Medical school: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE - PHOENIX
Graduated: 2019
NPI: 1083220578
Practice Locations (2)
480 E S TEMPLE, APT 227
SALT LAKE CITY, UT 841111334
480 E S TEMPLE APT, SUITE 227
SALT LAKE CITY, UT 841111334
Source: CMS National Downloadable File, September 2026.