Medical school: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2005
Also: SPORTS MEDICINE
NPI: 1902092133
Practice Locations (1)
MOUNTAINSTAR SPECIALTY SERVICES LLC
8846 S REDWOOD RD, SUITE 121
WEST JORDAN, UT 840889366
8015691999
Source: CMS National Downloadable File, September 2026.