jessica NP 106 Hardin, Dana MD 97 Hartman, Albert MD 104 Heath, Steven MD 24 Hesse, Toni MD 388, 391 Hardman, Joshua MD Hartmann, Morgan PT 298 Heath, Terence MD 20 Hiatt, Jared DO 109 60, 64, 68, 74, 82, 91 Hartnett, Mary MD Heaton, Brian MD 372 Hibbard, Julie MD 12, 13 Hardman, Lara MD 340 246, 248, 250, 252, 254, 255 Hebert, Andrea MD 233 Hibbert, Daniel MD 369, 371 Harker, David MD 348 Harvey, Matthew NP 188 Hedin Goldsmith, Kristina NP Hicken, Gregory MD Harker, Lyssandra SLP 342 Harward, Aaron PT 315 34, 190, 227, 375 258, 259, 272, 274 Harker, William MD 191 Harward, Kory DO 77, 84, 86 Heflin, John MD Hickman, Joshua MD Harkness, Gordon MD 86 Harward, Lisa NP 188 259, 260, 262, 263, 265, 266, 263, 264 270, 273, 274 Harkness, James MD Harward, Marnae CNM Hicks, Tyler 143 Heid, Ashley 150 125, 126, 128, 129 113, 116 Higbee, Daniel MD 258, 275 Heiner, Andrew MD 185 Harkness, Robert NP 178 Harward, Roger PT 315, 316 Higginbotham, Thomas MD Hellewell, James MD 166, 167 Harmer, Elizabeth CNM Haskett, Sean MD 60, 68, 91 259 Helms, Erin MD 56 115, 116, 118 Haslam, Valynn NP 86 Higgins, Kimberly MD 104 Hemmersmeier, John MD Harmon, Hal MD 29 Haslem, Bryce MD 186 Higgins, Thomas MD 265 13, 104, 106 Harmon, Steven MD 26, 49 Haslem, Derrick MD 241, 242 Highland Care Center 378 Hendershot, Richard MD Harmston, Catherine NP 108 Hatch, Darren 152 Highland Ridge Hospital 376 119, 120 Harmston, Gordon MD 183 Hatch, Jennifer PSY 380 Hilbig, Clarke MD Henderson, David MD 368 Harp, Jennifer PT 295 Hatch, Jeremy 152 182, 185, 199, 203 Henderson, Sean DO 372 Hill Garrett, Karen MD 42 Harper, Spence DPM 333 Hatch, Joseph MD 245 Henderson, Stephanie MD Hill, Bruce MD 353 Harrie, Roger MD 245, 246 Hatch, Mark MD 262, 267 233 Hill, David MD 278 Harris, Allison NP 34 Hatfield, Gregory PT 303 Hendriksen, Nathan AUD Hill, Gina NP 174 Harris, Chad 139 Haun, Tiffanie NP 101 122 Hill, Graham DO 289 Harris, Dixie MD Hawkins, Grant MD 50 Hendrix, Jason MD Hill, Justin MD 277 336, 337, 340, 341 Hawks, Amy APRN 77, 86 Harris, Emily PHD 383, 395 253, 254, 255 Hill, Lisa MD 49, 79 Haws, Charles MD 127, 128 Harris, Gary MD 3 Hendry, Travis MD 260, 274 Hill, Mark MD 244 Haws, Steven PA 29 Harris, Jori SLP 343, 344 Henich, Casey MD 40 Hill, Robert MD 24 Hayes, Heather PT 302 Harris, Katherine MD Heninger, Cameron 149 Hill, Tracy MD 337 Hayes, Randall DC 134 189, 233 Heninger, Spencer DPM 323 Hill, Von PT 298, 314 Hazzard, Sandra NP 9 Harris, Marcus DO Henry, Dan MD 36 Hillstead, Alan MD 284, 285 Heairld, Melanie APRN 375 3, 7, 166, 172 Hepworth, Paul MD 169, 364 Himelright, Lance PT 316 Healey, Curtis MD 15 Harris, Naomi PT 317 Heras, Heidi MD 280 Healey, Michael DO 86

431 Index of Providers / Índice de Proveedores continued

Hinckley, Michael MD Holt, Debbie OT 238 Howard, Dnell NP 3 Hunsaker, Jesse MD 251 157, 158 Home Health Specialists Llc Howard, Hugh 152 Hunsaker, Nikelle PT Hines, Gordon OT 240 193, 194, 195 Howard, James MD 298, 303 Hingley, Elizabeth NP 180 Home Health Specialists Llc 242, 244, 252 Hunsaker, Tanner 138 Hinkle, Jack DO 97 194 Howe, David MD 263, 267 Hunt, John MD 29 Hinton, April 147 Home Health Specialists Llc Howey, Susan MD 236 Hunt, Tyler 139 Hirai, Stanford PT 195 Hoyal, James DPM 329 Hunt, Wilson PA 3, 258, 319 298, 300, 306, 307, 308 Homewood, Virginia MD 40 Hoyt, Wendy PHD 394 Hunter, Bart NP 99 Hirning, Patrice MD 29, 32 Honey, Ronald OT 238 Hronek, Anna DPM 324 Hunter, Joshua MD Hite, Rozalynn OT 239, 240 Hood, Julia Ann PHD 391 Hua, David MD 57 259, 260, 263, 267 Hobbs, Rachel MD 15 Hooda, Pragati MD 24 Huan, Mengjing MD 219 Hunter, Judd NP 69, 86, 178 Hobson, Paula NP Hooley, Eric MD 259 Huang, Preston 150 Hunter, Robert MD 278 174, 177, 178 Hooper, Ruth NP Huang, Xiao Li 148, 154 Huntington, Gavin 151 Hobusch, Frederick PT 306 60, 64, 68, 74, 82, 91 Hubbard, Jonathan DO Huntsman, Kade MD Hoda, Daanish MD 192 Hoopes Jr, Phillip MD 99, 101 266, 273 Hodo, Laura MD 9, 37, 48 245, 248 Hubbard, Kelly MD 155 Huntsman, Steven Hoesch, Robert MD 223 Hoopes Sr, Phillip MD Huber, Brad MD 158, 159 141, 148, 149 Hoffman, Gregory MD 245, 248 Hudak-Rosander, Cristina Hurlbut-Miller, Peter MD 50, 168, 363 Hoopes, Daniel MD PHD 384, 388, 391 245, 247, 253 Hoffman, Michael MD 268, 269, 271 Huddleston, Jason MD 60 Hurricane Dialysis Center 263, 266, 269, 271 Hooton, Josh NP Huff, Daniel DPM 164 Hoffman, Robert MD 34, 47, 68, 89 323, 326, 328 Hurst, Barbara MD 35 246, 248, 250, 252, 254, 255, Hooton, Kelly NP 178 Hurst, Craig MD 15 256 Huff, Karen OT 239 Hope, Dereck PT 294, 295 Husain, Saima MD 132 Hofmann, Aaron MD Huffaker, David 140 260, 263, 266, 268 Hopkin, Dustin DDS 257 Huffaker, Ford 140 Husain, Syed MD 357 Hogan, Eric DO 11 Hopps, Kenneth PHD 396 Huffaker, Todd 140 Hutchinson, Anne MD 104 Hogenson, Eric MD 76, 93 Horani, Jamal MD 198 Huffman, Jeffrey MD 7 Hutchinson, Douglas MD 265 Hoggard, Timo MD Horrocks, Bradley PT 314 Huggins, Leslie NP Hutchison, Christopher MD 60, 68, 74, 82, 91 Horsley, David MD 10 60, 64, 68, 69, 74, 82, 91 26, 54 Hogge, Jennifer AUD 122 Horsley, Ernest DO 7, 230 Hugh Ferguson, Robert MD Hwang, Chun MD Hohl, Justin MD 261, 266, 273 Horvath, Susan MD 44, 68 321 130, 131, 136, 204 Holland, Grant MD 132 Horwood, Keith MD 47 Hughes, Melanie NP 3 Hyatt, Thomas DO 86 Hollifield, Rodney MD 254 Houden, Timothy MD 286 Hugunin, Jane PT 316 Hyldahl, Douglas MD Hollingsed, Timothy MD 352 Hougaard, Joni MD 54 Hugunin, Ted OT 241 1, 4, 5, 7 Hollingsworth, Martin MD 51 Houle, Kim NP 86 Hulet, Gary 150 Hyngstrom, John MD 356 Hollis, Randi NP 174, 175 Houpe, Robin MD 106 Hulse, Benjamin 151 Icare Home Health & Hospice Holmes, Britt PHD House, Paul MD 216 Humpherys, Benjamin DO Llc 195 384, 388, 391 Housekeeper, Jaime PHD 399 287, 288 Ihc Health Services Inc 367 Holmes, Stephanie MD Housel, Darren MD 107 Humpherys, Scott DPM 329 Ihc Health Services Inc 360 260, 262, 265 Housley, Mark MD 102 Humphrey, Kerryann OT 241 Ihc Health Services Inc 360 Holmgren, Calla MD 209 Housley, Michael MD 166 Hunn, Jessica MD Ihc Health Services Inc 367 Holt, Ben MD 381, 403 Howard, Bruce 141 189, 233, 234 Ihc Health Services Inc 367

432 Index of Providers / Índice de Proveedores continued

Ihc Health Services Inc 362 Iverson, Vern 153 Jenkins, Michael 144 Johnson, Cheryl MD Ihc Health Services Inc 361 Ivester, Charles MD 205, 338 Jenkins, Rusty PT 61, 69, 74, 82, 91, 169, 170, Ihc Health Services Inc 367 Ivy Lane Pediatrics Inc 196 296, 318, 319 171, 364, 365, 366 Ihc Health Services Inc 368 Iyer, Varsha MD 384, 391 Jenkinson, Jennifer Lynn NP Johnson, Clark MD 381 Ihc Health Services Inc 363 Jack, David MD 21, 44 69 Johnson, Curtis MD 355, 356 Ihc Health Services Inc 366 Jackman, Jennifer SLP 343 Jennings, Cameron MD 354 Johnson, Cyndia CNM Ihc Health Services Inc 368 Jackman, Kyle DO 108 Jensen, Aaron 147 112, 118 Ihc Health Services Inc 366 Jackman, Vicki APRN 175 Jensen, Benjamin PT 311 Johnson, David 143 Ihc Health Services Inc 366 Jackson, Alan MD 247 Jensen, Brandon Johnson, Dayne PA 261, 319 Ihc Health Services Inc 364 Jackson, Andrea NP 27, 49, 54 143, 151, 152 Johnson, Evan PT 296 Ihc Health Services Inc 361 Jackson, Caleb NP 44 Jensen, Daniel 141 Johnson, Gary MD 369, 370 Ihc Health Services Inc 362 Jackson, Eileen MD 86 Jensen, Jeffery 286, 287 Johnson, Jason MD 30, 44, 69 Ihc Health Services Inc 362 Jackson, Heather MD 36 Jensen, Jennifer CNM Johnson, Jefferey 149 Ihc Health Services Inc 363 Jackson, Richard MD 269, 271 111, 114 Johnson, Jeffrey DPM 327 Ihc Health Services Inc 360 Jackson, Robert MD Jensen, Joseph DO 349 Johnson, Jeffrey MD 61, 87 Ihc Health Services Inc 364 269, 270, 271 Jensen, Joseph MD 10 Johnson, Kevin MD 54 Ihc Health Services Inc 361 Jackson, Sarah NP 33, 42 Jensen, Josi CNM Johnson, Lauren PT 298, 303 Ihc Health Services Inc 366 Jackson, Steven MD 247 115, 116, 118 Johnson, Leeann NP 47 Ihc Health Services Inc 367 Jackson, William MD 87 Jensen, Kevin MD 233, 235 Johnson, Luke MD 157 Ihc Health Services Inc 364 Jacob, Joseph MD 282 Jensen, Mark MD 322 Johnson, Lynn 143 Ihc Health Services Inc 361 Jacob, Scott MD 77, 84 Jensen, Natalie NP 87 Johnson, Mandy NP 27, 30 Ihc Health Services Inc 363 Jacobs, Tammy MD 120 Jensen, Ralph MD 124, 131 Johnson, Marc MD 16 Ihc Health Services Inc 362 Jacobs-Peterson, Lu Ann NP Jensen, Randy MD 217 Johnson, Mark MD 43 Imani, Jahan MD 224 61, 69, 74, 91 Jensen, Stewart 138 Johnson, Mark MD 50 Indahyung, Ruth MD Jacobsen, Greg MD 160 Jenson, Kraig MD 159 Johnson, Matthew MD 37 211, 212, 213, 214, 215 Jacobson, Bruce PHD 396 Jeppsen, Paul MD 247 Johnson, Michael MD 267 Ingersoll, Jenna MD 38 Jacoby, Rachael MD 248, 253 Jepsen, Matthew MD 277 Johnson, Nicholas MD 220 Inglese, Christopher MD 221 Jaffe, Michael MD 289 Jerome, Peggy NP 227 Johnson, Nicole NP 5, 30, 39, 51, 77, 97, 104 Intermountain Medical Center James, Mary MD Jiricko, Audrey MD 231, 237 376 Johnson, Nylin PT 384, 396, 397 Johansson, Julia MD 107 294, 295, 296, 317 Iqbal, Ronak MD 40 Janowski, Wojciech MD 338 John, Jerry MD 132 Johnson, Richard DO 190 Iqbal, Suleman MD 341 Jansen, Kevin MD Johncock, Sarah PT 295 Johnson, Richard 139, 141 Ireland Hinz, Heather OT 239 211, 212, 213, 214, 215 Johnsen, Jordan NP Johnson, Sara NP Iron Mission Dialysis Center Jaussi, Walter MD 254 29, 172, 174, 176, 177, 178, 24, 40, 174, 176 163 Jay Jr, Rodney MD 345 179, 180 Johnson, Sheldon DO 51 Irvin, Amy OT 238, 239, 240 Jayne, Russell MD 254 Johnson Julian, Annice PSYD Johnson, Sherman MD 33, 47 Isaacson, Bruce MD 7 Jee, Kenneth MD 260 394 Johnson, Steven MD 16 Ishaya, Josephine NP 102 Jeffery, Ryan DC 133 Johnson, Andrew 147 Johnson, Timothy MD 35 Isom, Casey MD 320, 322 Jenkins, Darren DO 52 Johnson, Annette CNM Johnson, Wayne DC 134 Isom, Ryan MD 245, 247, 252 Jenkins, Hans DO 12, 107 112, 113, 114 Johnston, Arlene NP 80 Itaaehau, Melissa PT Jenkins, Jonathan MD 8 Johnson, Benjamin PT 316 Joiner, David PT 302 294, 296, 318, 319 Jenkins, Katherine NP 16 Jolley, Chris 151

