Graduated: 2021
NPI: 1881268514
Practice Locations (2)
TANNER MEMORIAL CLINIC
1477 N 2000, SUITE C
CLINTON, UT 840159099
8017734840
INNOVATIVE WOUND SOLUTIONS LLC
4141 S HIGHLAND DR, UNIT 304
HOLLADAY, UT 841242642
4804930900
Source: CMS National Downloadable File, September 2026.