Graduated: 2012
NPI: 1629841903
Practice Locations (3)
6895 S 2510
Cottonwood Heights, UT 841213303
6895 S 2510
COTTONWOOD HEIGHTS, UT 841213303
2825 E COTTONWOOD PKWY, SUITE 500
SALT LAKE CITY, UT 841217060
Source: CMS National Downloadable File, September 2026.