433 Index of Providers / Índice de Proveedores continued

Jolley, Curtis PT 294, 295, 316 Judd, Robyn PT 297, 318, 319 Kerbs, Alan PT 297 Kious, Brent MD 391 Jonat, Alana MD 38 Judson, Patricia MD Kernan, Ashley MD 10 Kirby, Anna NP 94 Jones, Aaron 150 16, 30, 54, 189, 231, 234 Kerr, Lynne MD 217 Kirby, Karl MD 44 Jones, Alan DO 283 Julien, Craig MD 11 Kershaw, Adam PT 300, 306 Kirk, Stephen MD Jones, Brenda MD 253 Julien, Katie MD 51 Kesler, Christopher DC 134 30, 49, 167, 168, 362, 363 Jones, Christopher MD Junejo, Nazia MD Kestle, John MD 217 Kirkham, Mark MD 13 35, 201 203, 213, 214 Keyser, Jeffrey MD 275 Kirkham, Michael MD 12, 16 Jones, Douglas MD 87 Kal Medical Supplies Inc 161 Kfoury, Abdallah MD Kitterman, Ryan DPM 332 Jones, Douglas MD 118, 119 Kalaba, Slobodan MD 30 48, 128, 202 Kjar, Joseph MD 320 Jones, Evan DO 91 Kalva, Girish MD 24 Khachatryan, Armen MD Klein, David MD Jones, Jamison MD 226 Kam, Jared MD 87 268, 273 334, 335, 336 Jones, Julie CNM 114 Kamalu, Layne MD 12 Khan, Qamar DO 290 Kline, Michael MD 334, 338 Jones, Justin MD 77, 82, 87 Kammeyer, Steven MD 104 Khan, Sohail MD 206 Klomp, Steven MD 320, 322 Jones, Kent MD 357 Karnam, Umaprasanna MD Khodakov, Yuri MD 208 Knight, Samuel 153 Jones, Kevin MD 262, 265 182, 183, 185 Kidder, William 144 Knowles, Jeremy OT 238 Jones, Linda NP 180 Karr, Jennifer NP 77, 84 Kieryn, Anne MD 353 Knowlton, Alisa MD 10 Jones, Megan NP Karwande, Shreeka MD Killebrew, Claudia CNM Knudsen, Victoria MD 174, 175, 180 356, 358, 359 115, 116, 117, 118 242, 244, 247, 252 Kocherhans, Jeff PHD 387 Jones, Michael MD 51 Kasteler, Douglas MD 10 Killpack, Michael MD 30 Koenen, Linda NP 16 Jones, Robert MD 184 Kastenberg, Zachary MD 321 Kim, Benjamin MD 350 Koldyke, Brian NP 99 Jones, Ryan DO 51 Katwal, Arabindra MD Kim, Hyong MD 137 Kolff Dialysis Center 163 Jones, Ryan MD 235 205, 208 Kim, Ji MD 77 Kolob Regional Care & Jones, Shane NP 179 Katz, Charles MD 279 Kim, Robin MD 351 Rehabilitation 378 Jones, Steven DPM 325 Kawa, Chad MD 185, 186 Kimball, David DO 69 Konopa, Kelly MD 192 Jones, Thomas MD 99 Kazmers, Nikolas MD 258 Kimball, Gordon MD Konopacki, Kelly PHD Joos, David MD 268, 271, 272 Keate, Virgil PHD 381 263, 267 384, 391 Jordan Valley Medical Center Keefe, Chris 146 Kimball, James MD Korbanka, Juergen PHD 399 376 Keeffer, Matthew 140 386, 388, 397 Kottsick, Summer NP 3 Jordan Valley Medical Center Keeshin, Susana MD 197 Kimball, Kirt MD Kotwal, Pinky MD 21 West Valley Campus 376 Keller, Alan PT 314 269, 270, 271 Kovacs Goldberg, Michele Jordan, Edward MD 355 Kelly, Elizabeth MD 119 Kimball, Sharilyn NP MD 28 Jorgensen, Branden PT 307 Kelly, Steven MD 61, 64, 69, 75, 82 Kimberly, Megan CNM 112 Kraiss, Larry MD 373 Jorgensen, Mark MD 11 276, 277, 278, 279, 280 Kemmochi, Tomohiro PHD King, Ann MD 167, 168 Krebs, Jennifer CNM Joseph, Laurene MD 384, 391 King, Bari NP 54 115, 116, 117, 118 25, 39, 44 Kendall, Stephan MD King, Bryan MD 259 Krebs, Trinette PT Joseph, Ronald MD 184 191, 200, 210 Kinghorn, Jennifer MD 310, 311, 312, 313, 314 Jost, Denise NP 227, 228 Kreitschitz, Sebastian MD 391 Kendell, Patrick MD 16 233, 235 Joy, Elizabeth MD 345 Kriesel, John MD 198 Kennedy, Michael MD Kingston, Merrill PHD 382 Joyal, Jeremy MD 286 Krishnamurthy, Chaya MD 61, 69, 75, 82, 91 Kinikini, Liana NP 54 Juarez, Valerie CNS 87 182, 184, 199, 201, 202 Kenwood, Bruce DO Kinmont, Maria NP 16 Judd, Andrew MD 80 Krull, Angela Marie MD 288 125, 126, 129, 130, 206, 207 Kinne, Robert MD 171, 292 Judd, Angela MD 238 Krutka, April DO 172

434 Index of Providers / Índice de Proveedores continued

Kuchenmeister, Joseph Lapine, Armond MD Last, George MD 95, 171, 367 Lemke, Katherine NP 87 154, 155 125, 126, 129 Later, Robert MD 50 Lenthe, Mark DO 12, 16, 18 Kunkel, Mindee NP Lapine, John 145 Latimer, Noall PT 299 Leon-Forero, Carlos MD 173, 174, 176 Lappe, Donald MD Lau, Glen MD 370 204, 205, 215 Kunzer, Elizabeth PT 301 125, 126, 128 Lau, Sey MD Leonard, Ryan DO 279 Kuo, David MD 42, 44 Lapray, Christopher PT 302 198, 200, 201, 203, 204, 211, Leschke, Kurt PT 296 Kuwahara, Lisa MD 30 Laraway, John MD 236 212, 213, 214, 215 Lesser, Carina NP 54 Kuwahara, Melvin MD 183 Larimer, Sophia NP 78, 84 Lawlor, Cynthia MD 25, 45 Lesser, Rosemary MD 104 Kvarfordt, Tracy MD 97, 236 Larkin, Brian DO 168 Lawrence, Brandon MD 265 Lettich, Alyssa MD 219 Kwan, Katrina PHD 388 Larochelle, Marissa MD Lawrence, Kari MD 235, 236 Leung, Daniel MD 198 Kwok, Alvin MD 321 245, 249 Lawrence, Kristi NP 37 Lever, Jackson MD 255 Kwun, Robert MD Larose, Benjamin DO 18 Layton Family Medicine 361 Levine, Rebecca MD 51 242, 244, 252 Larsen Jr, Robert PT 294 Layton, Miles DO Levitt, Jodie MD 216 Laffely, Nicholas MD 124, 131 Larsen, Bruce MD 108 61, 69, 75, 91 Levy, Alyssa PHD 382 Laine, Hannele MD 230, 232 Larsen, Bryan MD 181 Layton, Monte DC 134 Lewis, Aaron 142 Lajom, Jeanne PT Larsen, Clint DPM 325, 327 Lazernick, Samara MD 57 Lewis, Amanda NP 179 298, 300, 306, 307, 308 Larsen, David MD 39 Lazzara, Jennifer NP 375 Lewis, Brandon PT 307 Lake, Elyse NP 46, 54 Larsen, Garon 147 Lds Hospital 376 Lewis, David MD 242 Lakeside Dialysis Center 163 Larsen, Greg NP 180 Le, Dinhkim MD Lewis, Gina MD 385 350, 351, 352, 353, 354 Lakeview Endoscopy Center Larsen, Kenna MD 258 Lewis, John PT 297, 300, 305 Leaver, Benjamin 141 121 Larsen, Kenneth MD 234 Lewis, Mark MD 30 Leavitt, Jarin MD 18 Lakeview Hospital 376 Larsen, Mitchell MD Lewis, Mark MD 191 Leckman, Scott MD 352 Lam, Gon NP 48, 97 269, 270, 271 Lewis, Mark 147 Ledingham, Debra NP 375 Lamalfa, Toni CNM 113 Larsen, Nicholas MD 273 Lewis, Randal MD Lee, Diana CNM Lambert, Brian PT 312, 315 Larsen, Royce PT 297 24, 47, 167, 168 115, 116, 117 Lambert, Jeff 143 Larsen, Ryan MD 368 Lewis, Ryan DO 354 Lee, Justin MD 235, 236 Lambert, Linda NP 227 Larsen, Scott MD 102 Lewis, Shane MD 352 Lee, Mark MD 35 Lammi, Kirk DO 104, 107 Larsen, Steven NP 46, 54 Lewis, Wesley MD 42 Lee, Monica PT 309 Lamoreaux, James MD Larsen, Todd 144 Li, Tao MD 292 Lee, Muriel PT 303 61, 69, 91 Larson, Alexander MD Liberty Dialysis - Layton 163 Lee, Seung Yoon MD 339 Lamoreaux, Nicole NP 179 104, 107 Liberty Dialysis - West Jordan Lee, Suzanne MD 2 Landau, Stewart MD 372 Larson, Anthony 139 Llc 163 Lee, Todd 150 Landgren, Tyler PT Larson, April MD 160 Libre, Kenneth MD 56 Leeflang, Canessa NP 22, 87 297, 318, 319 Larson, Brad MD 258, 259 Lidtke, Marcia NP 178 Lehman, Damien NP 57, 58 Landmark Hospital Of Salt Larson, Bryan 140 Lieu, Kevin PT 299, 301 Lehmitz, Paul MD 30, 49, 54 Lake City Llc 376 Larson, Jacob OT 238 Ligairi, Maryjane PT 314 Lane, Keith MD 30 Lehnardt, Michael MD Lillywhite, Daniel PT 312, 313 Larson, Katherine MD 27 61, 64, 69, 75, 82, 91 Lane, Steve PT 317, 318, 319 Lillywhite, Mitch PT Larson, Kirt NP 23 Leininger, Kirk MD 291, 292 Langer, Kathleen MD 234 Larson, Marc PT 293 297, 317, 318, 319 Leiseth, Amy PT 309 Lin, Amy MD 245 Langford, Douglas MD 223 Lash, Denise PHD 380, 403 Leither, Lindsay DO 35, 203 Lin, Karen MD 190, 192 Lanphere, Julie DO 289 Lash, Stephen MD 40 Leitze, Zachary MD 272, 273 Lind, Meridith NP 91 Lassere, Richard MD 188

