Individual provider · Type 1 NPI

Garrett Kordsiemon, PA-C

Medical Physician Assistant · Riverton, UT

NPI number 1114654027 Active

Practice location

12391 S 4000 W
Riverton, UT 84096-7012

Call (801) 965-3600 Map

Mailing address

2965 W 3500 S
West Valley City, UT 84119-3602

Other practice locations

  • 1500 N Renaissance Blvd NE, Albuquerque, NM 87107-7002 · (505) 266-5565

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X9374356-1206 (UT)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1114654027

Garrett Kordsiemon, PA-C's National Provider Identifier is 1114654027, issued on Aug 2, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Riverton, UT. The record was last updated on Sep 9, 2025.