Medical school: HARVARD MEDICAL SCHOOL
Graduated: 1993
NPI: 1013963651
Practice Locations (2)
96 E KIMBALL LN, SUITE 407
DRAPER, UT 840204145
8015613101
6699 S 1300, SUITE 150
SALT LAKE CITY, UT 841217240
6122448260
Source: CMS National Downloadable File, September 2026.