435 Index of Providers / Índice de Proveedores continued

Lindgren, Jeremiah 146 Lore, Steven MD 43 Lynch, Steven MD 370 Malik, Nilma MD 30 Lindley, Eric MD 208 Love, Kreg MD 3, 5 Lyndon, Tyler MD 245 Mallender, Charles MD 35 Lindley, Thomas MD 321 Loveless, Jason PT Lyons, Vickie MD 120 Malm, Karen PHD 395, 399 Lines, Robin MD 386 311, 312, 314 Lythgoe, Todd PA 320 Malouf, John PHD 383, 396 Linford-Williams, Jill PT 305 Lovell, Dallen PT 306 Maak, Travis MD 265 Mamalis, Nick MD 245 Ling, Yun MD 61 Loving, Andrea NP 39 Maass, Amelia NP 54 Mangelson, Michael MD 369 Lingwall, Dureece PT 300 Low, Jesse 139 Macarthur, Toran MD Mangiapani, Daniel MD Linsler, Rosemarie NP 45 Lowe, Garrett MD 159 61, 64, 69, 70, 75, 82, 92, 169, 260, 262, 263 Linsley, Kent 154 Lowe, John MD 187 170, 171, 364, 365, 366 Mangum, Brad PT 314 Lish, Jeffrey MD 2 Lowrance, William MD 370 Macdonald, Gary DO 18 Mansfield, Justin MD 16 Lister, Donna NP 20 Lowrimore, Patricia PHD Macdonald, James MD Mansour, Emma PHD Lister, Margit MD 237 381, 398 158, 159 380, 394 Liston, Todd DDS 256, 257 Lozano, Kristina MD 50 Macfarlane, John MD 216 Manwaring, Jotham MD 218 Littledike, Jason PT 298, 314 Lu, Elaine PT 303 Machado-Lovon, Sariah NP Manwill, Joel OT Littledike, Jennifer PA 58 Ludlow, David MD 80, 84, 93 51 239, 240, 241 Litton, Gregory MD 210 Ludlow, Val 143 Machen, Michael MD Marberger, Adam 143 Liu, Betty MD 25 Ludwig, B Jay PT 304 262, 265, 271 Marble, Mary NP 179 Lloyd, Christina NP 180 Ludwig, Keith PT Macintyre, James MD 275 Marchant, Darren PT 316 Lloyd, Michael MD 252 301, 304, 305, 308 Mackay Clark, Deanna OT Marcroft, Patrick MD 51 Lobb, Jason PT 302, 305 Luekenga, Joshua AUD 122 240 Margolis, Lynne PT 300 Lobsiger, Jacqueline NP 45 Luikenaar, Rixt MD 45 Mackay, Matthew PHD Marietta, Gail PT 298, 303 Loewen, Natalie MD 233 Lunceford, Troy MD 80 401, 402 Marion, Michael MD 322 Lofgran, Brian MD 3, 104 Lund, Heidee MD 380 Mackey, Richard MD Mark Lindsay Dialysis Center Lofgran, Kacie NP 45 Lund, John MD 132 262, 268, 272 164 Loftus, Amy NP 375 Lund, Rebekah PT 295 Mackie, Robert MD 126 Markeson, John MD 2 Logan Regional Hospital 376 Lund, Robert PT 314 Mackintosh, Rebecca NP 178 Markland, Joseph PA 30 Logan Regional Hospital - Snf Lundahl, Brad PHD 388 Mackley, Mark 138 Marland, Jennifer PT 302 378 Lundberg, Max MD 202, 339 Mackley, Paul 154 Marsh, Troy PT 309 Logan, Kent PT 297 Lundeen, Hayley NP 228, 229 Macpherson, Jane MD 35 Marshall Jr, Stuart MD 268 Lohner, William MD 252 Lunt, Bryce MD 100 Madeo, Jared APRN Marshall, Gregg MD 348 Lombardi, Thomas MD 219 Lunt, Chad MD 97 174, 175, 176 Marshall, Kent MD 78 Lone Peak Dialysis 163 Lunt, Kregg PT 297, 298 Madsen, Jenna DO 235 Marshall, Scott MD 220 Lone Peak Surgery Center Lunt, Margaret MD 42, 45 Madsen, Wes MD 260 Marshall, Thomas MD 19, 20 121 Lupash, Daniel MD 339 Maeser, Nathan MD 400 Martin, Colby PA Long, Daniel 151 Luras, John MD 30 Magnesen, David DPM 330 2, 4, 5, 6, 7, 165, 319 Long, Deanne MD 359 Lussier, Kayla NP 87 Mahan, Mark MD 216, 217 Martin, Elizabeth MD 249 Longe, James MD 42 Luthy, Karlen NP 89 Mahdi, Mandana 144 Martin, Jared MD 16 Loo, Roy MD 254 Lutz, Christine NP 188 Mainord, Matthew MD 61, 94 Martin, Nicole SLP 342 Lopansri, Bert MD 197, 198 Luzny, Patrik MD 368 Mainwaring, Robin MD 233 Martindale, Brett MD Lopez, Ronald MD 22 Lybbert, Angel MD 188 Maio, Joseph 147 344, 346 Lord, Brian 146 Lym, Robert MD 47 Major, Michael MD Martineau, Michael MD 156 Lord, Ron MD 254 Lyman, Brian DC 133 275, 282, 283

436 Index of Providers / Índice de Proveedores continued

Martinez Santibanez, Cuper Mcarthur, Trisha PT 295 Mckenzie Ii, David DPM Mehr, Douglas MD MD 40 Mcbee, William DDS 257 328, 329, 330 249, 250, 251 Martinez, Adriana NP 87 Mcbride, Brayden MD 76, 94 Mckinlay, Rodrick MD 352 Meidell, Emily CNM 112 Martinez, Gregory PT 294 Mcbride, Shauna PA 97 Mckinney, Jina SLP 342 Meier, Charles PT 303, 310 Marton, Debra PT 309, 310 Mccann, Jeffrey MD 379 Mclaughlin, Nancy MD 30 Meier, Jeremy MD 279, 280 Marx, Douglas MD Mccann, Ulysse MD 358 Mclay, Michael MD 76, 94 Melendez, Terry MD 243, 245, 249 Mccarter, John MD 235, 236 Mcmahan, Helen APRN 97 61, 70, 92 Massinople, David MD Mccaughey, Cort MD 155 Mcmahon, Kristina NP 100 Mellor, Robert MD 276 125, 126, 129, 130 Mcclean Jr, Gordon DC 135 Mcmahon, William MD Melman, Yonathan MD 136 Matern, Richard MD 370 Mcclean, Matthew DC 135 388, 391 Melton, Joshua 151 Mathews, James DO 8 Mcclure, Philip MD Mcmanama, Craig DPM Memon, Kashif MD Mathews, Jeffrey MD 339 260, 263, 264, 265 324, 328 54, 70, 198, 201 Mathews, Michael PT 300 Mcconnell, James 147 Mcmanus, Shawn DO Mencer, Margret MD 237 Matich, Andrea MD 27, 54 Mccormick, Adam DDS 256 61, 65, 70, 75, 82, 92, 169, 170, Mendenhall, Adam PT 298 Matson, Michelle NP 180 Mcculloch, Kimberly MD 230 171, 364, 365, 366, 367 Mendenhall, Robert DO 400 Matson, Scott DMD 256 Mcdermott, Kate PT 306 Mcmaster, Ian MD 94 Mendenhall, Shaun MD Matsumura, Kyle MD 286 Mcdermott, Patrick MD 50 Mcmillan, David 141 320, 355 Matsuo, Fumisuke MD 221 Mcdonald, Kent MD 97 Mcmurtrey, Jennifer 142, 151 Mendenhall, Wendell PT Matthews, Bradford MD Mcdonald, Ryan MD 211, 216 Mcpherson, O Lamont MD 310, 311, 313 268, 272 Mcfarland, Jamie NP 173 380, 381, 403 Mendoza, Christopher MD Matthews, David DO 27 Mcfarlane, Mallory PT 311 Mcrae, Bryan MD 279 289 Maturlo, Susan MD 164, 165 Mcgarvey, Daniel PT 300, 306 Mcrae, David PSY 397 Mercado, Carlos MD 205, 215 Maughan, Julie MD 160 Mcgaughy, Tim MD 399 Mcsweeney, Heidi NP 78, 84 Meredith, Kent MD 206 Maughan, Kenneth 149 Mcgee, Bruce MD 400 Mcwhorter, Patricia PHD 398 Merkley, Mark MD 278 Maughan, Page SLP 342 Mcgeorge, Gillian PT 318 Mcwilliams, Brett PT Merrell, Chad MD 3 Maughan, Peter MD 216 Mcgill, David PT 305 311, 312, 314 Merrell, Rodney MD 3 Maulden, Bryan MD 382 Mcgill, Lizabeth PHD 396 Meacham, Ryan MD 276 Merrell, Stephen MD 10 Mauric, John DO 40 Mcgovern, Joseph NP 78 Meadows, James MD 267 Merrell, Steven MD 373, 374 Maw, Laura NP 70 Mcgowan, Mark 141 Meads Jr, Garner MD 279 Merrill, Joseph MD 181, 183 Maw, Samuel PT 309 Mcguire, Jean DO 108 Meads, David PT 297 Merrill, Robert DO 27 Maw, Scott PT 309, 310 Mciff, Matthew MD 97 Measom, Michael MD 394 Merrill, Rodney DO 107 Mawhinney, Mark MD 353 Mcintosh, Scott MD 359 Mecham, Alex PT 298 Miakashi, Tatsuzo MD 47 Maxfield, Matthew DMD 256 Mcintyre, James MD Mecham, Ian MD 202 Michaelson, Lawrence PT Maxwell, Christopher MD 167, 168, 345 Mecham, Jamie SLP 342 305, 316 184 Mckay Dee Hospital 378 Med Way Medical Inc 161 Mickelson, Steven NP 38, 89 Maxwell, Russell MD 30 Mckay Dee Surgical Center Medallus Medical Mickey, Brian MD 391 May, Shawno MD 254 121 361, 362, 363, 364 Miconi Correa, Lisa NP May, Todd DO 345 Mckell, John PT 313 Medicor Llc 161 104, 107 Mazzella, Kimberly PT Mckell, Scott DPM 329 Medsource Inc 162 Middleton Jr, George MD 303, 305 Mckellar, Nathan DO 47 Meek, Michael PT 316 369, 370 Mazzola, Robert MD 340 Mckellar, Stephen MD Meek, Steven MD 16 Middleton, Brad AUD 122 Mcarthur, Derrick PT 294 351, 357 Middleton, John 144

437 Index of Providers / Índice de Proveedores continued

Midgley, Melinda MD Mirdamadi, Meena MD 235 Moores, Neal MD 321 Moss, Wayne MD 401 61, 65, 70, 75, 83, 92 Mitchell, Birgitta MD Moran, Linh MD 234 Motyckova, Gabriela MD 192 Miles, Brian 141 210, 211 Morano, Rachel MD 381, 403 Moulton, Scott DO 13, 107 Miles, Joan MD 356 Mitchell, Chase NP 173, 181 Moreland, Jay MD 25 Mountain Point Medical Miles, Jonathan 139 Mitchell, Danielle MD 168 Moreland, Kimberly MD 234 Center A Campus Of Jvmc Miller Ii, Garry DO 81 Mitchell, Joshua MD 383 Moreno Daza, Monica MD 376 Miller, Brent PT Mitchell, Max APRN 177, 179 165 Mountain Valley Home 298, 300, 307, 308 Mitchell, Rachel MD 30 Morgan, Brian MD 288 Medical Equipment Inc 161 Miller, Brien DO 201, 205 Miyasaki, Rodney PT 306 Morgan, Christopher NP Mountain View Home Health Miller, Emma DO 70, 235 Moczygemba, Roger MD 51 6, 173 And Hospice Llc 194 Miller, Gregory MD 289 Moe, Lorraine OT 241 Morgan, James MD 264 Mountain View Hospital 376 Miller, Hayley MD Moench, Matthew MD Morgan, Max MD 187 Mountain View Hospital - Snf 43, 202, 205 385, 392 Morgan, Melanie NP 87 378 Miller, John MD 354 Moesinger, Robert MD 355 Morgan, Michael MD 339 Mountain West Endoscopy Miller, Kathleen CNM 113 Moffat, Andrew DO 360 Morgan, Sharla NP 179 Center 121 Miller, Mark 141 Moffat, Craig MD 120 Morgan, Tiffani PHD Mountain West Endoscopy Miller, Matthew 155 Mohlman, Susan NP 93 387, 388, 392 Center 121 Miller, Patrick PHD 386 Mohr, Robert MD 107 Morita, Denise MD 224 Mountain West Surgical Miller, Raymond NP 229 Money, Matthew MD Morrell, David MD 349 Center 121 Miller, Ryan DO 18 280, 281 Morrell, Stephen MD 16 Mower, Douglas MD Miller, Sandra APRN Money, Nolan MD 81, 94 Morrill, Kathryn NP 94 62, 65, 70, 75, 83, 92 62, 65, 70, 75, 83, 92 Moyeda, Emily PT 312 Miller, Stephanie NP 78, 84 Monger, Brock PT 308 Morris Iii, Ray MD 40 Moyer, Stacia MD 237 Miller, Stephen MD 125, 128 Monger, Karin PT 308 Morris Jr, Donald MD 211, 212, 213, 214, 215 Moyes, Rebecca NP 175 Miller, Steven MD 277, 278 Monroy, Carissa MD Morris, Cassandra NP 62 Mt Ogden Surgical Center Miller, Todd MD 2 11, 37, 102 Morris, Chelsea MD 16 121 Milligan, Mark MD 16 Monroy, Franz MD 35 Morris, David 152 Mueggenborg, Brenda NP 227 Mills, Joshua PT 297 Monson, Bryan MD 242 Morris, Jared DO 13, 16 Muije, Elizabeth NP 54 Mills, Mark PT 316 Monson, Dean NP 19, 97 Morris, John MD 50 Muir, Traske MD 262, 268 Millward, Christian MD Monson, Nicholas DO 345 Morris, Lisa MD 322 Mulamalla, Roja MD 205 171, 172 Montgomery, Kelsie NP 229 Morris, Maisa MD 31 Mumford, Michael PT 293 Milne, Brent 140 Montiel, Amanda CNM 31 Morris, Rebecca CNM Mund, Kody 150 Min, David MD Moody, Daryn 148 115, 116, 117 Munford, Michael MD 349 125, 126, 128, 129 Moody, Richard PHD 402 Min, Wonhong MD 216 Moon, Sheldon MD 95 Morris, Shad 142 Munson, Scott OT 241 Minder, Camille MD Moon, Theodore MD Morris, Targhee MD Munt, Katherine MD 200, 201, 202 334, 338 369, 372, 373 24, 39, 45 Miner, David MD 47 Moorad, Danielle PT 310 Mortensen, Jodi NP 179 Muntz, Harlan MD 279, 280 Miner, Edward MD Moore, David MD Mortenson, Celeste 139 Murday, Michelle MD 138 200, 201, 202, 203 181, 182, 183, 184 Moshirfar, Majid MD 245 Murdock, Cabot MD 350 Miner, Jared MD 100 Moore, John NP 49 Mosman, Kristin SLP 342 Murdock, Kenneth MD Miner, Joseph MD 89 Moore, Rebecca MD 25, 45 Moss, David PT 300 62, 65, 70, 75, 83, 92 Mintz, Steven MD 350, 352 Moore, Rusty DO 292 Moss, Megan PT 294, 316 Murdock, Mark 138

