Graduated: 2017
NPI: 1154629962
Practice Locations (3)
14316 S JACKSON FIELD WAY
HERRIMAN, UT 840962804
PO BOX, SUITE 712260
SALT LAKE CITY, UT 84171
2714 W AMINI WAY
SOUTH JORDAN, UT 840959269
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Graduated: 2017
NPI: 1154629962
14316 S JACKSON FIELD WAY
HERRIMAN, UT 840962804
PO BOX, SUITE 712260
SALT LAKE CITY, UT 84171
2714 W AMINI WAY
SOUTH JORDAN, UT 840959269
Source: CMS National Downloadable File, September 2026.