Search › Utah › 363AM0700X
Garrett Kordsiemon, PA-C
NPI 1114654027 · on the registry since 2022 · sole proprietor
Practice
- Address
- 12391 S 4000 W
Riverton, UT 84096 - Phone
- (801) 965-3600
- Organisation at this address
- Apex Dental Draper Llc
Eric E. Martin, Dds, Pc
Granger Medical Clinic Inc
Christopher J. Jolles Md, Pc
Granger Medical Specialists LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 38
Additional practice sites
- 1500 N Renaissance Blvd Ne, Albuquerque, NM
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 390200000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah