Graduated: 1995
NPI: 1720199078
Practice Locations (2)
THE ORTHOPEDIC CLINIC LC
11762 S STATE ST, SUITE 160
DRAPER, UT 840207174
8013144195
THE ORTHOPEDIC CLINIC LC
5848 S FASHION BLVD, SUITE 110
SALT LAKE CITY, UT 841076175
8013144188
Source: CMS National Downloadable File, September 2026.