438 Index of Providers / Índice de Proveedores continued

Murdock, Mckay PT 311 Natter, Sharla PT 310 Newman, Steven MD Nordby, Benjamin MD 94 Murphy, Kevin MD 348 Navarro, Bennett NP 110, 289 19, 20, 96, 167, 171, 347, 348 Nordin, Jarah NP 25 Murphy, Nancy MD 289, 290 Naylor, Benjamin 140 Ngatuvai, Tauaina MD Nordstrom, Bjorn DO Murrah, Chantel DPM 331 Naylor, Susan NP 16 37, 62, 65, 70, 75, 83, 92, 167, 62, 65, 70, 71, 75, 83, 92 169, 170, 171, 362, 364, 365, Murray, David MD 259 Nebeker, Adam MD 16 Norman, Leanne AUD 122 366, 367 Norris, Jennifer MD 45 Murray, Michelle MD 51 Neeleman, Lori PHD Ngu, Le PSY 388, 394 Norris, Kipton 155 Muscarello, Nellie OT 240 385, 386, 388 Nguyen, Andy MD 192 North, Jason DO 19, 20, 96 Muscolino, Gina MD 10 Neeley, Jay 155 Nguyen, Anh MD 39 Northpointe Surgical Center Muse, Brett MD 97 Neider, Tristan SLP 344 Nguyen, Huyen-Tran MD 119 Llc 121 Musso, Alison PHD 387, 388 Nelson, Alex MD Nguyen, Thu MD 222 Norwood, Drew PT Mutscheller, Chelsea MD 218, 220, 224 Nibley, William MD 191, 192 230, 232 Nelson, Bryan MD 42 298, 300, 307, 308 Nicholls, Benjamin PT 316 Novak, Kirsten MD 42 Myers, Brad MD 354 Nelson, Chadd DO 12, 16, 18 Nichols, Jay MD 383 Noyes, Isaac MD 45 Myers, Jeremy MD 371 Nelson, Cory DO Nichols, John DO 236 Nuttall, Craig NP 81 Myers, John 142, 152 35, 70, 167, 170, 362, 365 Nickle, Steven DO 156 Nuttall, Marc MD 62, 87, 199 Myers, Karen PT 316 Nelson, Courtney DO 16 Nielsen Jr, Florin MD Nyman, Lindsay NP 62 Myers, Thomas MD 252 Nelson, David DO 2, 4, 6, 7, 230 O'brien, Katherine NP 25 Nabers, Kent PHD 403 31, 40, 167, 168, 362, 363 Nelson, Duane MD 252 Nielsen, Cantril MD 401 Oakden, Richard MD 21 Nackos, Tina CNM Nelson, Edward MD 352 Nielsen, Curtis DO Oakley, Gretchen MD 283 115, 116, 117 Nelson, Erica CNM 345, 346, 362, 365, 366 Oaks, Gary DPM Nadauld, Lincoln MD 115, 116, 117, 118 Nielsen, Evan MD 324, 326, 328, 331 210, 211 Nelson, Gary MD 269, 270, 271 Oaks,, Joshua MD 198 Nagode, Jennifer MD 381 218, 219, 220, 221, 222, 223, Nielsen, John NP 47, 54 Obah, Christian MD 284 Nail, Steven MD 359 224 Nielsen, Michael MD 16, 104 Obayashi, Mikio MD 109 Naisbitt, Jed MD 27, 107 Nelson, James MD 41 Nielsen, Naomi NP 228, 229 Oberg, Brandi 140 Naisbitt, Sarah 146 Nelson, Jeffrey MD 49 Nielsen, Paul 151 Oberg, Jon MD 349 Nakaya, Leslie NP 35, 52 Nelson, John MD 38, 89, 102 Nielson Jones, Kristen OT Oberg, Thomas MD Nakken, Robert MD 261 Nelson, Joseph DO 45, 58 239, 240 246, 247, 249, 250 Nance, David 152 Nelson, Keith MD 258, 259 Nielson, Kandice MD 237 Obradorich, Stephanie PT 306 Nance, Eric 152 Nelson, Laurence MD 244 Nielson, Kenneth MD Obray, Cathleen MD 100 Nance, Jeff MD 94 Nelson, Michael DPM 330 127, 128, 201, 202 Obray, Jon MD 285 Nance, Steven MD 94 Nelson, Patricia MD 335, 337 Nielson, Nathan DO 171 Obray, Rick MD 285 Nannapaneni, Nischala MD Nelson, Todd MD Nikopoulos, George MD 388 Obrien, Aaron MD 273 136 22, 45, 167, 168, 361, 363 Nilsen, Kerry PT 296 Obrien, Grace DO 104 Nash, Robert MD 7 Neuenschwander, Bradley Nilson, Christian MD 243 Ockey, Robin MD 284 Nassif, Mariam MD 132, 133 DO 156 Nimer, Lynn MD 131 Oelsner, David MD 183 Nathan, David MD 216 Neumann, Roger DC 133 Nizam, Mohammed MD 165 Ogden Clinic Pc National Dme - Ut 161 Neville, Roark MD 16, 104 Noble, Larry MD 252 361, 367, 368 National Seating & Mobility Newbold, Douglas MD 47 Nobuhara, Lawrence MD 87 Ogden Regional Medical Inc - Murray 161 Newbold, Kirk PT 315 Noh, Bong 144 Center 377 National Seating & Mobility Newman, Steve PA Noonan, Erika MD Ogden, Jeffrey MD 78 Inc - Ogden 162 31, 263, 319 35, 81, 171

439 Index of Providers / Índice de Proveedores continued

Ogden, Lida MD 87 Orgill, Stephen DO 400 Palmer, Bryan MD 104 Paulos, Leon MD 261, 266 Ogden, Walter MD 96, 100 Orians, Mary NP 9 Palmer, Dallin 149 Paulson, Toby DO 130, 131 Ogilvie, Paul PT 316 Oristaglio, Robert DO 28 Palmer, David MD 278 Pavia, Andrew MD 198 Oglesby, John MD 31 Ormsby, Wayne MD 191 Palmer, Michelle MD 55 Payson Regional Dialysis Oki, Allison MD 288, 289, 290 Orr, Rochelle DO 22, 71 Pandita, Sunny MD 335, 337 Center 163 Okubo, Miranda 145 Orrock, Steven PT Pannucci, Christopher MD Pead, William MD 10, 230 Olavson, Paul NP 310, 311, 313 320 Pearce, Brett PSY 174, 176, 333 Orvin, Devin 139 Papi Baker, Kathleen OT 239 379, 382, 395, 398, 401, 404 Oliver, Marquam MD 42, 45 Osborn, Jeffrey MD 127 Park, Albert MD 278, 279, 280 Pearce, Michael MD 334, 337 Oliver, Rachel MD Osborne, Bret 143, 149 Park, Kwang 144 Pearson, Adon PA 98 58, 234, 235 Osborne, Bryce MD Parker Ii, Alma MD 58 Pearson, Robert MD 277 Oliver, Rosanne NP 62, 87 23, 167, 362 Parker, Jana MD 157 Pedersen, Curtis DPM Ollerton, Matthew Gerald Ostarcevic, Emily NP 17 Parker, Jared MD 247 323, 331 DPM 329, 330 Osteyee, David PT 294 Parker, Jessica NP 95 Pedersen, Peder MD 182, 184 Ollerton, Ryan DO 62, 71 Ostler, Leslie MD 45, 234 Parker, Kelli NP 62, 78, 92 Pelt, Christopher MD 263 Olsen, Allen MD 78, 79 Ostronoff, Fabiana MD 242 Parker, Robert DO 41 Pelton, Ritchie 144, 146, 151 Olsen, Brian 153 Otrusinik, Rudolf MD Parker, Robert MD 254 Pendleton, Gus MD 100 Olsen, Jonathan DO 119, 120 123, 124 Parkin, Gregory MD 31 Peng, Wei MD 31, 204, 337 Olsen, Lisa APRN 227, 333 Ott, Richard MD 236 Parkinson, J Scott DO 100 Pennington, David MD Olsen, Lori PT 293 Otto, Janet MD 136 Parkinson, Justin MD 87, 109 Olsen, Richard MD 87 Outtrim, Rex MD 368, 369, 371 Pennington, Randal PSYD Olsen, Tandy MD 230 125, 127, 129 Parrett, Amelia MD 233 399 Olsen, Tyler PT 297 Overall, Trenton DO 223 Parry, Edward NP 228, 229 Pennock, Brian PT 295 Olson, Andrew 139 Overson, Christy CNM 110 Parry, Scott MD 273 Penrod, Marc MD 95 Olson, Christopher NP Oversteg, Mona OT 241 Parry, Todd MD 273 Penrose, Jacob PT 293 175, 338 Overton, Eric MD 49 Parson, Broc DO 96 Pepper, Michelle MD 347 Olson, Karen NP 27 Owan, Theophilus MD Parsons, Matthew MD Perkins, Robert 152 Olson, Matthew DO 259 205, 207 251, 253 Perkins, Travis 142, 143, 147 Olson, Patrick MD 264 Owen, Leah MD 245, 249 Parsons, Stephen MD Perrero, Jeffrey Olson, Randall MD 245 Owens, Casey MD 185, 186 280, 281 144, 145, 149, 152 Perry, David DO 131 Olson, Richard DC 135 Ozaki, Susan OT 239 Pasala, Tilak MD 35, 52 Perry, Justin 151 Oman, Shelsea APRN 181 Pace, Randall MD 78 Passey, Eric PT 307 Persons, Richard PA 20 Oneal Iii, Kelly MD Pacejka, Esperanza SLP 342 Patchett, Andrew DO Peters, Christopher MD 264 125, 126, 127, 129 Packer, Chipman 150 199, 205 Peters, Jane SLP 344 Oneal, Andrea CNM Packer, Kraig NP 87 Patel, Bhupendra MD Peters, Stephen PSYD 111, 114, 375 Padilla, Miriam MD 41, 55 244, 246, 249, 254 398, 399, 400 Oneida, Maria MD 54, 55 Page, Trevor DO Patterson, Robert MD Petersen Medical 162, 163 Orem Community Hospital 19, 96, 98, 100 351, 353 Petersen, Anthony MD 380 376 Pagnani, Robert PT 310 Patterson, Robert MD 8 Petersen, Ashley SLP 343 Orford, James MD Palfreyman, Kristie NP 101 Patty, Daniel DPM 329 Petersen, Darlene MD 109 125, 127, 129, 200, 201, 202, Palmer, Bradley 141 Paulk, Nicholas MD 352 203 Petersen, Finn MD 242 Palmer, Brian 141 Paulman, Roger MD 338

