Graduated: 2025
NPI: 1770479099
Practice Locations (5)
1972 N 4010
Lehi, UT 840437179
1972 N 4010
LEHI, UT 840487179
1244 N MAIN ST, SUITE 101
TOOELE, UT 840749839
1235 MENOMONIE ST, SUITE B
Eau Claire, WI 547035974
1235 MENOMONIE ST, SUITE B
EAU CLAIRE, WI 547035974
Source: CMS National Downloadable File, September 2026.