Graduated: 2003
NPI: 1346387305
Practice Locations (4)
625 N 400
Huntington, UT 845284512
3355 S LAWRENCE RD
HUNTINGTON, UT 845285517
625 N 400
HUNTINGTON, UT 845280607
625 N 400
HUNTINGTON, UT 845284512
4356875162
Source: CMS National Downloadable File, September 2026.