440 Index of Providers / Índice de Proveedores continued

Petersen, Jason MD 321 Pingree, Michael MD 250 Powell, Tina NP Raasch, Hannah MD Peterson, Aaron DO 158 Pinkerman, Marcia NP 43 17, 21, 22, 27, 45, 49, 52, 56, 125, 126, 127, 129 Peterson, Brian MD 279 Pinna, Kenneth MD 119, 120 62, 71 Radley, Karen MD 95, 98, 100 Peterson, Bryce MD 10 Pioneer Care Center 378 Powers, Christopher PHD Radwin, Martin MD 182, 183 Peterson, Chad DO 159 Pitt, Jerem 140 385, 389, 392 Raemisch, Michael MD 257 Peterson, Charles MD Pittman, Joel MD 338 Powers, Frank MD 47 Rahimi, Danesh MD 25, 45 233, 338 Platt, Mckay MD 372 Pozniak, Sarah MD 10 Rajagopal, Arun MD 286 Peterson, Chase MD 230 Pleasant View Dialysis Center Pradhan, Saphu MD 35 Rallison, Scott MD 232 Peterson, Cynthia PT 302 164 Pramann Jr, Robert PHD Ralston, Robert NP 48 Peterson, David MD 79 Plewe, Ryan 148 389, 402 Ramirez, Alexander MD Peterson, David MD 258, 259 Plicka, Jefferson 144, 150 Prater, Susan MD 22 276, 282 Peterson, James MD 36 Ploehn, Nathan PT 310 Pratte, Mitchell DO Ramirez, Lori MD 156, 160 78, 88, 171, 346 Peterson, Jared MD 244 Plumb, Taylor PHD 383 Randall, Donald PHD Preciado, Alfonso MD 380, 403 Peterson, Kathryn MD 184 Poll, Jed MD 350, 351, 352, 353 Randall, Robert MD 262, 265 Peterson, Lee MD 354 242, 243, 247, 248, 256 Precision Diagnostic Services Polson, Drew MD 19, 20, 96 Randle, Mary NP 35 Peterson, Mark MD 21, 36, 41 340 Polukoff, Gerald MD 124 Rapier, Annjanette NP 175 Peterson, Mark PT 312, 314 Preece, Landon MD 12 Ponce, Sean MD 33, 51 Rapp, Daniel MD 386, 397 Peterson, Michael DO Premier Family Medical Pond, Julie NP 47, 49, 55 Rappleye, Alan MD 35 158, 159, 160 365, 366 Ponder, Rebecca MD 233 Rasch, Leslie NP 20, 96 Peterson, Michael MD 62 Presnell, Kelly NP 173 Poole, Jeffrey MD 181, 187 Rasmusen, Carl MD 401 Peterson, Michael MD 23 Prestwich, Bradley MD 167 Porritt, Marc PHD 385, 392 Rasmuson, Becky NP 173 Peterson, Mitchell PT 301 Price, Raymond MD 351 Porter, Brett MD 201 Rasmussen, Bradley MD 157 Peterson, Neil NP 95 Price, Robert MD 351 Porter, Glen MD Rasmussen, Carol NP 25, 41 Peterson, Ryan DPM 325, 330 Priebe, Brandon 139 280, 281, 282, 341 Rasmussen, Clark MD 351 Peterson, Scott MD 79 Prince, David 149 Porter, Joel MD 17, 104 Rasmussen, Dee MD 157 Peterson, Tia NP 27, 31 Prince, Edward MD 273 Porter, Ryan MD 230, 231 Rasmussen, Gary MD 264 Pettit, Kimberly MD 158 Probst, Jared MD 24 Porter, Steven MD 187 Rasmussen, Isaac DO 78 Peugh, William MD 353 Provo Dialysis Center 163 Porter, Troy MD 232 Rasmussen, Ralph MD 354 Pfeffer, Kathleen MD 336 Provo Rehabilitation And Potter, Brooks DPM 324, 325 Rasmussen, Rochelle 155 Pham, Duy MD 392 Nursing 378 Potter, Steven MD Rasmussen, Sean NP 49, 79 Philippi, Donna DO 381 Prussin, Aaron MD 279 12, 17, 166, 197, 361 Rasmusson, Kismet NP 48 Phillips, Shane 145, 146 Potts, Richard PHD 400 Pugh, Brenten MD 55 Rassner, Leslie MD Phillips, Stanley DPM Poulsen, Matthew MD 271 Pugh, Brian DO 181, 187 46, 168, 363 327, 328, 329 Powel, Robert MD 45, 49 Pugsley, Jacob DO 287 Ratliff, Jeremy NP 174, 178 Pho, Lana MD 160 Powell, Andrew DPM 330 Pulley, Steven MD 284 Rauschkolb, Paula DO 220 Pickering, Derrick NP Powell, Brian MD 274 Pulsipher, Brad PT 300 62, 65, 71, 76, 83 Rawle, Nicole NP 229 Powell, James 152 Pulsipher, Mark MD 205, 207 Pieper, Sara MD 233 Rawlins, Brett NP 164, 173 Powell, John PA 100 Putnam, Cathey MD 359 Piercey, Sydney MD 224 Raymond, John MD 243 Powell, Justine CNM 110 Pyle, Melanie PT 317 Pierson, Shanlee NP 31 Reader, Jessica MD 47 Quaife, August OT 238 Pingree, James MD Reading, Teresa MD 350, 352 Quinn, Jeffrey MD 27 216, 217, 218 Reagan, John DPM 326

441 Index of Providers / Índice de Proveedores continued

Reber, Keith DPM 330 Reynolds, Brand NP 58 Rifleman, Kurt MD 6, 102 Robinson, Andrew DO 22 Reber, Leon DPM 325, 330 Reynolds, Brandon MD 372 Rigby, Bradley 146 Robinson, Byron MD 21 Red Rock Medical Supply Llc Reynolds, Christopher MD Rigby, Dwight MD 133 Robinson, Cole MD 285, 292 161 222 Rigby, Rohn MD 17, 104 Robinson, David MD 38 Redd, Edward MD 3 Reynolds, James MD 369 Rigby, Ryan DPM 323 Robinson, Eric MD 346 Redd, Jay 153 Reynolds, Joshua PT 316 Rignell, Robert MD 98 Robinson, Glen MD 220 Redd, Matthew DO 199, 205 Reynolds, Mary CNM Riley, Seth PT 299, 301, 303 Robinson, Janice NP 78, 92 Reddy, Cara MD 289 112, 113, 114, 231, 232, 233, Rinard, Jeremy MD 322 Robinson, Jenna NP 175 Reddy, Chakravarthy MD 234 Rindflesh, Mark MD Robinson, Kristin PHD 395 334, 336, 338 Rhodes, Michael MD 71, 88 385, 389, 392 Robinson, Lucinda MD Reddy, Sathyavathi MD 185 Rhodes, Terence MD Rinne, Kirsti CNM 114 230, 232 Reder, Kelli AUD 122 190, 191, 192 Ripplinger, Rex MD 88 Robinson, Paul MD 353 Rees, Scott DO 78, 84 Rice, Robert MD 260 Ririe, Peter MD 251, 253 Robinson, Russell PA 319 Reese, Melanie NP 179, 180 Rich, Brent DO 346 Ritchie, Paul MD Robinson, Taylor 149 Reese, Zachary MD 190, 192 Rich, Charles MD 216 268, 269, 271 Robison, John MD 156 Regenass, Heidi MD 350, 351 Rich, Nathan MD 192, 211 Riverwoods Urgent Care 366 Robison, Reid MD 400 Reichert, Walter MD Richards, Ann MD 33 Rizzuto, Breawn NP 227, 230 Robnett, Jessica PHD 394, 399 219, 221, 222 Richards, Bradley MD 256 Robb, Brandon DC 134 Roby, Carlos PHD 399 Reichman, Howard MD Richards, Brett MD 274 Robbins, Brett NP 20 Rocco, Jeffrey MD 275 217, 218 Richards, Bruce 148 Robbins, James DO 25, 41 Rockwell, William MD Reichman, Jordan MD 220 Richards, Bryan MD 276 Robbins, Steven PT 299 321, 322, 355 Reichman, Mark MD 216 Richards, Christina MD 350 Roberge, Darrell DO 379 Rocky Mountain Home Care Reid, Bruce MD 357 Richards, Daniel DO 262, 266 Roberson, Gwendolyn MD 193, 194, 195, 196 Reid, Kim PT 294, 295, 316 Richards, Douglas MD 209 381, 385 Rodgers, Brian DO 10 Reid, Thomas MD 389 Richards, Nathan MD 350 Roberson, Jeffrey 146 Rodrigues, Robert MD 321 Reigle, Rick PT 306 Richards, Ryan MD 355, 356 Robert, Lance DO 22, 35 Rodriguez, Brian PT 309 Reilly, Deanna PHD Richards, Scott MD 256 Robert, Mindy NP 104 Rodriguez-Davalos, Manuel 385, 389, 392 Richards, Spencer MD 88 Roberts, Audrey MD 237 MD 351 Reimherr, Frederick MD 387 Richards, Trent MD 244 Roberts, Greg DDS 257 Rofaiel, George 352 Reinhardt, Evan MD 55 Richardson, Brian MD 286 Roberts, Jordan MD 22, 39 Rogers, Brook PA 20, 96 Reiser, Rebecca MD 219, 222 Richardson, Charles MD Roberts, Julie NP 188 Rogers, Jennifer NP 31 Renfro, Christine NP 88 17, 166, 361 Roberts, Philip MD 22, 46 Rogers, Jennifer PHD 385 Reschke, John 141, 147 Richardson, Jared 141 Roberts, Sarah NP 78, 84 Rogers, Mark DPM Reuben, Brian MD 320 Richardson, Jill CNM Roberts, Scott PT 317 328, 329, 330 Revenaugh, James MD 113, 114 Robertson, Glenn MD Rogers, Scott DPM 125, 127, 129 Richens, Sharon MD 254 4, 6, 165 328, 329, 330 Revere Health Richins, Brett 144, 147 Robins, Kipp MD 281 Rogers, Thomas DPM 329 365, 366, 367, 368 Richman, Brian DPM Robins, Marc DO Rogerson, Ann NP 229 Revere Health Surgery Center 323, 324 169, 171, 360, 364, 366 Rohrer, Jacqueline MD 37 121 Riddle, Seth MD 280, 281 Robins, Scott DO Rokeach, Steven MD Reyes, Marcos MD 255 Ridgeline Endoscopy Center 47, 49, 55, 71 124, 127, 128 Reyes, Maria MD 392 121 Robinson, Aaron DO 88 Rolfs Jr, Robert MD 28

442 Index of Providers / Índice de Proveedores continued

Rolin, Summer PHD 387 Russon, Sheila NP Saunders, Casey PT 312, 313 Schonrock, Krista MD 36 Roller, Dean MD 220 63, 65, 71, 76, 83, 92 Saunders, Richard 154 Schorlemmer, Gilbert MD Roller, Matthew DC 134 Rutland, Rita NP 31 Saunders, Ryan 154 358 Rolley, Jennifer CNM Rutledge, Dale MD 42 Sautter, Travis DPM 331 Schow Jr, Douglas MD 271 112, 113, 115 Ryan, Randy PHD 397, 402 Savage, David DPM 329 Schow, Jan MD 2 Romney, Douglas MD 35 Sacco, Robert AUD 122, 123 Schade, Kristin PT 295 Schuenman, Spencer DO 266 Romney, J Christopher DC Sachdev, Shyla MD 205 Schaecher, Kenneth MD 41 Schultz, Bronson 138 134 Sadiq, Mohamed MD 218 Schaefer, David MD 401 Schultz, Craig PT 312, 315 Romney, Joshua MD 33 Saeed, Musab MD 107 Schaeffer, Jordan MD Schultz, Edward MD Romney, Kent MD 33 Saidi, Abdul MD 261, 263, 266, 268 58, 169, 364 Romo, Kristen MD 24 200, 201, 204 Schaelling, Michael MD Schulz, Shaun PT 299, 311 Root, Aubrianne NP 12 Saifee, Mustafa MD 334, 338 13, 17 Schwalbe, Valerie PT 301 Root, Bradley DO 292 Salameh, Hasan MD 211, 212 Schaplow, Reagan MD 50 Schwartz, Todd PT 299, 303 Root, Max MD 288, 292 Saleh, Samer MD 338 Scharmann, Stephen MD Schwartz, Zheila NP 181 Roper, Lindsay PT 303 Salisbury, Steven MD 7 105, 172, 346 Schwartzmann, Stephanie Roring, John 140 Salisbury, Tessa PHD 398 Scheidell, Renee MD 22 MD 231 Rose, Susan MD 230, 232 Salmon, Aaron 153 Schellenberg, Matthew DO 52 Schwebach, Adam PHD 380 Rosenberg, Neil MD 220 Salmon, Cheryl NP 107 Schenk, Julana MD 382 Schwemmer, Ines PT 302 Rosenfield, Micah MD 41 Salmon, Kathryn NP 25 Scherschligt, Rhet 145 Scott, Heather CNM 111, 112 Rosenthal, Richard MD 285 Salt Lake Regional Medical Scheuller, Michael MD 282 Scott, Loni PT 294 Rosquist, Gary DC 134 Center 376 Schiffgen, Stephen DPM 328 Scoville, Ronald 140 Ross, Douglas MD 337 Salt Lake Valley Health Schiffman, Quinn 150 Scoville, Ronald 154 Ross, Rustin MD 157 Department 333, 334 Schlagel, Laura MD 223 Seagle, Bryan DPM Rosser, Paul APRN 229 Saltzman, Charles MD Schleenbaker, Bradley 56 324, 325, 327 Roth, James MD 35, 55 166, 167, 168, 260, 263, 264, Schlegelmilch, Sue CNM Seale Iv, Fred MD 105 265 Rothberg, David MD 265 115, 117 Seale, Benjamin PA 3 Sampson, Judith NP 175, 180 Roundy, Michael MD Schliesser, Joshua MD 255 Seamons, Kathryn CNM Samuelson, Scott MD 210 380, 382, 403, 404 Schmelzer, Rodney MD 321 115, 117, 118 San Juan, Zinnia MD 164 Rowan, Gregory DPM 326 Schmidt, Donald MD 267 Seaquist Goble, Erika NP Sandberg, Rebecca NP 10 Rowe, William MD 207 Schmidt, John MD 185, 186 78, 174 Sanders, Bart NP 181, 333 Rowley, David MD 259, 275 Schmidt, Meic MD 217 Sedgwick, Daniel PT 295 Sanders, Marc MD 157 Royer, Pamela MD Schmidt, Paul DO 7 Seegmiller, David DPM Sanderson, Mark MD 322 32, 232, 233 Schmitt, Scott DO 108 324, 326, 328 Sanderson, Michael MD 55 Ruckdeschel, John MD 36 Schmitz, J David MD 105, 109 Seegmiller, Richard DPM Sandhu, Iqbal MD 183 Ruda, Petr NP Schmutz, Joseph MD 252, 253 324, 325, 326, 328 62, 63, 71, 76, 83, 92 Sandifer, Kasey PT Schmutz, Mason MD 253 Seely, Kenneth PHD 403, 404 301, 304, 305, 309 Ruden, Nathan MD 24 Schneider, Nicole PT 315, 316 Seibert, Hilary DO 58 Sandygren, Nolan MD 39 Rushton, Ryan DPM 324 Schofield, Kendra SLP 342 Sekaran, Nishant MD Sanghvi, Shruti MD 339 Rushton, Ryan PT 293 Scholes, Cheryl NP 38, 89, 175 125, 127, 129 Sanyer, Osman MD 37 Ruske, Nicole MD 38 Scholl, Mark MD Sekulic, Selina DPM 332 Sarfati, Mark MD 373 Russell, Dennis MD 157 263, 264, 266, 267 Senekjian, Harry MD 216 Sargent, Troy 144 Scholzen, Jeremy 152 Servoss, Allyson MD 231

