Graduated: 2025
NPI: 1699484238
Practice Locations (3)
2825 E COTTONWOOD PKWY, SUITE 500
SALT LAKE CITY, UT 841217060
11312 S BERG HOLLOW LN
South Jordan, UT 840954023
11312 S BERG HOLLOW LN
SOUTH JORDAN, UT 840954023
Source: CMS National Downloadable File, September 2026.