Active NPI 1619294337 Individual Practitioner Male Practitioner

Dr. Jesse David Jensen , DO

Dermatology • Tooele, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jesse Jensen, DO is a certified Dermatology practicing in Tooele, UT. With approximately 16 years of clinical experience since completing medical education in 2010, Dr. Jensen delivers high-quality medical care to the local community at 2376 N 400 E.

Dr. Jensen is affiliated with West Valley Dermatology and accepts Medicare assignment.

Frequently performed procedures and clinical services include aminolevulinic acid hcl for topical administration, 10% gel, 10 mg, destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2376 N 400 E
Ste 203

Tooele, UT 840743413

Telephone 8019661403

Fax 8019646478

Associated Practice Facility / Clinic

🏢 Ent Surgical Associates Pc Facility NPI 1497924229

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Tooele, UT

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs Matches City Avg

City Avg: 16.0 Yrs

State Avg: 19.7 Yrs

Regional Practice Density

1 Specialists

Practicing in Tooele, UT (184 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

44.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jensen (16 Years) 16 Yrs

Tooele Specialty Average (16.0 Years) 16.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	6,200	25	$4.00	$1.64
17003 Destruction of precancer skin growth, 2-14 growths	676	124	$9.29	$6.19
99213 Established patient office or other outpatient visit, typically 15 minutes	238	197	$128.84	$86.19
17000 Destruction of skin growth	208	168	$95.46	$45.27
11102 Tangential biopsy of single skin lesion	142	122	$140.01	$80.56
17110 Destruction of up to 14 skin growths	122	110	$158.63	$102.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	97	90	$79.94	$53.60
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	84	66	$952.99	$570.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	53	$180.68	$122.37
11103 Biopsy of related skin growth, each additional growth	60	43	$70.47	$47.13
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	49	30	$579.51	$386.87
17004 Destruction of precancer skin growth, 15 or more growths	32	31	$235.93	$157.39
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	31	27	$663.35	$221.13
96574 Application of light with debridement to destroy precancer skin growth	31	25	$385.05	$255.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$158.76	$101.72
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	21	13	$8.00	$0.96
17111 Destruction of skin growth, 15 or more growths	18	16	$186.95	$125.15
69100 Biopsy of ear	13	13	$134.18	$72.39
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	12	12	$546.08	$182.63
11900 Injection into skin growth, 1-7 growths	12	11	$80.99	$40.61
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$102.50	$68.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	910	156	$9.64	$6.18
99213 Established patient office or other outpatient visit, typically 15 minutes	265	211	$130.88	$84.87
17000 Destruction of skin growth	253	200	$96.77	$48.09
17110 Destruction of up to 14 skin growths	138	123	$162.95	$104.29
11102 Tangential biopsy of single skin lesion	132	107	$146.07	$86.53
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	86	70	$971.36	$555.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	84	78	$81.55	$52.75
88305 Pathology examination of tissue using a microscope, intermediate complexity	82	53	$102.51	$34.60
11103 Biopsy of related skin growth, each additional growth	48	31	$72.50	$45.74
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	46	34	$591.89	$381.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	40	$185.33	$120.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$162.24	$105.40
17004 Destruction of precancer skin growth, 15 or more growths	32	28	$243.28	$157.19
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	29	26	$683.50	$235.46
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	27	19	$8.00	$1.08
69100 Biopsy of ear	19	17	$139.35	$71.02
11900 Injection into skin growth, 1-7 growths	19	16	$82.25	$46.26
17111 Destruction of skin growth, 15 or more growths	17	12	$190.77	$123.22
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	14	$353.47	$113.92
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	15	13	$562.23	$181.23
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$104.52	$67.52
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	13	12	$1112.18	$717.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,081	180	$9.58	$6.40
17000 Destruction of skin growth	277	215	$95.29	$52.02
99213 Established patient office or other outpatient visit, typically 15 minutes	237	198	$130.32	$86.28
11102 Tangential biopsy of single skin lesion	139	121	$146.08	$91.43
88305 Pathology examination of tissue using a microscope, intermediate complexity	100	69	$102.26	$36.46
17110 Destruction of up to 14 skin growths	99	92	$160.69	$104.79
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	99	72	$958.20	$608.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	97	90	$80.69	$53.94
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	59	33	$8.00	$1.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$160.71	$105.95
