Graduated: 2024
NPI: 1942071022
Practice Locations (2)
TANNER MEMORIAL CLINIC
1750 E 3100
LAYTON, UT 840402406
8017734840
UTAH KIDNEY CLINIC LLC
4345 HARRISON BLVD, SUITE 101
OGDEN, UT 844033103
3853508500
Source: CMS National Downloadable File, September 2026.