Graduated: 2025
NPI: 1013716703
Practice Locations (2)
UNIVERSITY OF UTAH ADULT SERVICES
50 N MEDICAL DR
SALT LAKE CITY, UT 841320100
8015814314
IHC HEALTH SERVICES INC
5373 W LAKE PARK BLVD
WEST VALLEY CITY, UT 841208208
8019028080
Source: CMS National Downloadable File, September 2026.