Medical school: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated: 2005
NPI: 1205915410
Practice Locations (1)
JORDAN RIDGE FAMILY MEDICINE LLC
6321 S REDWOOD RD, SUITE 201
TAYLORSVILLE, UT 841236972
7024802550
Source: CMS National Downloadable File, September 2026.