All Medicaid billing entities listing GONZALEZ, IGNACIO (ADMINISTRATOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Utah | 1 | $4K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | EVERGREEN CLINIC LLC | WEST JORDAN, UT | Family Medicine Physician | $4K |