Medical school: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1013008077
Practice Locations (1)
MILLCREEK ANESTHESIA PC
1200 E 3900, ST MARKS HOSPITAL
SALT LAKE CITY, UT 841241300
8012687111
Source: CMS National Downloadable File, September 2026.