Medical school: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated: 2002
NPI: 1063689750
Practice Locations (2)
UNIVERSITY OF UTAH SPECIALTY SERVICES
50 N MEDICAL DR, UNIVERSITY OF UTAH HOSPITAL PMANDR
SALT LAKE CITY, UT 841320100
8015876336
UNIVERSITY OF UTAH PEDIATRIC SERVICES
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 841131125
8012133599
Source: CMS National Downloadable File, September 2026.