443 Index of Providers / Índice de Proveedores continued

Sessions, Wade MD 262, 268 Shoari, Mohammad MD Smith, Brigitte MD 373 Smith-Holmen, Barbara NP Seth, Nikesh MD 284, 285 218, 219, 222 Smith, Christopher MD 249 22, 41, 46, 55 Severe, Stephen PT 293 Shortridge, James DO 191 Smith, Christopher NP 28 Smithers, Michael DC 134 Severn, Ernest DO 10, 71, 92 Shutts Karjola, Megan MD 58 Smith, Craig 142, 149, 152 Smoot, Jeanette SLP 342 Sexton, Ted PT 299, 301, 306 Siciliano, Anna SLP 342 Smith, David MD 218 Smyth, Patricia 155 Shackelford, Rachel OT 238 Siddoway, John MD 282 Smith, Dennis MD 403 Snarr, Megan 144 Shadow, L MD 392 Siddoway, Roger MD 184, 187 Smith, Douglas MD 36, 55 Sneddon, Nathan MD Shah, Rajiv MD 208 Siler, Jon MD 243 Smith, Erica MD 230 283, 284, 285, 286 Shah, Sheetal MD 213 Silge, Robert MD 120 Smith, Esther PT 302 Snihurowych, Kristina MD Shakir, Faiz MD 183, 184, 185 Silva, Ashley PT 294 Smith, Garrett DO 289 Shakoor, Akbar MD 249 Silvero, Peter MD 262, 268 63, 65, 72, 76, 83, 92 Sniteman, Clay PT 318 Shanafelt, Emily NP 105, 109 Silverstein, Joshua MD 88 Smith, Gavin 150 Snook, Gary MD 268 Sharma, Pawan MD Simpson, Rachel MD 249 Smith, Gordon MD 100 Snow, Brent MD 369, 371 124, 128, 226 Simpson, Robert MD Smith, Jeffrey MD 269, 271 Snyder, Ethan PA 319 Sharma, Pramod MD 277, 278 202, 204, 335, 337 Smith, John MD Snyder, James PHD 400 Sharma, Vikas 357 Singleton, Jessica PHD 403 261, 262, 263, 265, 266, 270, Sobotka, Dennis MD 187 273, 274 Sharp, Richard MD 71 Skaggs, Daniel DC 135 Soisson, Andrew MD 190 Smith, Kaye NP 7, 8, 173 Sharp, Sally MD 128 Skalka Jr, David NP 17, 31 Sojourner, Heather MD 52 Smith, Kent MD 182, 185 Shaskey, David MD 339 Skarda, David MD 352 Solomon, Daphne NP 20 Smith, Lance MD 21 Shaver, Adrienne NP 63, 71 Skates, Andrea NP 2, 4, 6, 7 Solzbacher, Daniela MD 392 Smith, Lary DPM 330 Shaw, Dana NP 24 Skedros, Demetrios MD Sondrup, Stuart PT 294, 295 Smith, Layne MD 22 Shaw, Michael MD 2 276, 282 Sorensen, Donald 155 Smith, Marshall MD Sheehan, Brenda DO 48 Skibitsky, Megan MD 188 Sorensen, James 142 278, 279, 280 Sheffield, Clark MD 354 Skousen, Gale MD 81, 95 Sorensen, Jeffery MD 275 Skuster, Denise MD 219, 220 Smith, Maureen NP Sorensen, Jennifer CNM Shelby, Todd MD 17 10, 27, 36, 41, 55, 58, 72, 173, Slack, Adelaide MD 33 110, 112 Sheldon, Dean DC 134 174, 175, 176, 177, 178, 211, Shelton, Clough MD 283 Slack, Caryn MD 55, 56 212, 213, 214, 215, 360, 362, Sorensen, Jory NP 179 Shelton, Marie DO 78 Slack, Robert DO 63, 71 363, 364, 365 Sorensen, Marilyn NP 81 Shelton, Scott DPM 327 Slade, David MD 253, 255 Smith, Philip MD 19 Sorensen, Pamela PA 98 Shelton, Tiffany AUD 121 Slade, Dirk MD 258 Smith, Rhett MD 21 Sorensen, Steven 148 Shelton, Wayne PT 315 Slade, Marilee NP 179 Smith, Robert MD 250 Sorensen, Teela MD 17, 18 Shen, Katherine MD 48 Slater, Ryan MD 345, 346 Smith, Roger DO 341 Sorensen, Tyler MD 243 Shephard, Shannon NP 36 Slattery, Eric MD 277, 278 Smith, Roger MD 21 Sorenson, John DC 135 Shepherd, Douglas MD Sliesoraitis, Sarunas DO 190 Smith, Scott MD Sorenson, Nathan NP 287, 288 Sloan, Carrie MD 22, 55, 71 63, 65, 72, 76, 83, 92 78, 88, 178 Shepherd, Kevin PT 299 Smalley, Aaron MD 251, 253 Smith, Scott MD 272, 273 Sorenson, Terry 144 Sheridan, Scott MD 41 Smid, Marcela MD 208, 209 Smith, Shawn MD 389 Sorweid, Michelle DO Shew, Stephanie PT 307 Smilanich, Robert MD 374 Smith, Stacy MD 249 31, 37, 48 Shifrar, Jacolin CNM 113 Smith, Allison PHD Smith, Tanner NP 180 Sotiriou, Leo MD 157 Shina, Nancy NP 181 385, 389, 392 Smith, Terry DPM South Davis Community Care Shipley, Scott MD 280, 281 Smith, Andrea MD 31, 46 325, 326, 328 Center 378 Smith, Brent MD 8 Smith, Wallace MD 160

444 Index of Providers / Índice de Proveedores continued

South Davis Community Splan, Madison PT 305 Stevens, Michael MD 282 Stout, Kelly PHD Hospital Home Health Agency Sprague, Brittany NP Stevens, Peter MD 261 380, 386, 394, 395, 396, 399, 193 11, 17, 31 Stevens, Richard MD 9 402 South Davis Specialty Care Spring Creek Surgical Center, Stevens, Scott MD 36 Stout, Lisa MD 369, 370 378 Llc 121 Stevenson, Bradford MD Stowers, Mark MD 231, 232 South Main Surgery Center Springer, Karyn MD 79, 88 368, 372, 373 Strachan, Robert PHD 396 Inc 121 Squire, Trevor DO 224 Stevenson, Camille MD 17 Stratford, C Kerry MD 100 South Mountain Dialysis Llc St George Endoscopy Center Stevenson, Trevor PT Strawter, Christopher MD 163 121 299, 300, 307, 308 338 South Ogden Center For St George Rehabilitation 378 Stewart, Brad 143 Strebel, Robert MD 236 Family Medicine 368 St Joseph Villa 378 Stewart, Gayle MD 41 Strindberg, Gail MD 353 South Valley Dialysis Center St Marks Hospital 376 Stewart, James DO 171 Stringham, James MD 163 St Marks Hospital - Snf 378 Stewart, James MD 185, 186 357, 358 Southern Utah Mri 208 St Marks Outpatient Surgery Stewart, Jeffrey DPM 327, 331 Stromberg, Ryan PT 295 Southworth, Scott MD 10 Center 121 Stewart, Mitzy APRN 226, 227 Strong, Sharon MD 31 Soutor, Todd PHD 381, 382 Staheli, Deanne ARNP 229 Stewart, Ryan MD 13, 17, 18 Stuart, Ashley PHD 395, 399 Souza, Alberto NP Staheli, John MD 88 Stinnett, Jason MD 210 Stubbs, David 139 179, 180, 204, 205, 215 Staheli, Paul PHD 401 Stinson, James MD 216 Stuck, Kimberly CNM Spain, Chad MD 36 Staker, Dennis PHD 403 Stirland, Spencer AUD 123 115, 117 Spangler, Seth 142 Standring, James 148 Stobbe, Nathan 143 Stucki, Grant 147 Spangrude, Kimberly NP Standring, Jason DO 89 Stock, Curt MD 276, 282 Stucki, Randall 147 20, 96 Stanger, Cynthia CNM Stock, Gordon MD 269 Stults, Michael MD 349 Sparenborg, Jeffrey MD 372 110, 112 Stock, Jennifer NP 22 Subbiah, Archana DO Sparks, Isaac DO 109 Stanley, Bruce MD 17 Stockslager, Gayle NP 17 109, 172, 368 Speakman, James MD 354 Stanley, Sherman OT 241 Stoddard, Jerrica APRN 109 Such Neibar, Teresa DO 288, 289, 290, 291, 292, 293 Speakman, Mori MD 19 Stansfield-Duvall, Micah NP Stoeckel, Amanda PHD Sudweeks, Matthew PT 311 Spencer, Andrew MD 209 79, 93 385, 389, 392 Sugerman, Lisa PHD 397 Spencer, Brandon 142 Staples, Jared 142 Stoker, Jeremy PT 318 Sullivan, Amy MD 209, 232 Spencer, Matthew MD 17, 105 Stapley, Marcia SLP 343 Stokes, Corbin PT 318 Sullivan, Cara MD 48 Spencer, Neil MD 12 Starr, Jeremy DO Stokes, Harold DC 134 Sullivan, Casey NP 95 Spencer, Richard MD 399 2, 4, 6, 8, 165, 166 Stone, Gregory DO Spencer, Steven MD 25, 41 Stauffer, Robert MD 403 25, 41, 167, 168, 362, 363 Sullivan, Mary-Marie MD 72 Spencer, Tiffany NP 78 Steele, Isaac NP 226, 228 Stonebridge Home Care Summerfield, Robert MD 382 Spencer, Wesley CP 379 Steele, Richard 139, 145, 146 Solutions 194, 195 Summerhays, Haley NP Spendlove, David PHD Steely, June MD 10 Stones, Michael MD 8 111, 174, 375 383, 385, 386 Steffen, Susan MD 236 Story, Mitchell PT 295 Summers, Ann PT 299, 301 Sperry, Matthew MD 337 Steinfeldt, Randall MD 108 Stott, Dale MD 285 Summers, Scott NP 63 Spiel, Craig PHD Steinvorth, June MD 50 Stotts, Paige OT 239 Sumsion, John PT 310 380, 383, 387, 389 Stelter, Casey MD 13, 105 Stouffer, Mark MD 261, 273 Sumsion, Kevin MD 17 Spiess, Saskia MD 38 Stern, Scott DO 185 Stout, Angela NP 100 Sumsion, William PT 312, 315 Spiker, William MD 265 Stevens, David MD 261 Sun Tree Home Health Llc Spina Iii, Nicholas MD 275 Stevens, Mark MD 120 196

