This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Doctors / UT
UNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Graduated: 2007
NPI: 1639042864
3698 E RACQUET CLUB CIR
SALT LAKE CITY, UT 841214500
3855894677
Source: CMS National Downloadable File, September 2026.