Graduated: 2018
NPI: 1760973366
Practice Locations (2)
OGDEN CLINIC SPECIALTY SERVICES LLC
5740 CRESTWOOD DR
OGDEN, UT 844054869
8014797771
TANNER MEMORIAL CLINIC
6028 S RIDGELINE DR, SUITE 201
OGDEN, UT 844056908
8017734840
Source: CMS National Downloadable File, September 2026.