Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1003995713
Practice Locations (2)
NORTHEASTERN UTAH MEDICAL GROUP
210 W 300
ROOSEVELT, UT 840662336
4357224691
UINTAH BASIN MEDICAL CENTER
250 W 300, 75 2
ROOSEVELT, UT 840662336
4357224691
Source: CMS National Downloadable File, September 2026.