Medical school: SOUTHERN COLLEGE OF OPTOMETRY
Graduated: 2007
NPI: 1598962755
Practice Locations (3)
163 S SR, 112 SUITE 107
Grantsville, UT 84029
163 S, SR112 SUITE 107
GRANTSVILLE, UT 84029
4352490530
163 S SR, 112 SUITE 107
GRANTSVILLE, UT 840299032
Source: CMS National Downloadable File, September 2026.