Graduated: 2018
NPI: 1184102212
Practice Locations (3)
TANNER MEMORIAL CLINIC
2121 N 1700
LAYTON, UT 840418803
8017734840
TANNER MEMORIAL CLINIC
425 S 100
LAYTON, UT 840415356
8017734840
EMERGENCY PHYSICIANS INTEGRATED CARE LLC
5475 S 500
OGDEN, UT 844056905
8014792111
Source: CMS National Downloadable File, September 2026.