Graduated: 2023
NPI: 1174398648
Practice Locations (2)
IHC HEALTH SERVICES INC
1157 N 300, SUITE 211
PROVO, UT 846046124
8013571250
MOUNTAIN LAND REHABILITATION LLC
1950 E FORT UNION BLVD, SUITE 2
SALT LAKE CITY, UT 841216894
8019431041
Source: CMS National Downloadable File, September 2026.