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	46	30	$580.24	$389.71
11103 Biopsy of related skin growth, each additional growth	35	24	$73.27	$48.70
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	31	27	$686.59	$226.76
17004 Destruction of precancer skin growth, 15 or more growths	30	26	$238.13	$161.19
11900 Injection into skin growth, 1-7 growths	28	24	$80.55	$42.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	27	$184.53	$119.87
17111 Destruction of skin growth, 15 or more growths	19	16	$189.28	$126.21
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$104.97	$69.69
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	18	18	$403.44	$189.89
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	16	11	$250.82	$144.19
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	15	14	$436.07	$238.48
69100 Biopsy of ear	15	12	$137.93	$58.69
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	13	13	$560.17	$186.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	888	163	$16.81	$6.20
17000 Destruction of skin growth	261	210	$175.88	$50.80
99213 Established patient office or other outpatient visit, typically 15 minutes	224	188	$199.69	$87.64
11102 Tangential biopsy of single skin lesion	135	121	$272.83	$91.45
17110 Destruction of up to 14 skin growths	128	111	$314.27	$104.27
88305 Pathology examination of tissue using a microscope, intermediate complexity	124	82	$208.16	$36.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	119	104	$123.94	$54.04
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	69	55	$1911.10	$592.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$270.06	$105.99
17004 Destruction of precancer skin growth, 15 or more growths	51	44	$453.81	$158.85
11103 Biopsy of related skin growth, each additional growth	37	33	$145.82	$50.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	36	$299.36	$125.41
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	34	22	$1118.22	$393.47
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	32	23	$8.13	$1.21
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$186.07	$70.23
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	26	25	$1551.22	$258.19
17111 Destruction of skin growth, 15 or more growths	24	15	$359.47	$126.66
11900 Injection into skin growth, 1-7 growths	20	17	$148.30	$40.63
69100 Biopsy of ear	15	15	$247.72	$66.66
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	14	13	$555.19	$205.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,006	182	$9.83	$5.68
17000 Destruction of skin growth	282	226	$109.23	$52.21
99213 Established patient office or other outpatient visit, typically 15 minutes	244	187	$125.92	$72.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	193	172	$181.80	$106.11
11102 Tangential biopsy of single skin lesion	130	114	$165.11	$88.96
88305 Pathology examination of tissue using a microscope, intermediate complexity	115	74	$131.80	$38.36
17110 Destruction of up to 14 skin growths	104	92	$186.66	$106.00
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	62	48	$1093.81	$564.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	51	$74.49	$44.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$177.61	$102.19
99202 New patient office or other outpatient visit, typically 20 minutes	55	55	$125.31	$74.34
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	50	34	$653.88	$387.49
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	49	21	$8.00	$1.47
17004 Destruction of precancer skin growth, 15 or more growths	48	41	$258.75	$150.61
11103 Biopsy of related skin growth, each additional growth	29	22	$94.42	$50.83
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	18	16	$789.60	$273.43
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	16	13	$312.23	$136.54
36415 Insertion of needle into vein for collection of blood sample	16	11	$25.00	$2.98
11900 Injection into skin growth, 1-7 growths	15	12	$90.53	$44.59
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	12	12	$447.06	$193.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,351	228	$9.42	$5.50
17000 Destruction of skin growth	347	280	$108.96	$53.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	287	255	$181.93	$106.61
99213 Established patient office or other outpatient visit, typically 15 minutes	259	202	$124.06	$71.79
17110 Destruction of up to 14 skin growths	118	109	$182.21	$104.23
11102 Tangential biopsy of single skin lesion	115	100	$163.29	$87.24
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	69	56	$1119.25	$524.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$181.61	$106.70
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	57	33	$8.00	$1.51
17004 Destruction of precancer skin growth, 15 or more growths	51	47	$253.67	$146.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	40	$74.85	$43.97
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	44	30	$661.40	$380.63
99202 New patient office or other outpatient visit, typically 20 minutes	43	43	$127.43	$74.88
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	25	24	$807.53	$260.34
11900 Injection into skin growth, 1-7 growths	22	19	$90.96	$44.86
11103 Biopsy of related skin growth, each additional growth	22	15	$88.19	$49.97
11104 Punch biopsy, first skin growth	14	14	$205.23	$120.55
