Graduated: 2009
NPI: 1386876167
Practice Locations (2)
MOUNTAINSTAR SPECIALTY SERVICES LLC
96 E KIMBALLS LN
DRAPER, UT 840205021
MOUNTAINSTAR SPECIALTY SERVICES LLC
8846 S REDWOOD RD, SUITE 121
WEST JORDAN, UT 840889366
8015691999
Source: CMS National Downloadable File, September 2026.