445 Index of Providers / Índice de Proveedores continued

Sundberg, William 141, 149 Taintor, Adam MD 160 Tensmeyer, David MD Thurston, Mckennan MD 13 Sunderman, Elizabeth MD Takasaki, Roman MD 93 18, 105 Tien, Dave MD 220 Talbot, Bryon 140 Terry, Kayleen NP 211, 212, 213, 214, 215 Sundwall, David MD 38 Talwar, Sandeep MD 135 110, 137, 138 Tierney, Joanna MD 51 Sunkara, Nirmal MD Tanner Memorial Clinic Teske, Michael MD Tietze, Christopher MD 183 201, 203, 204, 206, 207 361, 368 246, 248, 254 Tiley, Donna OT 239 Sunshine Terrace Foundation Tanner, Gregory MD 50 Testa, Massimo MD 225 Tilly, Shannon MD 231, 232 378 Tanner, Leslie NP 88 Thach, Allen MD 255 Timmons-Terry, Holly MD Sunshine Terrace Home Tanner, Rebecca MD 55 Thacker, Paula CNM 111 55 Health 193 Tanner, Shonn PT 294, 304 Thatcher, Benjamin DO Timpanogos Regional Suramaethakul, Nuttanun Tanner, Sidney APRN 227 383, 396 Hospital 376 MD 202 Tanvir, Fawad MD Thatcher, John MD 397 Tingey, Chad MD 160 Sutherland, John MD 354 197, 199, 200 The Orthopedic Specialty Tingey, Jeffrey DO 48 Sutherland, Travis MD 105 Tarbet, Kristin MD 254 Hospital 376 Tippets, Richard MD 217 Svagr, Bohus MD 261 Tate Iii, Charles MD 136 Theurer, James MD 253 Tipton, David MD 81, 95 Swain, Rebecca NP 17 Tate, David PHD 402 Thomas, Andrew MD 235 Tipton, Mary MD 52 Swank, Luke PA Tatti, Anne PHD Thomas, Benjamin DPM 327 Tittensor, Jennifer MD 354 19, 96, 98, 100 389, 392, 393 Thomas, Curtis CCC-A Tobler, Eric Swartz, Mano MD Taylor, Braden PT 314 123, 344 144, 146, 148, 151 Tobler, Nathan 152 242, 244, 250, 253 Taylor, Bruce DO 100 Thomas, Katherine MD 220 Sweney, Matthew MD Todd, Russell MD 349 Taylor, Gregory MD 372 Thomas, Stephanie MD 3, 9 218, 219, 220, 221, 222 Tom, Cindy MD 123, 124 Taylor, Jack MD 37 Thompson, Amanda PT 295 Swensen, Eric 140 Tomco, Abraham MD 79, 88 Taylor, James MD 2 Thompson, Bradley DO 100 Swenson, Bryce DO 88 Tomlinson, Stephen PT 316 Taylor, Jennifer SLP 343 Thompson, Daniel MD Swenson, Jennifer DO 22 Toole, Douglas DPM 324, 325 Taylor, John MD 76, 95 27, 72, 93 Swenson, Jonathan MD 287 Toone, Keira NP 25 Taylor, Kim MD 246 Thompson, Glenn DC 134 Swenson, Leanne MD 164 Topham, Robert MD 157 Taylor, Kimball PT Thompson, Justin PT 297 Swenson, Randal MD 279 Torres, Leah MD 31 311, 312, 314 Thompson, Kim NP 176 Swigert, Jason MD 100 Toshniwal, Neha 154 Taylor, R Robert MD 17 Thompson, Leigh MD 51 Swiler, Maggie NP 23 Total Knee And Hip Taylor, Robert MD 88 Thompson, Leslie APRN 180 Switzer, Nikki MD 49 Rehabilitation 194 Taylor, Rogan PT Thompson, Scott MD 320 Sybrowsky, Christian MD 267 Tovey, Daniel MD 95 311, 312, 314 Thorne, J Kent MD 358 Sykes, Scott MD 243, 247, 256 Towner, Steven MD 32, 200 Taylor, Steven MD Thornhill, Denise PHD 389 Symbius Medical Llc 162 Trachtenberg, Joel MD 198 277, 278, 280 Thornley, Micah 145 Symkoviak, Gary MD 128 Tran, Sally MD 36 Te, Joseph MD 193 Thorpe, Brett MD 186, 204 Synergy Homecare 197 Tran, Tan MD 41 Teerlink, Jason 146 Thorpe, Greg PT 315 Szczesny, Lorraine MD 31 Trandafir, Cristina MD Teja, Sandeep MD 217 Thorpe, Jefforey MD 79, 84 Szpunar, Agnieszka MD 8, 50 224, 225 Tempest, Mathew MD 251 Thorson, Suzanne PT 293 Szwajkun, Konstantyn MD Tranter, Devin DPM 329 Temple, Steven MD 98 Thota, Ramya MD 190, 191 125, 127, 130 Travarelli, Jennifer MD 231 Tenney, Chad PT 317 Thueson, Jeremy MD 393 Tabin, Jean MD 245 Trawick, Roy MD 264 Tensmeyer, Daniel MD 261 Thunell, Daniel 287 Tagge, Bryan MD 277, 278 Treanor, Kristen PT 297 Thur, Vilate NP 52

446 Index of Providers / Índice de Proveedores continued

Treft, Robert MD 244 University Of Utah Health Veigel, Jake MD 345 Walker, Kevin DPM 331 Trieu, Belinda MD 33 Care 362 Vellinga, Jonathan MD 23, 46 Walker, Kevin MD Tristani Firouzi, Payam MD Updike, Spencer 145 Vendela, Tiffany PT 296 219, 220, 221 159 Updike, Wanda MD 197 Ventura, Peter MD 280 Walker, Megan SLP 342 Trowbridge, David MD Urry, Larry MD 155, 157, 160 Verhaaren, Steven PT Wallace, Robert MD 393 184, 202 Utah County Health 299, 300, 307, 308 Wallace, Seth MD 8, 23, 52 Trudel, Ronald MD 58 Department 334 Vernon, Andrew 145 Wallentine, Jeffrey MD Trujillo, Nicholas DO 23, 27 Utah Surgery Center 121 Vernon, Brian MD 259 270, 271 Trumobility Inc 162 Utah Valley Rehabilitation Vernon, Clair 147 Wallentine, Steven MD Tschetter, Kevin MD 23, 46 And Healthcare Center Llc Vest, Alyssa NP 89 191, 192 Tucker, Stephen MD 36 378 Vest, Kurt 139 Wallin, Trevin MD 244 Tuckett, Darrin NP 102 Utah Valley Urgent Care 365 Vigil, Debra NP 18 Wallis, Michael MD 369, 371 Tudor, Brian MD 190, 192 Utley, Dan 152 Villalobos, Miguel MD Walsh, Kevin MD Tufts, Gillian APRN 38 Utley, Tyler 153 18, 41, 48, 72 125, 127, 129 Turcuato, Jay PT 299 Vacharothone, Rachot MD Vincent, Anne NP Walsman Leiva, Gabriela MD Turner, Bryan MD 36 199, 203, 361, 363 63, 65, 72, 76 48 Turner, Jay CCC-A 122, 123 Vadeboncoeur, Renee NP 176 Vine, Daniel MD 222, 223 Walton, Matthew DO 94 Turner, Orean NP 173 Valantine, Matthew 152 Vinegra, Christopher MD 397 Walton, Troy 138, 139 Turner, Scott MD 242, 256 Valdes, Wesley DO 56 Vogeler, Douglas MD 49 Wander, Theodore MD Turok, David MD 6, 32, 39 Valentine, Christopher MD Voigt, Stephanie PHD 386, 389 Twede, Michael MD 23 41, 49 385, 389, 393, 394 Wang, Angela MD 265 Volante, Carol NP 102, 181 Twelves, Tricia MD 27 Valles, Rene MD 382, 395 Wang, David MD 131 Von Bose, Charles DO 403 Twitchell, Jeffrey MD 32 Van Gils, Carl DPM 330, 331 Wangrow, Michelle PT 314 Vonk, Harold MD 338 Tyser, Andrew MD 262, 265 Van Leeuwen, Richard MD Wapner, Francis MD 250, 251 Voss, Michael DO 393 Udall, King MD 33 276, 277 Warby, David DPM 324, 327 Voss, Stephen MD 32, 46, 235 Udall, Marc MD 79 Van Meter, Margaret MD 191 Ward, Amanda NP 173 Voss, William DO 72, 95 Udodong, Ekaete APRN Van Orman, Colin MD 225 Ward, Cori NP Vroenen, Diane DO 292 116, 117 Van Staden, Gavin MD 10 2, 19, 20, 43, 48, 72, 98, 107 Vyas, Neeta NP 180 Ulett-Garcia, Tomeika NP Van Wagoner, Zachary MD Ward, Matthew MD 253 Waddell, Kathryn PHD 386 63, 72 349, 353, 354 Ward, Meghan MD 389 Wade, Ralph DO 10 Underhill, Hunter MD 137 Vance, Rebecca CNM Ward, Raymond MD 10 Wagner Iii, Woodrow 153 Ungricht, Albert MD 248 111, 114 Warden, Michael DO 386 Wagstaff, Chad 153 University Of Utah Health Vande Merwe, David MD Wardle, Mark DO 81 Wahab, Raed MD 338 Care 366 10, 33 Warner, Claude MD 100 Waite, Rebecca NP 72 University Of Utah Health Vandersteen, Joshua DO 187 Warner, Matthew PT 299, 300 Waldron, Jill MD 138 Care 363 Varela, Victor MD 355 Warner, Scott PT 305 Waldron, Ryder 140 University Of Utah Health Vargas, Gabriela MD 137 Warner, William MD Walker, Corey MD 339 Care 361 Varghese Jr, Thomas MD 358 81, 84, 94 Walker, Dean MD 266 University Of Utah Health Varner, Michael MD 208 Warnock, Steven MD 320 Walker, Derrick DO 348 Care 364 Vaughan, Andrew MD 282 Warren, Steven MD 11, 46 Walker, Douglas DO 2 University Of Utah Health Vawdrey, Heidi NP 55, 72, 95 Warrick, Robert MD 18 Walker, Kathryn MD 234, 237 Care 363 Vega, Luz NP 177, 179

447 Index of Providers / Índice de Proveedores continued

Wasatch Endoscopy Center Weischedel, Kamile MD 393 White, Colby NP 180 Williams, Benjamin MD Llc 121 Weiss, Bartley MD 348 White, David 150 259, 261, 263, 267 Wasek, Cynthia NP 175 Welch, Von MD 63 White, Douglas MD 51 Williams, Brian MD 157 Washburn, Jesse DO 9 Welling, Blake MD 218 White, Heidi APRN 227 Williams, Brice MD 256 Washburn, Michael MD 244 Wells, Brenna NP 100 White, Justin DO 105, 108 Williams, Christopher NP Watabe, Bryan MD 235 Wells, Brett 147 White, Linda SLP 343 63, 65, 72, 73, 76, 83, 93 Williams, Dorothy MD 220 Watabe, Jeffrey MD 386 Wells, John MD 269, 271 White, Ryan NP 41 Williams, Eric MD 125 Waterman, Bradley MD Wells, Ryker 140, 153 White, Vernon MD 89 Williams, Lisa NP 229 370, 371 Wells, Spencer MD 285 Whitear, Amber MD 105, 107 Williams, Lloyd MD 249, 251 Waterman, David MD 243 Welsh, Brooke NP 88 Whitehead, Kevin MD 127 Williams, Nevin MD 105 Watkins, Joseph MD 218, 223 Welsh, Stephen MD Whitehouse, Sandra PHD Williams, Robert MD 27 Watkins, Kirk MD 341 96, 171, 367 389, 393 Williams, Ryan MD 382, 402 Watson, Brent MD 259, 261 Welter, Matthew MD 8 Whiting, Bryant MD 369 Williams, Tanya MD 28 Watson, Cordell DO 56 Wenner, Matthew PHD 383 Whiting, Cynthia NP 52 Williams, Trevor DPM Watson, Gregory DO 354 Wennergren, John MD 353 Whiting, Tyler 142 327, 328 Watson, Michael 145 West Valley Dialysis Center Whittaker, Kay NP 229 Williams, Tyler MD 11 Watson, Randall MD 52 163 Whittaker, Thomas MD 32 Williams, Zachary MD 131 Watts, Daren MD 24, 46, 72 West, Hugh MD 264 Whitten, Bireen MD 32 Williamson, Diantha MD Watts, David MD 354 West, Jeremiah MD 288 Whitten, Matthew MD 27, 46, 55 Wayman, Mina NP 188 West, Kristoffer MD 262, 273 373, 374 Willis Jr, Marshall MD Wayment, Nadya MD 107 West, Renee MD 105 Whittier, Cassie MD 13 63, 65, 73, 76, 83, 93 Wayment, Robert MD West, Scott MD 124 Whittington, Richard MD 51 Willis, Carrie MD 131 368, 373 West, Stewart MD 158 Wickens, Jason MD 255 Willits, Erin MD 120 Weaver, Aaron MD 130, 131 West, Tiffany OT 239, 240 Wiese, Julie MD 389 Willmore, D Keith MD 88 Webb, Ann NP 32 West, Wyatt MD 109 Wilcken, Julie PA 19 Willow Glen Health And Webb, Brad DPM 325, 330 Westbroek, Ryan NP 105 Wilcox, Bryan MD 276 Rehabilitation 378 Webb, Brent PT 318 Westermann, Robert MD 33 Wilcox, Michael MD Willow Wood Care Center Inc 243, 247, 248, 256 Webb, Matthew 145 Western, Lisa NP 36, 46 378 Wilcox, Ryan MD 190, 193 Webb, Susan NP 227 Westmoreland, Tanya 149 Wills, Jason MD Wilding, David MD 2 Weber, Charles MD 248 Weston, Raul MD 284 182, 184, 199, 202 Weber, Samuel MD 379 Westside Medical Clinic 361 Wilding, Gregg MD 2 Wilson, Benjamin MD 37 Wecker, Joel MD 28 Wetzel, David PT 300, 302 Wilhelmsen, Noelle 153 Wilson, Kathleen MD 42, 46 Weeks, Amanda PSYD Wexler, Kristin DO 235 Wilkes, Zackery NP 175 Wilson, Kayleen NP 385, 389, 393 Weyher, Mckinsee 139 Wilkins, Court OD 105, 107, 109 243, 244, 247, 256 Weeks, Jonathan MD 13 Wheeler, Katrina SLP Wilson, Kevin MD Wilkins, Michael PHD 399 Weeks, Matthew MD 108 343, 344 277, 279, 280 Wilkinson, Craig MD 374 Weeks-Juber, Jessica PA Wheeler, Stephen DC 135 Wilson, Lindsay MD 158 Wilkinson, E Leigh MD 248 2, 4, 6, 8 Wheelwright, Steven DO 13 Wilson, Matthew MD 23, 55 Wilkinson, Justin MD Weenig, Karl MD Whisenant, Brian MD 127 Wilson, Peter MD 349 251, 253 169, 170, 171, 347, 348 Whisenant, Jonathan MD 192 Wilson, Preston DO 23, 55 Willesen, Kavita MD 51 Weibell, Nicholai MD 235 Whitaker, Frank D 139 Wilson, Renee NP 177, 178 Weigand, Kenneth PHD 379 White, Charles MD 11