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	14	13	$654.55	$223.73
11901 Injection into skin growth, more than 7 growths	13	11	$115.92	$53.72
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	13	11	$295.19	$142.40
10060 Simple or single drainage of skin abscess	12	12	$198.75	$116.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,306	207	$8.81	$5.05
17000 Destruction of skin growth	329	265	$110.25	$52.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	272	239	$179.84	$103.15
99213 Established patient office or other outpatient visit, typically 15 minutes	242	186	$121.84	$70.25
11100 Biopsy of single growth of skin and/or tissue	151	137	$175.04	$94.28
17004 Destruction of precancer skin growth, 15 or more growths	120	93	$241.42	$138.67
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	104	53	$8.00	$1.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$180.84	$104.50
17110 Destruction of up to 14 skin growths	74	67	$184.58	$104.59
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	61	51	$1106.06	$539.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	45	$72.88	$41.75
11900 Injection into skin growth, 1-7 growths	38	35	$93.86	$39.87
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	37	27	$648.41	$370.91
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	37	26	$298.66	$143.32
99202 New patient office or other outpatient visit, typically 20 minutes	35	35	$125.17	$68.07
11101 Biopsy of each additional growth of skin and/or tissue	33	30	$55.27	$32.12
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	22	18	$240.63	$107.69
69100 Biopsy of ear	19	18	$167.67	$84.56
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	18	15	$236.29	$114.18
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	17	17	$714.59	$329.27
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	17	17	$798.22	$259.09
11901 Injection into skin growth, more than 7 growths	15	12	$118.76	$60.37
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	14	12	$33.68	$18.28
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$414.99	$130.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,553	253	$9.35	$5.36
17000 Destruction of skin growth	388	317	$110.72	$53.91
99213 Established patient office or other outpatient visit, typically 15 minutes	260	207	$121.88	$69.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	236	205	$179.64	$101.79
11100 Biopsy of single growth of skin and/or tissue	191	170	$170.95	$93.21
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	151	69	$7.84	$1.80
17004 Destruction of precancer skin growth, 15 or more growths	125	104	$249.43	$143.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	90	90	$181.05	$105.18
99202 New patient office or other outpatient visit, typically 20 minutes	60	60	$124.51	$70.94
11900 Injection into skin growth, 1-7 growths	53	46	$92.71	$42.54
17110 Destruction of up to 14 skin growths	53	44	$181.92	$101.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	43	$72.28	$41.90
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	52	47	$1104.29	$533.99
11101 Biopsy of each additional growth of skin and/or tissue	45	40	$55.30	$31.99
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	38	30	$647.00	$373.64
36415 Insertion of needle into vein for collection of blood sample	23	17	$25.00	$2.94
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	18	18	$643.29	$248.24
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	18	12	$41.57	$24.09
11901 Injection into skin growth, more than 7 growths	17	15	$117.63	$66.34
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	16	14	$296.99	$150.57
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	16	15	$795.92	$259.14
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	11	11	$293.18	$141.78

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License UT 8963761-1204

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology - Dermatopathology

NUCC Taxonomy Code: 207ND0900X

State License UT 8963761-1204

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

Hospital & Practice Group Affiliations

West Valley Dermatology

4133 W Pioneer Pkwy, West Valley, UT 841202059

Phone: 8019661403

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Natalie Reinhold , PA

Physician Assistant

NPI 1578215521

Physician Assistant

Dr. Edward Southwick , MD

Dermatology

NPI 1619957156

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 07, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 07, 2016

Registered at 2376 N 400 E, STE 203, TOOELE, UT 840743413 (Tel: 8019661403)

📍

Updated Business Mailing Address March 07, 2016

Registered at 3465 S PIONEER PKWY, SUITE 1, WEST VALLEY CITY, UT 841202076 (Tel: 8019661403)

👤

Provider Name / Credentials Updated March 07, 2016

Recorded as JESSE JENSEN, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2016

Dermatology (License #8963761-1204 in UT)

🟢

Initial NPI Registration & Enumeration April 21, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1619294337

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 21, 2010

Last Update: March 07, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3465 S Pioneer Pkwy, Suite 1

West Valley City, UT 841202076

Phone: 8019661403

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.