Graduated: 2012
NPI: 1063762839
Practice Locations (5)
CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION
660 S 200 E
SALT LAKE, UT 841113846
8013952256
CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION
660 S 200
SALT LAKE CITY, UT 841113846
CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION
660 S 200, SUITE 250
SALT LAKE CITY, UT 841113846
CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION
660 S 200
SLC, UT 841113846
CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION
660 S 200, SUITE 250
SLC, UT 841113846
Source: CMS National Downloadable File, September 2026.