Medical school: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated: 1997
NPI: 1023078045
Practice Locations (2)
UINTAH BASIN MEDICAL CENTER
210 W 300
Roosevelt, UT 840662336
UINTAH BASIN MEDICAL CENTER
250 W 300, 75 2
ROOSEVELT, UT 840662336
4357224691
Source: CMS National Downloadable File, September 2026.