Medical school: LIBERTY UNIV COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2020
NPI: 1649894692
Practice Locations (3)
TANNER MEMORIAL CLINIC
425 S 100
LAYTON, UT 840415356
8017734840
IMPACT PHYSICIAN GROUP LLC
306 W RIVER BEND LN
PROVO, UT 846045625
8012268880
IMPACT PHYSICIAN GROUP LLC
5825 HARRISON BLVD
SOUTH OGDEN, UT 844034316
8014755254
Source: CMS National Downloadable File, September 2026.