Graduated: 2009
NPI: 1023349982
Practice Locations (2)
MOUNTAINSTAR MEDICAL GROUP-OGDEN REGIONAL MEDICAL CENTER LLC
166 N STATE ST
MORGAN, UT 840509919
8018293426
MOUNTAINSTAR MEDICAL GROUP-OGDEN REGIONAL MEDICAL CENTER LLC
942 CHAMBERS ST, SUITE 16
OGDEN, UT 844035131
8014756222
Source: CMS National Downloadable File, September 2026.