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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GARRETT KORDSIEMON, PA-C

Active Sole Proprietor

Medical Physician Assistant · RIVERTON, UT

Registration Details

NPI Number
1114654027
Provider Type
Individual
Gender
Male
NPI Issued
Aug 2, 2022 (3.7193246857046 yrs)
Last Updated
Sep 9, 2025
License
9374356-1206 (UT)
Sole Proprietor
Yes

Practice Information

Address
12391 S 4000 W
RIVERTON, UT, 840967012
Browse UT providers · Browse ZIP 84096
Phone
8019653600
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in RIVERTON, UT

Name Credential NPI
MR. DAVID LEE FURUTA PA-C 1952459794
DAVID DOUGLAS P.A. 1932240207
MR. CHAD BARNETT PA-C 1912103615
BRANDON JAMES HANSEN PA-C 1467735621
JENNIFER LYNNE GLAZIER PA-C 1255771499
MR. SCOTT SCHAUSS PA-C 1104254549
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.