448 Index of Providers / Índice de Proveedores continued

Wimmer, Jeremy DC 134 Woodring, Jill NP 173, 181 Yeates, Michael MD 13 Zion's Way Home Health Winegar, Corbett MD 266 Woods, Jamile MD 335, 336 Yeates, Scott MD 251, 253 193, 195 Winegar, Karen NP 52 Woodward, Brandon 140 Yonnet, Gael MD 290 Zubieta, Jon Kar MD 393 Wing, Robert MD 243 Woolf, Kathryn PT 312 York, Arwen NP Zundel, Monte PT 295, 318 Winger, Jeffrey NP 101 Woolf, Kurtis MD 105, 109 18, 23, 27, 46, 50, 52, 56, 63, 73 Winkel, Kerry 142, 147, 150 Woolley, Joseph MD 101 Yoshimoto, Travis PT 318 Winn, Darin MD 18, 105 Woolley, Mark DPM 331, 332 Young, Alan CCC-A 122 Winter, Bret MD 262, 266 Woolley, Matthew PHD Young, Christine NP 32 Winters, Dennis MD 218 385, 389, 393 Young, Christopher 144 Winterton, Paul MD 262 Woolman, Michael MD Young, Daniel NP Wintle, Brandon MD 109 105, 107 174, 175, 176 Winward, Kirk MD Woolsey, Sarah MD 32, 38 Young, David DO 65, 83 242, 244, 253 Wooten, Clint MD 263 Young, Jared CCC-A 122 Winward, Tracy MD 98 Workman, Ryan DO 286 Young, Marielle MD Wirostko, Barbara MD 246 Worthington, Douglas AUD 246, 249, 250, 251, 252, 255 Young, Shane MD 25 Wise, Marilyn NP 18 122, 123 Young, Steven MD 243 Witt, Melina Ann PT 295 Wortley, James PT Young, Wayne MD 235, 236 Wixom, Jody MD 291, 292 301, 304, 305, 308, 309 Youssef, Jameel MD 339 Wixom, Steven PT Wortley, Paul PT Zabriskie, Norman MD 249 299, 301, 304 301, 304, 305, 308, 309 Wortley, Richard PT Zackrison, David MD 56 Woerlein, Christoph MD 301, 304, 305, 308, 309 Zafiratos, Thomas 184, 187 Worwood, Danny MD 96 140, 145, 146 Woiczik, Marcella MD Wright, Jeffrey PA 319, 320 Zarek, Sarah MD 233 261, 266 Wright, Jessica PT 307 Zaugg, Brian MD 246 Woller, Scott MD 36 Wright, Kirk PT Zaugg, Laura CNM 110 Wolsey, Brian MD 79, 84 310, 312, 313, 314 Zaugg, Valerie NP 226 Wolsey, Darcy MD 248 Wright, Kristen NP 81, 94 Zavodni, Zachary MD 248 Wolthuis, Jared 154 Wynn, Steven MD 108 Zebrack, James MD 124, 128 Wong, Alice MD 237 Yaganti, Vamsee MD 206 Zeer, Jennifer CNM 111, 114 Wood Jr, Gordon MD 275 Yamashiro, Vernon MD 24 Zehnder, Brian MD Wood, Dorian PT Yanowitz, Frank MD 32 25, 41, 169 317, 318, 319 Yardley, Tawni APRN 189 Zeigler Jr, Warren DO 223 Wood, James MD 32 Yaroshchuk, Larisa MD 25 Zempolich, Karen MD Wood, Sara DO 231, 237 Yarrish, Daniel MD 46 189, 190 Wood, Stephen MD 42 Yates, Jay MD 18 Zendejas -Ruiz, Ivan MD 351 Woodbury, Kory MD 358 Yates, York DO 320 Zia, Kimberly PA 319 Woodbury, Spencer 143 Yau, Joseph MD 395, 398 Ziegler, Robert MD 187 Wooden, Wesley DC 135 Yavelak, William MD 56 Zilbershteyn, Irene NP 176 Woodhouse, Steven PT 310 Yearsley, Carlie CNM Zimmerman, Patrick MD 56 Woodland Park Care Center 111, 114 Zimmerman, Susan MD 221 378 Yeates, Henry MD 120 Zink, Robert MD 359 Woodmansee, Terrell 143

449 Index of Pharmacies / Índice de Farmacias

12TH STREET PHARMACY CONTINUED CARE HURRICANE FAMILY MEDICAL CENTER 415 PHARMACY 407 PHARMACY 413 PHARMACY 408 ACUPHARM LLC 409, 418 CRIMSON VALLEY HYLAND PHARMACY 408 MEDICAL PLAZA ALLEGIANT PHARMACY PHARMACY LLC 414 INFUSION INNOVATIONS PHARMACY 408 410, 418 CVS PHARMACY 409, 417 MEDICINE MARKET 409 AMPHEX PHARMACY LLC 405, 406, 407, 408, 409, 410, INNOVATIVE RX LLC 407 MEDS IN MOTION 408 411, 412, 413, 414, 415 ISLAND VIEW 408, 409, 410, 413 APOTHECARY WEST 407 Caremark Mail Order Service PHARMACY 406 MEIER'S PHARMACY 409 ART CITY PHARMACY 413 416 JOLLEY'S COMPOUNDING MERIDIAN MEDS, LLC B & H PHARMACY 412 DAN'S DRUGS 409 PHARMACY 408 412, 418 BIRCH FAMILY DAVIS DRUG 406 JOLLEY'S SANDY MIDTOWN COMM PHARMACY 411 DAVIS FOOD AND DRUG PHARMACY 410 HEALTH CNTR PHCY 414 BOUNTIFUL DRUG 405 414 JOLLEYS CORNER MIDVALLEY SPECIALTY BOWMAN'S PHARMACY DAVIS JUBILEE 411 PHARMACY 408 PHARMACY 407 406 DICKS FAMILY JOLLEYS PHARMACY MOUNTAIN VIEW BRENT'S PHARMACY 414 PHARMACY 405 REDWOOD 410 HEALTH MART 415 BRENT'S PHCY & DIABETES DICKS PHARMACY 405 KENT'S MARKET MOUNTAIN VIEW CARE 414 DRY CREEK PHARMACY PHARMACY 415 PHARMACY 405 BRIGHAM COMMUNITY LLC 411 KENT'S PHARMACY MOUNTAINLANDS FAM PHARMACY 405 ECO APOTHECARY CLEARFIELD 406 PHCY WASATCH 412 BRIGHTON PHARMACY 410, 418 KENT'S PHARMACY 405 MOUNTAINLANDS 410 ECO PHARMACY OF SALT KENT'S THRIFTWAY 405 FAMILY PHARMACY 413 BULLOCH UNITED LAKE CITY 408 KENTS PHARMACY 415 MOUNTAINWEST DRUGS 406 EDGEMONT LARRY'S SMITHFIELD APOTHECARY 405 BYRAM HEALTHCARE HEALTHMART PHARMACY 405 MT. OLYMPUS CENTERS INC 409 PHARMACY 413 LEE'S MARKET PLACE COMPOUNDING 407 C3 PHARMACY 414, 419 FAMILY PLAZA PHARMACY 405 MTN VIEW FAMILY CACHE VALLEY COMM PHARMACY INC 410 LEE'S MARKETPLACE PHARMACY 412 HEALTH CTR PHCY 405 FUSION SPECIALTY PHARMACY 405, 414 NORTH VIEW PHARMACY CACHE VALLEY PHARMACY 414 LEES MARKETPLACE - THE 406 PHARMACY 405, 418 GIBSON'S PHARMACY 407 FOXBORO PHCY 406 OAK HILLS PHARMACY CANYON VIEW HEALTH GLOBAL MEDICAL LIFECARE SPECIALTY 412 MART 415 THERAPEUTICS, IN 408 410, 418 OAKSTEAD INFUSION CECILS PHARMACY 411 GRANGER PHARMACY LIN'S SUPERMARKETS INC VITAL CARE 406, 418 CEDAR DRUG AND GIFT, LLC 411 407, 413, 414 OGDEN CLINIC HEALTH INC 407 HEALTHCARE MACEY'S PHARMACY MART 415 CENTRAL UTAH PHARMACEUTICALS INC 405, 410, 411, 412, 413 OLIVE PHARMACY 411 MACEYS PHARMACY 405 PHARMACY 413 408, 418 OMNICARE OF SALT LAKE MACEYS PHARMACY CNS PHARMACY HILLCREST PHARMACY CITY 409, 418 411, 412, 413 410, 417, 418 407 OMNICARE OF ST. MAPLE MOUNTAIN COMMUNITY, A HOLT'S PHARMACY 411 GEORGE 414, 419 PHARMACY 412 WALGREENS PHCY 408 HRX PHARMACY 407 OPTION CARE 409, 417

450 Index of Pharmacies / Índice de Farmacias continued

OQUIRRH MOUNTAIN ROE FAMILY HEALTH THE MEDICINE SHOPPE UTAH CANCER PHARMACY 407 MART 415 414 SPECIALISTS 408 OREM FAMILY ROY PHARMACY 415 TIBBITTS FAMILY HEALTH UTAH STATE HOSPITAL PHARMACY 412 SALEM HILLS PHARMACY MART PH 406 PHARMACY 413 PAROWAN DRUG AND 413 TOWNSHIP UTAH VALLEY GIFT 407 SALMONS PHARMACY 412 PROFESSIONAL PHARMACY 412 PAYSON MARKET SANTAQUIN PHCY & PHARMACY 407 VALLEY PHARMACY INC PHARMACY 412 DIABETES CENT 413 TREMONTON 411 PAYSON RX EXPRESS 412 SELECT PHARMACY COMMUNITY PHCY 405 VALLEY PHARMACY 414 PETERSON'S FRESH 407, 418 U OF U FARMINGTON VRX PHARMACY @ CITY MARKET 408 SHARED PHARMACY PHARMACY 406 CREEK 409 PHARMERICA 409, 418 SERVICES 408, 418 UNIV OF UTAH WALGREENS PIONEER PHARMACY SIENAS PHARMACY LLC NEUROPSYCH INST 409 405, 406, 407, 408, 409, 410, SERVICES 407, 418 414 UNIVERSITY OF UTAH 411, 412, 413, 414, 415 PIONEER VALLEY SKY VIEW PHARMACY 406 CENTERVILLE PHCY 405 WASATCH PHARMACY PHARMACY 411 SMITH REXALL DRUG 412 UNIVERSITY OF UTAH CARE 415 PRECISION MEDICAL SOS DRUG COMPANY 413 GREENWOOD PHCY 407 WEBER HUMAN SERVICES PHARMACY 412 SOUTH VALLEY UNIVERSITY OF UTAH PHARMACY 414 PREMIER CARE COMPOUNDING PHCY 408 HOSPITAL INFUSIO WEST GORDON PHARMACY 412, 418 SOUTHEAST PHARMACY 408, 417 PHARMACY 406 PROFESSIONAL PARK 409 UNIVERSITY OF UTAH WESTSIDE HEALTH MART PHARMACY 414 SPANISH FORK HUNTSMAN CANCER 409 406 PROFESSIONAL PLAZA COMMUNITY UNIVERSITY OF UTAH WINEGARS PHARMACY PHCY, INC. 406 PHARMACY 413 MADSEN PHCY 409 406 REAMS SPRINGVILLE SPECIALIZED PHARMACY UNIVERSITY OF UTAH PHARMACY 413 SERVICES 418 MORAN PHCY 410 RED ROCK PHARMACY SPENCES NORTH UNIVERSITY OF UTAH 408, 413, 414, 418, 419 PHARMACY 405 ORTHOPEDIC PHCY 409 REEDS PHARMACY 405 STAPLEY PHARMACY UNIVERSITY OF UTAH RIDGE VIEW PHARMACY ENTERPRISE 413 OUTPATIENT PHCY 410 415 STAPLEY PHARMACY 414 UNIVERSITY OF UTAH RIDLEY'S PHARMACY STAPLEY PHCY AT DINO PARKWAY PHCY 412 #1167 411 CROSSING 414 UNIVERSITY OF UTAH RIDLEY'S PHARMACY STONE DRUG COMPANY REDWOOD PHCY 409 WEST #1134 415 413 UNIVERSITY OF UTAH S RIDLEY'S PHARMACY STUCKI FAMILY JORDAN PHCY 410 411, 412 PHARMACY 414 UNIVERSITY OF UTAH RITE AID TAYLOR DRUG 411 STANSBURY PHCY 411 406, 407, 408, 409, 412, 414 THE APOTHECARY UNIVERSITY OF UTAH ROCK CANYON SHOPPE 408 WESTRIDGE PHCY 411 PHARMACY 413 THE MEDICINE CENTER UNIVERSITY PHARMACY 409 408

451 This pharmacy directory was updated on 09/2018. For more recent information or other questions, please contact us, Molina Medicare Options Plus Member Services, at (888) 665-1328 or, for TTY users, 711, 7 days a week, 8 a.m. to 8 p.m., local time, or visit www.MolinaHealthcare.com/Medicare. Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at www.MolinaHealthcare.com/Medicare. You may also call Member Services for updated provider.

Los cambios en nuestra red de farmacias pueden ocurrir durante el año de beneficios. Puede obtener un Directorio de farmacias actualizado en nuestra página web en www.MolinaHealthcare.com/Medicare. También puede llamar al Departamento de Servicios para Miembros para saber cuáles son los proveedores actuales.

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If you have additional questions, please call Member Services: (888) 665-1328, TTY 711 7 days a week, 8 a.m. - 8 p.m., local time

Or for more information visit: www.MolinaHealthcare.com/Medicare

Si tiene otras preguntas comuníquese con el Departamento de Servicios para Miembros: (888) 665-1328, TTY al 711 Los 7 días de la semana, de 8:00 a.m. a 8:00 p.m., hora local

O para más información visite el sitio web: www.MolinaHealthcare.com/Medicare