Graduated: 2013
NPI: 1821423609
Practice Locations (2)
GUNNISON VALLEY HOSPITAL
46 N MAIN ST
MANTI, UT 846421254
4358357246
OGDEN CLINIC SPECIALTY SERVICES LLC
4403 HARRISON BLVD, SUITE 4650
OGDEN, UT 844033294
8014753240
Source: CMS National Downloadable File, September 2026.