Graduated: 1983
NPI: 1710923552
Practice Locations (4)
630 MEDICAL DR
BOUNTIFUL, UT 840104908
8012992125
TANNER MEMORIAL CLINIC
6028 S RIDGELINE DR, SUITE 201
OGDEN, UT 844056908
8017734840
JORDAN VALLEY DERMATOLOGY CENTER LLC
10654 S RIVER HEIGHTS DR, SUITE 210
SOUTH JORDAN, UT 840955541
8015691456
GRANGER MEDICAL CLINIC PC
2965 W 3500
WEST VALLEY CITY, UT 841193602
8019653600
Source: CMS National Downloadable File, September 2026.