Graduated: 2025
NPI: 1356201628
Practice Locations (3)
5443 W COPPER NEEDLE WAY
South Jordan, UT 840096154
10654 S RIVER HEIGHTS DR, SUITE 130
SOUTH JORDAN, UT 840955523
5443 W COPPER NEEDLE WAY
SOUTH JORDAN, UT 840096154
Source: CMS National Downloadable File, September 2026.